Inquiries & Recommendations

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Develop a procedure to ensure that the 5-knot rule is promoted and enforced, particularly during future special maritime events.

Require that proposed new procedures, or changes to procedures, be reviewed and incorporated in the Manual of Air Traffic Services prior to implementation.

The Monte Stello was fitted with a voyage data recorder (VDR), but it had not been maintained in working order because New Zealand Maritime Rules do not require one to be fitted. Even New Zealand-registered ships to which SOLAS has been applied are currently not required to be fitted with a VDR because New Zealand Maritime Rules have not been updated to incorporate changes made to SOLAS that came into effect in July 2002.

Vessels' machinery installations and their control systems are complex, and regardless of how well maintained they are there will always remain the possibility that some part fails for some reason. For a vessel like the Hanjin Bombay that has only one propulsion system, the risk of losing control of the vessel caused by a single-point failure is higher than that for other vessels that have greater levels of redundancy built in to their propulsion and power-management systems. These types of vessel rely heavily on tug services when operating in confined pilotage waters.

Adapt the appropriate rules to require any rigid inflatable to: Be able to withstand the deflation of any one of its inflatable pontoons and still meet the existing stability criteria. Have explicit instruction manuals and guidelines for maintenance, which must be sighted by the surveyor before a Certificate of Survey is issued. Have each pontoon numbered for identification and its method of securing recorded on the Certificate of Survey if the inflatable pontoons are interchangeable.

Review the operation of the aircraft technical log to ensure critical information is duplicated and held separately from the log, possibly with the aircraft’s maintenance documents.

institue abnormal procedures contingency plan training on board to familiarise the master, officers and crew with the operational procedures to be undertaken in any such emergency.

Ensure that all employees who carry out safety-critical duties within the operations area receive formal training in fatigue awareness and management with priority being given to shift workers. Such courses should also be made available to staff members’ families and be completed by the end of 2004.

Introduce a certification system for part-time ticket assistants, including re-certification at similar intervals to other full-time operating staff, to ensure continued competency in their role in event management to safeguard passenger safety.

Participate with the Land Transport Safety Authority, Papakura District Council, Auckland and Waitakere City Councils in a review of all existing railway level crossings within the Auckland metropolitan area, to ensure that their design, layout, signage and warning devices are adequate for current road and rail traffic volumes and will be adequate to meet projected increases in rail traffic on the Auckland rail corridors.

Critically review the familiarisation and training programs for watchkeeping engineers to ensure that they fully cover all aspects of engine room watchkeeping.

They investigate the practicability of introducing an operating procedure that, when trains are to cross at Eltham, requires one train to stop outside the limits of the track circuits for the Bridge Street and London Street level crossing alarms until the other train has berthed and advised that the train is in the siding clear of the fouling boards.