Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Initiate instructions to flight attendants that: are specific for each aircraft type which they operate, enhance the concept of a sterile flight deck during critical phases of a flight, clarify the need for them to be seated as soon as practicable after the signal to do so is given.

Explore the practicality of connecting the radio altimeter output into the DFDR.

He introduce a mandatory system of two-tier entry into safe ship management where operators are issued with Provisional Safe Ship Management Certificates pending full compliance with the New Zealand Ship Safety Management Code. Provisional Certificates should only be issued for a specified period and for ships where: • the requirements under the present Certificate of Survey system are met or exceeded; and • operating crew hold qualifications required by the relevant manning regulations.

In conjunction with the safe ship management company, investigate the forward visibility from the steering position of the Triptych, with special reference to passengers on the foredeck and put in place operating procedures to ensure that the skipper’s visibility it not obstructed while the vessel is underway. Such measures should be included in the safe ship manual.

Ensures that operational material published by document holders and approved by the Director is accurate and consistent across all users and complies with the prescribed relevant standards.

Enable at least one of the escort vehicles for VIP cars to remain in contact with the authority allocating gates on the Wellington Eastern Apron.

Review the system for determining the eligibility of candidates for maritime qualifications.

This accident was the result of fine clay particles within the engine fuel system causing a momentary reduction in engine power. Fuel contamination is a greater risk for operators that conduct refuelling in the field or at remote locations.

The Commission recommended that the Ministry of Transport revisit its decision with respect to recommendation 004/11 and take steps to mitigate the increase in the risk of competence-based accidents in the recreational maritime transport sector.

Regardless of any legislative requirement to do so, he instruct the skippers of ferries to report their arrivals and departures to the Lyttelton Signal Tower on VHF channel 12.

It is a safety issue that there are shortcomings in the standard of navigation training applied by Coastguard crews particularly for navigation at night and in poor weather conditions. It is recommended that the Chief Executive of The Royal New Zealand Coastguard Inc. ensures that all Coastguard crews achieve a high standard of navigation skills for all Coastguard crews commensurate with the worst case scenario of conducting rescues at night and in bad weather.

Review those heritage railways using motor trolleys to convey passengers to ensure that the trolleys are equipped with a suitable restraint to minimise the risk of passengers falling from the trolley.