Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Require Airways to ensure controllers always confirm that pilots acknowledge receipt of the current ATIS broadcast.

The provision of Area Forecasts and Aerodrome forecasts to general aviation pilots be reinstated.

He consider producing an article for "New Zealand Flight Safety" magazine on the subject of post-maintenance inspection of aircraft for ensuring that tools and equipment have been removed after maintenance.

carry out specific training to ensure key track staff are aware of the vulnerability of sites that have an unknown neutral temperature, and the site deficiencies that justify inclusion of sites in "heat 40" lists. [SR repeated in report 02-104: 3 separate track buckle occurrences on the South Island coal route during the summer of 2001/2002.]

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.

Reinforce the training and increase the compliance monitoring of RCO's to ensure they are positioned and operate in such a manner that a combination of: "range of vision" normal operating distractions shunting speed maintain an acceptable factor of safety with respect to possible collision.

Prepare medical guidelines for Locomotive Engineers (and other operating staff as appropriate) concerning fitness for duty.

Ensure the New Zealand airworthiness directive schedule specifies applicable airworthiness directives called up in the ex-military type certificates data sheets.

On 25 October 2023, the Commission recommended that Waka Kotahi reviews the operation of long-hood leading locomotives by all rail participants to ensure sufficient risk controls are in place

liase with Lloyds Register of Shipping to review the cargo securing manual to clarify the lashing required when containers are loaded more than one high in the main vehicle deck.

Review the adequacy of similar integrated workplace operating plans for NZRL and other port authorities or other similar operating complexes where the size of operation and/or scope of activities are such that unacceptable operational conflict may exist, and initiate action where necessary to ensure a safe operational and work environment.

Clarifies the responsibilities of the tug masters with respect to tug and towline maintenance, with emphasis on the need for on-going thorough inspections of the towline.