Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Review the procedures for distribution of International Maritime Organization circulars to ensure all affected parties promptly receive International Maritime Organization documentation and the distribution and receipt is adequately recorded.

Address the safety issue whereby large commercial vessels above the internationally accepted size for the carriage of AIS are operating into and around busy New Zealand ports without AIS fitted, potentially compromising the effectiveness of traffic management systems and other measures to prevent collisions between vessels.

Advise all New Zealand operators of FU24 aircraft, of the potential for light growth to jam the ailerons of these aircraft.

On 24 April 2024 the Commission recommended that KiwiRail place greater emphasis on training rail personnel in reporting unusual weather conditions (in accordance with KiwiRail’s Operating Rules, Section 1 – General Rules, rule 6(b), to ensure they retain currency.

ensure that the northern view lines from the western side of Caverhill Road level crossing for traffic heading east are preserved by prohibiting the storage of rail vehicles on the backshunt at the north end of the crossing loop.

Ensure the operating instructions for all survival craft and their launching appliances on all company vessels are correct, easily understandable by the crew, and clearly understood by the crew. Instructions should include a note not to deviate from standard operating procedures before fully assessing the consequences of doing so.

The Tranz Metro maintenance policy was biased towards being reactive rather than proactive and did not include identifying and monitoring the performance of safety-critical components such as high-speed circuit breakers.

Require his pilots to comply with the Civil Aviation Safety Order or any other civil document governing the conduct of a particular air show in which military aircraft are involved or advise the organisers of any parts of such instructions with which he is not prepared to comply.

[the LTSA, MSA and OSH] Immediately bring the potential problem of substandard connections between stacked bases to the attention of appropriate Australian transport safety agencies.

Include an article in the Seafood New Zealand magazine featuring this report, the intent of Maritime Rule Part 31C [Crewing and Watchkeeping - Fishing Vessels] together with its advisory circular and the work of the Maritime Safety Authority convened FISHgroup and fishSAFE initiatives.

provide clearer guidelines to operating staff defining the actions to be taken when safety critical components of a train consist become defective while in operation. The guidelines should include when advise is to be south, the position of the person from whom it is to be sought, and the action to be taken if that person cannot be contacted.

The Commission recommends that the Director of Civil Aviation review the parachute accident and incident reporting system under Civil Aviation Rule Part 12 and Advisory Circular AC12-1, in conjunction with the Part 115 and Part 149 organisations’ requirements, to provide a more effective national resource to manage the sector’s safety.