Inquiries & Recommendations

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Conduct a review, in consultation with RCCNZ, to ensure that maritime rescue plans are in place and put into practice where appropriate, for areas of increased water-based activity nationwide.

engineering standards consistent with world standard practice are identified and adhered to manufacturers’ inspection, repair and maintenance instructions are documented and followed safety critical components are identified and documented.

Approach the local air traffic service provider and local User Group to discuss the justification and acceptability of developing standardised procedures for the co-ordination of aircraft flying through Kawarau Gorge.

Consider introducing a procedure whereby the ground-crew check with the pilot that a glider's airbrakes are locked prior to attaching the cable.

They discuss the circumstances of this accident with the Rangitikei District Council to determine the most effective way of warning local citizens and others of this particular hazard.

Take immediate steps to control the weld repair of safety critical components to recognised standards to ensure the integrity of the original installation is retained.

Arrange for Piper Service Bulletin SB 893 "Nose Gear Centering Attach Bolt" to be amended, so that the instruction step 6©, which is to check for installation of placard p/n 582-943, is performed each time the SB is referred to.

Advise members that these aircraft should be flown only by experienced pilots.

Take steps to ensure that before introducing operational innovations such as the Otira Tunnel ventilation system that adequate structured risk assessments are carried out, and recorded, to achieve the intent of the company safety system.

Take the appropriate steps to ensure the main undercarriage axle part and serial number remains accessible visually after all protective processes have been completed.

determine maximum allowable speeds for all shunt movements when operating in sidings, regardless of whether or not discharging or loading of wagons is taking place, and include such information in the relevant yard and siding instructions and agreements.

All new operators of high speed craft, and all operators of new high speed craft be made to comply with Chapter 18 of the HSC Code.