Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Correspond with all Safe Ship Management companies and operators of New Zealand registered unlimited area ships advising them of this accident and the need to ensure all applicable vessels operating overseas maintain a current Non-SOLAS certificate.

Until such time as the "Quality Audit" system proved to be able to establish the safety of air transport operations, routine inspections in accordance with ICAO Doc 8335 be re-established.

Enhance the opportunity for the Flight Safety Co-ordinator to attend international flight safety conferences and training seminars.

Take steps to ensure that the level of compliance by locomotive engineers with channel 1 radio call requirements in track warrant control areas reaches 100% by 30 June 2004 and is maintained at that level through ongoing auditing.

Review the present system of annual re-examination of locomotive engineer's first aid ability with a view to extending it to apply to guards as well

On 23 February 2017 the Commission recommended to the Administrator of the FAA that he: - extend the limitations and requirements of FAA AD 95-26-04 that currently apply to the R22, in regard to operating in strong winds and turbulence, to the R44 and R66 models; and - extend those limitations and requirements so that they apply to all R22, R44 and R66 pilots regardless of their experience levels.

There is no requirement for operators of passenger trains to have effective communication between the locomotive engineer and the on-board person in chage of passenger operations that will facilitate good crew resource management and be effective in emergency situations.

Provide train controllers with documentation clearly defining and illustrating the boundaries of radio repeaters in use on the respective routes of the network.

The Commission considers that not having a weather proofing engineering review done of the Johnsonville Line is a safety issue and recommends the Director of Land Transport New Zealand addresses this safety issue.

Work with SAR coordination entities to ensure they have procedures for prompting the operator of air assets as to the maximum range of operation and opportunities for refueling for sustained SAR operations.

Initiate with the aircraft manufacturers an investigation into the practicality of enhancing the survivability of the aerials of any ELTs in passenger transport aircraft which are hard wired into aircraft.

[the LTSA, MSA and OSH] Bring the problem of substandard connections between stacked bases to the attention of safety agencies in other countries where is considered the use of dissimilar interlocking systems could result in similar substandard practices.