Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Include an article in the Seafood New Zealand magazine featuring the report into this tragic accident highlighting the part played by minimal stability and the consumption of cannabis.

Introduce procedures that define permanent, pre-determined call locations on routes under track warrant control, from where locomotive engineers must call train control to confirm their whereabouts; together with a requirement that if such calls are not acknowledged by train control, the train must stop at the next track warrant station or designated intermediate board until communication is established.

in conjunction with the Department of Conservation review the 'Southern Winds' Safe Ship Management operations manual to promote best operating practices for the intended use of the boat.

The effectiveness of the Department of Conservation wind indicator installation should be monitored.

On 26 February 2014 the Commission recommended that the Director of Civil Aviation conduct a review of Robinson safety awareness training in New Zealand and facilitate development and adoption of best practice across the sector including a level of consistency in the way instructors deliver the safety awareness training.

Include a site familiarisation trip with the tutor train controller and an experienced operating or maintenance person as part of the training and certification for any train control desk together with at least one unaccompanied field trip scheduled within an acceptable timeframe following certification as a follow up.

On 8 December 2021, the Commission recommended that KiwiRail and Waka Kotahi NZ Transport Agency examine how the selection of level crossings for LCSIAs and upgrade can be more accurately prioritised from ALCAM risk scores and other existing data sources. (012/21)

It was recommended to the Secretary for Transport that he address the following safety issues: The status of the NRSS Committee, the rights to membership of that committee and the responsibilities of each Committee member, and the terms of reference of the Committee is currently unclear. (034/10)

Review the minimum flight times specified for issue of a CPL-H.

Specify the relationship between the categories of rescue fire services listed on the NZAIP landing charts and those listed in CAR 139.

The Commission recommended to the Director of Civil Aviation that he promptly publicise the recent changes to the Robinson R66 (and R44) Pilot's Operating Handbooks that caution against flight in high winds and turbulence, and which advise pilots to reduce power and speed if turbulence is expected or encountered.

Review Maritime New Zealand’s internal practices and procedures for assessing and approving applications for the issuance or renewal of Minimum Crewing Documents for restricted limit passenger ships to ensure that appropriate, consistent and realistic levels of properly qualified personnel are assigned to a vessel to fulfil all the provisions of Maritime Rule Parts 31B.7 and 31B.8. Particular consideration should be given, but not limited, to the following: - the size and complexity of the vessel - the environment in which the vessel operates