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Inquiries & Recommendations
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Aviation

Require his Rules Rewrite Team to review the requirements for gaining an approval to conduct an air show to: • Prohibit the simultaneous operation of display and non-display aircraft with any airspace designated for an air show.

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Rail

Amend existing code instructions and training procedures for the operation of remote control locomotives to ensure they include a definition of what constitutes "adequate" when describing "range of vision" with particular regard to speed and the need to stop in a distance related to the clear distance seen ahead.

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Rail

On 25 October 2023, the Commission recommended that KiwiRail integrates fully with the technology on the Auckland Metro network, to ensure the safe operation of rail within a complex system.

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Rail

ensure that trainee train controllers view the operations of the various signalling systems on the Tranz Rail network during their initial training at the train control school

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Rail

Liaise with Transit New Zealand, Tranz Rail Limited and the appropriate local authorities to initiate a review to define all public level crossings where the stacking distance for long road vehicles is insufficient to ensure safe entry to or exit from the crossing, and to ensure that appropriate action is taken, consistent with the frequency of use and the potential consequences of collision. [This safety recommendation also repeated as SR 036/02 in report 02-113, near collision between TranzCoastal and empty petrol tanker.]

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Rail

inspect all stirrup connections at regular intervals and replace components that exhibit excess corrosion.

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Aviation

Publish advisory information about the torque gauge oil line system on the Hughes 369 helicopter type, so that operators and pilots may better understand the significance of the system, and what the appropriate pilot response should be to an abnormal torque gauge indication in flight.

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Aviation

Conduct an audit of, and modify as necessary, the existing flight monitoring system and associated procedures to ensure controllers are made aware of aircraft on conflicting tracks, particularly those aircraft flying in opposite directions on the same track.

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Maritime

Obtain a copy of and implement on board all vessels operated by his company the "Safety Guidelines for Small Commercial Fishing Vessels" as issued by FishSAFE organisation with particular reference to the more pertinent sections on fatigue management and the fitting of a watchkeeping alarm.

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Rail

introduce a system to ensure road knowledge certification is for a limited, finite time and that subsequent recertification requires a defined criteria of route usage by individual LEs to remain current.

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Aviation

On date the Commission recommended to the Director of Civil Aviation that he monitor the progress of the investigations by Air Nelson and Bombardier Aerospace into the causes of excessive wear in Q300 nose landing gear door actuators (part number 2011-4504) and liaise with Transport Canada in order to produce acceptable corrective actions

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Aviation

The pilot on this occasion did not make what would have been an appropriate urgency or distress call when faced with a strong smell of fuel and the single engine indicating reduced performance. The Commission has commented in previous reports on the need for pilots to declare the appropriate level of urgency using the standard phraseology for the situation.

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