Inquiries & Recommendations
Ngā ketuketutanga me ngā tūtohunga
Ngā ketuketutanga me ngā tūtohunga
Search Results
Aviation
AO-2023-008
An Air New Zealand Q300 and a Beech 76 Duchess ZK-JED were on reciprocal tracks when a close proximity event occurred, requiring avoiding action.
Incident date: Publish date: Not yet published
Aviation
AO-2023-012
The Commission is assisting an investigation by the United Kingdom Air Accidents Investigation Branch (AAIB) investigation into an accident that occurred at about 1407 on 22 August 2023 (UTC) near Enstone, Oxfordshire, UK. The circumstances reported are that a Spitfire MK 26B, registered G-CLHJ, struck the ground during a test flight. The aircraft was destroyed and the pilot did not survive.
Incident date: Publish date: Not yet published
Maritime
MO-2023-205
On 24 July 2023, the fully loaded Achilles Bulker was departing the Port of Tauranga under pilotage when it began unexpectedly swinging to port after clearing the harbour entrance. As the bridge team attempted to correct the course, the ship’s rudder detached, causing it to drift out of the channel into shallow water. The pilots and crew managed to bring the vessel to a stop using both anchors, narrowly avoiding grounding.
Incident date: Publish date:
Maritime
MO-2023-204
TAIC final report. Crew member seriously injured because workmates didn't know what each other was doing. Accidents happen when people don't communicate. Safety-critical worker did unauthorised work, didn't tell responsible officers, negating the abilities and authorities of those in command to keep people safe. Communicate the plan, double-check plan is still the plan, and speak up if danger looms.
Incident date: Publish date:
Rail
RO-2023-104
Passenger train ‘Te Huia’ went through stop light (SPAD) vulnerable to impact from other passenger train. TAIC recommendations relate to train driver route knowledge, need for rail vehicles sharing a rail network to have same engineering solution to prevent passing stop signals, and signal visibility.
Incident date: Publish date:
Aviation
AO-2023-007
The reported circumstances were that at about 1937hrs on 13 June 2023, an Air New Zealand Bombardier passenger aircraft, ZK-NEM, descended below the minimum safe altitude for a sector during its approach into Timaru, New Zealand.
Incident date: Publish date: Not yet published
Aviation
AO-2023-009
New Zealand has completed its support for this inquiry. Please note, TAIC will not be producing a report for this inquiry.
Incident date: Publish date:
Rail
RO-2023-103
KiwiRail track workers in a tunnel were caught out by a passenger train. They sprinted to escape. Everyone in a safety-critical role should be skilled at communicating clearly; making good decisions; working in teams; and situational awareness.
Incident date: Publish date:
Maritime
MO-2023-203
TAIC recommends law change to ban substandard ships from NZ. Commission’s final report on container ship Shiling finds the ship twice needed to be rescued and towed back to port in 2023, due to deferred maintenance. The Shiling had a history of deficiencies, both prior to a change of ownership in 2020 and after. TAIC found it is virtually certain the ship was unseaworthy when in NZ, despite holding valid certificates. TAIC also recommends closing gaps in international ship safety management systems and strengthening NZ’s salvage and rescue capability.
Incident date: Publish date:
Maritime
MO-2023-202
New TAIC #marinesafety report on collision of Bay of Islands Blue Ferry with recreational boat. (1) Every commercial marine operator must have a safety management system that’s fit for purpose. (2) No skipper can be sure everything is fine on another vessel. Keep looking, listening, and thinking about risk of collision until both vessels are getting further apart. www.taic.org.nz/inquiry/mo-2023-202
Incident date: Publish date:
Rail
RO-2023-102
Freight train derailed - floodwater washed out track ballast after heavy rain. TAIC identifies safety issues with: foul weather responsiveness nationwide; staff training to deal with foul weather; and knowledge of risks and hazards associated with waterways next to its railways. Three recommendations to KiwiRail.
Incident date: Publish date:
Maritime
MO-2023-201
Preliminary report in ongoing inquiry. For safety critical rubber expansion joints to be fit for purpose, maintenance schedules must account for date of manufacture as well as time in service. On Interislander ferry Kaitaki, one of these joints was too old when it ruptured. The cooling system failed, causing automatic shut-down of main and auxiliary engines. In foul weather, with 900 people on board, ferry drifted towards shore, anchored until repairs completed 1 hour later.
Incident date: Publish date: