Inquiries & Recommendations
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Maritime
MO-2004-217
In the early hours of Wednesday 27 October 2004, the San Rochelle with a Master and 2 crew on board was in the fishing grounds to the north of New Zealand. At about 0345 with the crew part way through setting the first longline of the voyage, the Master noticed smoke coming from the aft engine room ventilators. He discharged a portable CO2 fire extinguisher into the engine room, without the fire noticeably diminishing, before he made a distress call on his single side band radio. The distress call was acknowledged by Maritime Radio and a rescue operation commenced.
Incident date: Publish date:
Rail
RO-2004-128
[A preliminary investigation showed that the circumstances were not likely to have significant implications for transport safety. Consistent with section 13 of the TAIC Act the Commission discontinued the investigation and no report was published.]
Incident date: Publish date:
Maritime
MO-2004-216
On Tuesday 19 October 2004 at about 1018, the passenger freight ferry "Aratere" was transiting Queen Charlotte Sound after departing Picton when it lost all power. After a few minutes, emergency power was restored and the master navigated safely down the sound until full manoeuvring power was restored. The master then conned the vessel back to Picton to effect repairs to one of the diesel generators. Safety issues identified included: - procedures covering the replacement of diesel generator cylinder heads
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Rail
RO-2004-127
On Tuesday 19 October 2004 at about 0840, express freight Train 952 collided with a stock truck and trailer at Browns Road level crossing in Dunsandel, between Rolleston and Ashburton. Flashing lights and bells protecting the level crossing were working at the time of the collision. The locomotive remained upright and on the rails but sustained major damage. The truck and trailer unit was extensively damaged. The locomotive engineer was uninjured but the truck driver suffered extensive injuries. The safety issues identified were:
Incident date: Publish date:
Maritime
MO-2004-215
The Department of Conservation vessel "Southern Winds" was working in the Fiordland area, with a master and 7 passengers on board. On completion of fieldwork on Thursday 14 October 2005, the boat was anchored close to Lloyd Island, in inner Gold Arm, Charles Sound. During the evening the wind freshened and the boat was unable to maintain its anchorage. The master unsuccessfully re-set the anchor 3 times before he decided to move to the outer sound. As the boat passed between Catherine and Fanny Islands it grounded heavily on a rock.
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Rail
RO-2004-126
On Monday 11 October 2004 at about 0007, the sixth wagon on Train 244, a Wellington to Karioi express freight service, derailed at 4.458 km on the North Island Main Trunk line, inside Tunnel 1 after the right wheel on the leading axle of the leading bogie fractured. The train travelled a further 4 km before the locomotive engineer looked back along his train, saw sparks and stopped the train that was by then inside Tunnel 2. The derailed wagon caused some minor damage to the rail bridge over State Highway 1 at Ngauranga Gorge and to ground-level signalling equipment inside Tunnel 2.
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Rail
RO-2004-125
On Saturday 2 October 2004, at about 1015, an exhaust outlet at the top of a bulldozer being conveyed on a road trailer collided with the underside and damaged rail over road bridge No.98, located at 117.95 km on the Wairarapa Line, about 9 km south of Eketahuna. A nearby farmer who had heard the collision reported details of the damage to train control. The person sent to inspect the damaged bridge inadvertently inspected 2 undamaged bridges located nearby before informing train control the track was safe and clear for traffic.
Incident date: Publish date:
Rail
RO-2004-124
[Investigation incorporated in report 04-123. Please refer to that report.]
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Maritime
MO-2004-214
On Wednesday 29 September 2004 at about 1720, the passenger freight ferry "Aratere" was entering Tory Channel from Cook Strait when it failed to make a programmed course alteration while in automatic steering. The navigational bridge team had to intervene and make a manual alteration of course to prevent the Aratere from grounding at full speed on the north side of the channel. Safety issues identified included: - the adequacy of bridge resource management - the adequacy of training in the use of all integrated bridge systems
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Rail
RO-2004-123
Between Friday 7 May 2004 and Thursday 30 September 2004, four incidents involving traction motor fires on Tranz Metro electric multiple unit passenger services occurred on the Wellington suburban passenger network. This report incorporates reports 04-114, 04-122 and 04-124. These incidents occurred on 4 different driving sets, and all resulted in smoke entering the passenger compartments. There were no injuries to passengers or crew in any of the incidents. Safety issues identified included: - the use of incorrect crimp lugs in cable connections
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Aviation
AO-2004-005
[A preliminary investigation showed that the circumstances were not likely to have significant implications for transport safety. Consistent with section 13 of the TAIC Act the Commission discontinued the investigation and no report was published.]
Incident date: Publish date:
Rail
RO-2004-122
[Investigation incorporated in report 04-123. Please refer to that report.]
Incident date: Publish date: