Inquiries & Recommendations

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Review the amenities available for operating staff while waiting for duty during unsociable hours, with a view to reducing the boredom and fatigue that inadequate facilities can aggravate.

Implement a FMS software change on all various Boeing aircraft models that ensures any entries (such as V speeds and gross weight) that are mismatched by a small percentage are either challenged or prevented.

In conjunction with the Safe Ship Management Company include a section in the Safe Ship Management manual on the signs, symptoms and effects of fatigue and practical methods of managing fatigue.

Ensures systems are in place to assess the competency of any appointed or acting Track and Structures Manager or Ganger who make such decisions.

Arrange for skippers employed by the company attend a high speed navigation course.

Extends the performance data in aircraft flight manuals to match the operations undertaken by those aircraft.

On 26 February 2025, the Commission recommended that Kawasaki Heavy Industries revise the Kawasaki BK117 B-2 Flight Manual to include specific data for Vortex Ring State to assist pilots in avoiding this phenomenon.

advise all affected shipping companies in New Zealand of all current IMO circulars and documents, and how each may acquire them.

On 25 October 2023, the Commission recommended that KiwiRail install smoke and fire detection systems in all auxiliary generator wagons in service to alert train crew and passengers to a fire at the earliest opportunity.

Review the commercial operations which R22 helicopters are performing emphasising to the owners and operators the need to observe the manufacturer's restrictions, particularly in commercial operations.

that the Microlight Aircraft Association of New Zealand Inc. be required to: Provide for pilot's medical certificates to be retained by the clubs.

Ensure that a review is undertaken of current crew resource management training by all participants in the rail industry, including how the principals of crew resource management are being implemented. The outcome of the review and any corrective action should ensure that staff are equipped with the skills necessary to effectively use crew resource management techniques to reduce operational occurrences.