Inquiries & Recommendations

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Assign appropriate priority to the installation of a system software modification STCA, already purchased, which will provide radar controller with an on-screen warning of an impending loss of separation between aircraft under radar control in the sectors for which they are responsible.

The Commission recommends that the Director of Civil Aviation as a matter of urgency alerts all pilots and operators using the Fletcher FU24-954 aircraft for parachuting operations that when loaded with 6 or more passengers it is possible for the aircraft CG to be aft of the allowable limit, and that this could result in control difficulties, and that parachutists should be seated in the forward cabin area, preferably restrained to prevent them inadvertently moving rearward.

The Council liaise with Tranz Rail Limited as required to implement any proposed alterations to the present flashing lights and bells which would improve the level of protection to west-bound motorists on Victoria Street.

On 12 December 2019 the Commission recommended to the Director of Maritime New Zealand that they ensure all operators working under Maritime Rules Part 82 have identified on each jet boat all systems that are critical to the safe operation of the boat, and to have a documented inspection and maintenance system in place that covers those critical systems and also ensures they meet manufacturers’ specifications. The inspection and maintenance system should complement rather than replace any existing system of daily checks.

The descriptions and requirements for the standard overhead circuit joining procedure that are published in the Civil Aviation Rules, the Aeronautical Information Publication and the Flight Instructor‘s Guide can be misinterpreted or misapplied, particularly if a preceding aircraft is operating in a non-standard circuit, which could contribute to the collision risk at aerodromes.

Locomotive event recorders include capability to record the illumination of headlights and the sounding of the horn as well as the speed and brake pressure information currently recorded.

On 14 December 2012 the Commission recommended to the Director of Civil Aviation that he urge operators to adopt QRH checklist formats that reduce the possibility of misreading or omitting a procedural step

Develop an industry training standard that would enable automotive electricians to learn the basic safety requirements and peculiarities of marine electrical installations.

At the time of the grounding, Port Otago’s policies, procedures and compliance monitoring of pilotage operations fell short of meeting good industry standards for pilot training outlined in maritime rules, or fully achieving the principles of safety management systems outlined in the New Zealand Port and Harbour Marine Safety Code.

Design a modification to inhibit the starter switch unless the clutch is disengaged during ground starting.

Address with the commercial jet boat industry that in spite of the requirements under Maritime Rules Part 80 and other safety initiatives taken by Maritime New Zealand that the issue of accounting for passengers when multiple boats are involved during emergency response still remains.

Crew resource management competency is not yet an effective safety measure for helicopters operating under CAR Part 135. On 22 February 2023 the Commission recommended that the Civil Aviation Authority of New Zealand address this safety issue.