Inquiries & Recommendations
Ngā ketuketutanga me ngā tūtohunga
Ngā ketuketutanga me ngā tūtohunga
Search Results
Aviation
AO-2022-006
The Transport Accident Investigation Commission assisted an Australian Transport Safety Bureau (ATSB) investigation into an aviation safety incident in Australia. The ATSB reported that during the cruise phase of a Boeing 737’s freight flight from Perth to Christmas Island, the crew detected altitude and airspeed disagreements and returned to safely land at Perth. Post-flight inspection found melted plastic on the pitot tubes. The tubes supply pitot pressure to a range of flight instruments and are often protected by a cover when an aircraft is parked. New Zealand has completed its support for this inquiry.
Incident date: Publish date:
Aviation
AO-2022-005
Safety issues for Airwork Flight Ops: fuel checklists, crew training, control centre comms, weather info, crew compliance with manuals, safety management system. No new recommendation because all issues addressed. A Boeing 737 freighter landed with fuel exhaustion imminent because centre fuel tank pumps were switched off for whole flight.
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Rail
RO-2022-102
TAIC calls on KiwiRail to resolve safety issues: risk oversight, risk controls, crashworthiness, crew training. Report also delivers insight into risk assessment, safety training, human factors. For want of these, locomotive went too fast over points, derailed, rolled onto side. All 3 crew escaped, injured.
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Rail
RO-2022-101
TAIC identifies safety issues for KiwiRail’s auxiliary generator wagons -- programmed maintenance checks and wagon fire detection alarms. Small fire in auxiliary generator wagon for Capital Connection passenger train, extinguished. Cause was spontaneous ignition of materials around hot exhaust. Circumstances: Corroded exhaust that nobody noticed because inspection wasn’t required and maintenance wasn’t done.
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Maritime
MO-2022-202
TAIC report finds major safety issues for NZ stevedoring sector: regulators should be more proactive, take a just culture approach, individual stevedoring employers and whole sector should share information and work for mature safety systems.
Incident date: Publish date:
Maritime
MO-2022-203
TAIC report finds major safety issues for NZ stevedoring sector: regulators should be more proactive, take a just culture approach, individual stevedoring employers and whole sector should share information and work for mature safety systems.
Incident date: Publish date:
Maritime
MO-2022-201
New TAIC report identifies major safety issues affecting the marine sector nationwide, relating to: Search and rescue: availability of aircraft; availability of fuel for SAR helicopters; and joint training for SAR organisations Survivability: Maritime rules for stowage of life jackets to ensure easy access in an emergency Tracking technology: tracking systems should be required on commercial vessels. Marine surveys: How well vessel surveyors interpret and apply maritime rules.
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Maritime
MO-2022-204
New Zealand has completed its support for this inquiry. Please note, TAIC will not be producing a report for this inquiry.
Incident date: Publish date:
Aviation
AO-2022-003
New Zealand has completed its support for this inquiry. Please note, TAIC will not be producing a report for this inquiry.
Incident date: Publish date:
Aviation
AO-2022-002
A Robinson Helicopter Company R22 helicopter was being used to transfer two passengers from Karamea to a remote landing spot in Kahurangi National Park, from where the passengers were to go hunting. On the return flight to Karamea the pilot experienced a vibration and heard an associated noise. During the landing sequence at Karamea, the helicopter broke up in the air and struck the ground. The helicopter was destroyed. Pilot survived, seriously injured.
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Aviation
AO-2022-001
Balloon landings are a safety-critical phase of flight. If anyone or anything is ejected from basket during landing, an accident is virtually certain because balloon is uncontrolled, passengers unattended. To avoid this, all balloon pilots should wear safety harnesses. Owners/operators should install them. Also, passenger safety briefings must be clear, concise, easy for all passengers to follow.
Incident date: Publish date:
Rail
RO-2021-106
TAIC report: people in control of transport infrastructure need to think again about how well their structures can cope with climate change significant rainfall events. Flood water washed out rail track ballast. Freight train ran over the track. Locomotive and 17 of its 37 wagons derailed. KiwiRail has addressed safety issues with severe weather warning, flood monitoring
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