Inquiries & Recommendations

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In addition to the precautions already outlined by Aerospatiale in Service Letters relating to "preparation for flight after parking in falling snow" it is recommended that before flight pilots ensure that the whole upper area of the AS 350B cabin and engine cowling assembly, including the rotor head cover, are cleared of all deposits of snow or ice which could constitute a hazard to engine operation if ingested.

in consultation with the Safe Ship Management Company ensure that the 'Southern Winds' meets the requirements of all Maritime Rules applicable to the vessel.

Ensures Bridge Resource Management principles are being practised within the COSCO fleet.

The Commission considers it is a safety issue that the practice of conducting routine track inspections at night, and the lack of clear guidelines for the conduct of special track inspections of the Johnsonville Line is not in line with sound engineering practices. The Commission recommends the Director of Land Transport New Zealand addresses this safety issue.

On 22 February 2022, the Commission recommends that the Director of Civil Aviation undertake prompt steps to mandate the wearing of pilot restraint harnesses during critical phases of balloon flight.

Promulgate in the Local Unit Orders at each aerodrome, specific procedures to be followed in the event of loss of communications.

On 7 December 2022 the Commission recommended that KiwiRail review its permit-to-enter process by working with road-controlling authorities, and those requiring permits to enter, to ensure that provision is made for the practicable requirements of non-static or short-term work at multiple locations within the rail corridor.

require all enclosed compartments containing combustion engines on new or modified rail vehicles to be fitted with fire detection and where appropriate a fire suppression system. Existing rail vehicles that fall into this category should be made to comply within a time specified by the Director.

implement training for all masters and officers who serve, or may serve, on board the compnay's vessels fitted with integrated bridge systems (IBS). Training to include the use and understanding of IBS, and the use of Automatic Navigation and Track Steering in line with the guidance contained in the International Maritime Organization circular MSC/Circ.1061.

Examine the possibility of incorporating a further pair of flashing lights into the crossing alarms directed to be visible as far along Maunganui Road towards Te Maunga as is practicable with a view to attracting the attention of drivers before they become occupied by traffic in the roundabout.

Submit a copy of report 01-203 to the Maritime Safety Committee of IMO to support the work and initiatives now being conducted by both the Marine Accident Investigation Branch and the Maritime and Coastguard Agency of the United Kingdom, regarding the safety of lifeboats and lifeboat drills. Any review conducted by IMO should consider reported accidents worldwide, with particular emphasis on lifeboat/rescue boat launch and recovery systems. In addition, the review should consider standardised and integrated systems which:

In conjunction with Fullers Group Limited, include in the safe ship management manuals throughout the fleet a prepared safety briefing to be made immediately before or immediately after sailing on all company vessels to comply with the requirements of Maritime Rules Part 23 section 27.