Inquiries & Recommendations

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Evaluate South Port’s pilot/tug master training programme including the use of the simulator to determine the most efficient method of ensuring that all staff are suitably equipped to respond to any operational eventuality. Emphasis should be given to instituting a training programme in instrument only navigation techniques for all South Port pilots, in line with that prescribed in the pilot/tug master training manual.

Cessna 207 operations to the Mt Tarawera airstrip be discontinued until the full length of the strip is available and in good repair.

He extend the requirement to notify the Lyttelton Signal Tower of vessel movements into, out of or within the port to include all commercial vessels regardless of their size or nature of operation.

Include in the guidelines that rail operators, as part of their safety system, review existing pedestrian level crossings against risk assessment criteria and implement a prioritised upgrading programme where the protection requirements for new crossings are not met.

Address the safety issue whereby the risk assessment for the Port of Taharoa that was in its draft form, after 4 years of development, did not follow the recognised methodology to classify and apply the appropriate measures to mitigate the risks. The safety management system that the risk assessment underpins must be regarded as fragile until an expert independent total review of it is made.

Develop guidelines for the track inspectors to determine when timber sleepers are no longer suitable for continued service.

The Commission recommends that the Chief Executive of the NZ Transport Agency ensure that in their safety cases the access provider of, and operators using, the National Rail System consider fire in rail vehicles as a risk to the safety of their operations, and must demonstrate that they have mitigated that risk as far as reasonably practicable

Assists the Marlborough District Council to the extent necessary to ensure a navigational light beacon is established on Anatakupu Island, or on such suitable alternative site as might be identified, to improve the directional awareness of masters transiting French Pass in a north-easterly direction and to maintain the safety of navigation through French Pass.

The Mercer PDA is near a busy international and domestic airport and close to the tracks flown by aircraft flying from Auckland to Tauranga, which alone elevates the risk of midair collisions if air traffic controllers lose awareness of aircraft operating in and around the PDA, or if aircraft deviate outside the PDA.

Emphasise to all Tranz Rail staff involved in passenger operations the importance of the existing procedures that provide for the safety of passengers when boarding or alighting from trains, and implements compliance monitoring to ensure the procedures are adhered to.

Require the owners of Pterodactyl Ascender II + 2 aircraft to remove the second seat and associated structure.

carry out a review to validate the permanent 25 km/h speed restriction currently in effect for eastbound trains when travelling through Tunnel 1 on the Midland Line