Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Introduce a policy that when replacement parts are required for any life-saving appliances or safety equipment, only parts made or approved by the manufacturer are used

Two trains have collided with the stop block at Melling Station in the space of just over one year. The normal line speed for the section of track between the preceding station and Melling is 70 km/h. The Melling Station platform only becomes clearly visible to the train driver once the train has rounded the last bend, about 400 m from the stop block. If trains were restricted to a lower speed before they rounded the last bend, the risk of a platform overrun and resulting collision with the stop block would be reduced.

Instigate and promote a single point of contact for masters or operators to notify the Authority of accidents and incidents. Such a point of contact should be capable of receiving notifications by telephone, facsimile or email.

Draft an amendment to the Maritime Transport Act 1994 for the Minister’s consideration, to require masters or operators to report accidents to the head office of the Maritime Safety Authority within specified timeframes. Initial notification should be within 4 hours and a completed accident report within 3 days.

Take immediate steps to improve the safety of the passengers by installing a suitable barrier and door arrangement, with child resistant locking devices fitted to any moveable components, at such a height along the open side of each passenger carriage to minimise the risk of children falling from the carriage.

Liaises with local authorities and schools to develop and implement specific action plans to reduce hazards at defined high risk localities.

There is a need for shore-based responders to be more familiar with the unique aspects of fighting fires on board ships, so that they can provide effective responses regardless of the circumstances. The FENZ training standards did not cover fully the special considerations for responding to shipboard fires. On 19 September 2018 the Commission recommended to the Chief Executive Officer of FENZ that he review the FENZ training standards to ensure that they contain sufficient training in the unique aspects of fighting fires on board ships.

On 25 September 2024, the Commission recommended that Transdev Wellington review the back-up portable radio system, particularly the equipment, coverage and signal strength along the network, to ensure it can transmit clear communication between train crews and train control.

Without identifying individuals use the incident involving EAG 105 and HER 7002 in controller education and training as an example of unusual circumstances concerning a 'pressurisation' event, emphasising the importance of appropriate track and descent profile monitoring to ensure separation standards are maintained.

Ensure that the pilots employed by his company promote and adhere to the principles of bridge resource management.

Until legislation is made setting limits for and testing of alcohol and other performance impairing substances for recreational and commercial boat drivers, the risk of alcohol-related accidents will be elevated. It is recommended that the Secretary for Transport address this safety issue by promoting appropriate legislation to set maximum allowable levels of alcohol and other performance impairing substances for persons in charge of recreational and commercial craft, and supporting legislation to allow testing for such levels in these cases.

Ensures that, before MSA passes its responsibilities under the DSC and HSC Codes to an operator, MSA conducts an audit on that operator to ensure they have a system in place that meets the requirements of the code.