Inquiries & Recommendations

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Institute regular inspection of the Airways Corporation's operations, as recommended by the Swedavia Report.

Clarify procedures for restoring power to points motors following planned works requiring power outage.

Ensure that all the crew of the Westport who are responsible for the operation, maintenance and monitoring of the controllable pitch propeller system are made aware of the way the system defaults under differing failure conditions and the necessary corrective action to take in case of a failure.

Close the level crossing located at 162.56 km NIMT between Maewa and Rangitawa.

Standards for maximum working hours and minimum rest periods on the train control roster could result in a train controller being fatigued at the start of a shift even in the absence of any other fatigue-inducing factors. The train control roster policy including, but not limited to, standards for maximum working hours and minimum rest periods should be reviewed to ensure it is designed to mitigate fatigue and promote wellness.

fix identification plates on all rail over road bridges that have a height restriction of 4.4 m or less. Plates should be visible to road users and identify each bridge by its number and rail metrage, and include an emergency contact number. Similar plates should be fixed to other bridges where NZRC determine a need because of previous history.

Review the policy on the provision of information on instrument approach plates, relating to navigation lights visible to pilots and the depiction of spot heights.

He review the wind limitations in the light of these studies especially in relation to go-around procedures.

Review Ansett's QRH checklists for "Landing Gear Malfunction Alternate Gear Extension" and "#2 Engine Hyd Pump Caution Light on with Hyd Qty Below Normal, Gear Extension" with a view to standardising the procedures where actions should be identical, and eliminating the possibility for confusion between "alternate release door" and "alternate extension door" during the reading of the checklist.

include within the existing procedure for overhauling bogies, an inspection other than visual only, to confirm the structural integrity of specified components before a bogie is returned to service.

Places more 5 knots speed notices on existing structures, e.g. channel markers, in the approached to Paihia Wharf, and takes whatever steps are most practical to enforce this by-law.

On 26 February 2025, the Commission recommended that the Director of Civil Aviation at the Civil Aviation Authority of New Zealand use the lessons from this report to raise awareness for helicopter pilots of the risks associated with inadvertently entering flight conditions that are conducive to Vortex Ring State.