Inquiries & Recommendations
Ngā ketuketutanga me ngā tūtohunga
Ngā ketuketutanga me ngā tūtohunga
Search Results
Aviation
AO-2023-011
Two aircraft came within 20 feet of each other on final approach at night at Ardmore Airport. TAIC report highlights safety lessons for pilots, aircraft owners, engineers, and aerodrome operators at busy unattended aerodromes. It shows how communication, visibility, and access to shared procedures can make all the difference and makes recommendations to improve night flying safety across New Zealand.
Incident date: Publish date:
Maritime
MO-2023-206
New TAIC report on a failure to ensure safe navigation while the crew were fishing. Fishing vessel Austro Carina stranded because a turn took it toward land and nobody was in the wheelhouse to stop it happening. Maritime NZ and vessel’s operator need to improve watchkeeping standards and practices.
Incident date: Publish date:
Aviation
AO-2023-010
An air ambulance helicopter was dispatched from Hamilton Airport to recover a trauma patient on Mount Pirongia. While descending on the windward side of a ridge line to recover the patient, the helicopter rapidly and unexpectedly dropped in height. The helicopter impacted the terrain on a west-facing escarpment covered by dense native forest. The helicopter was severely damaged. The pilot, crew member and paramedic escaped without injury.
Incident date: Publish date:
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.
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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.
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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.
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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.
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