Inquiries & Recommendations

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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.

initiate actions arising from such inspections to ensure safe rail operation.

Monitor closely the future development of TAWS equipment with a view to amending Part 135 to require its installation in relevant aircraft.

review the CAA’s data systems and processes, particularly regarding flying training data, including the information collected and the way this information is collected, categorised, recorded in the CAA’s occurrence database and analysed to ensure that meaningful and complete data on flying training in New Zealand is available

On 27 September 2023 the Commission recommended that the Taupo Gliding Club develop and implement a system approved by GNZ that ensures instructors can positively verify that pilots have an appropriate level of competency to ridge soar on Mount Tauhara and safely conduct training flights on the ridge.

Develop a comprehensive passage plan for each of the company routes that utilises all available resources aboard company vessels, and make it company policy for all vessels to follow the plans as closely as practicable in all conditions of visibility.

Require all commercial jet boat operators to identify on each jet boat all components that are critical to the safe operation of the boat, and to have a documented inspection and maintenance system in place that covers those critical components. The inspection and maintenance system should complement rather than replace any existing system of daily checks.

On 21 February 2018, the Commission recommended that the Chief Executive of The Helicopter Line, in consultation with the CAA, review The Helicopter Line’s safety management system audit process to ensure that its safety policy, safety assurance, risk management and promotion of safety are sound.

Require individual aircraft flight manuals to list those optional equipment items of operational significance which are installed in the aircraft.