Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

He review whether the standards for air transport operations from ALG's where a missed approach could not be performed safely from the runway threshold were acceptable.

Revise the safe ship management manual to reflect company policy and standing orders with regard to: • towing operations • towing equipment • crew safety • water tight integrity • emergency procedures • communication between all parties involved in a towing operation.

limit the use of four-wheel wagons to the carriage of homogeneous loads where the likelihood of asymmetrical loading is minimal, and give consideration to an early phasing out of all four-wheel revenue wagons.

Implement the requirements of Maritime Rule Part 31C [Crewing and Watchkeeping - Fishing Vessels] for all vessels under its safe ship management system.

On 25 March 2020 the Commission recommended that the Chief Executive of Sanford Limited implement training for the crew on the configuration of the emergency stops to avoid confusion on which emergency stop services which system. This will reduce the likelihood of crew accessing running machinery after pressing incorrect emergency stops.

The stop block at Melling was mounted directly in front of the terminal (last) pole supporting the high-voltage overhead contact wire for the electric trains. At the previous collision in 2013 the support structure was damaged, and in this recent 2014 event the pole was snapped off at ground level, causing the overhead contact wire to drop onto the body of the train. The fallen high-voltage line created a risk to the train occupants and delayed the evacuation of the train after it came to rest.

Address the practical difficulties of conducting competency checks for pilots of singleseat aircraft that have led to a degree of disregard for some aspects of the pilot currency requirements.

The late notification of this incident hampered the Commission's investigation, because potentially valuable CVR information was not preserved. The Commission has noted recently that other serious incidents have not been notified as soon as practicable to the CAA, and in some cases the delays have affected the Commission’s decision whether to investigate. The Commission and the CAA rely on being immediately notified of serious incidents in order to be able to conduct effective investigations and to learn the lessons to prevent accidents.

Carry out a comparative risk analysis on the operations of indicator loops compared to loops equipped with arrival/starting signals in Track Warrant areas to assess the risk exposure at indicator loops and take action to bring the risk exposure within acceptable limits where necessary.

On 13 March 2025, the Commission recommended that the Director of Maritime New Zealand review their competency frameworks for STCW-F-aligned certificates, to ensure they include the basic principles to be observed in keeping a navigational watch as set out in Chapter IV of the Annex to STCW-F.

He require the operator to provide some accurate source of wind speed indication at Tiraora Lodge airstrip.

with the trend towards fixed passenger train consists, investigate compliance with, and the robustness of, present procedures for the checking of coupled drawgear heights with a view to reinforcing existing procedures, and if need be, introducing additional or changed processes to further reduce the likelihood of passenger carrying vehicles operating in service with an out-of-code drawbar height.