Inquiries & Recommendations

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complete, as a matter of priority, the tasks that the CAA is required to do to progress the proposed amendments to CA Rule Part 141 (Aviation Training Organisations – Certification) and to CA Rule Part 61 (Pilot Licences and Ratings).

Introduce the following directions into the harbour bylaws covering their ports, to emphasise the intent and principles of STCW and SOLAS: • all vessels, whether under pilotage or pilot exempt, shall have an agreed passage plan for transits within harbour limits • the number of crew members on the bridge shall be sufficient to safely carry out the agreed passage plan

On 25 September 2024, the Commission recommended that KiwiRail review the route knowledge training for locomotive engineers to ensure infrequent driving of the route and prolonged absences are identified so that locomotive engineers have the route knowledge to travel safely.

Instruct his pilots to perform a tactile check before take-off, when conditions dictate, to ensure that critical surfaces are free of contaminants such as frost and ice.

In conjunction with Fullers Group Limited, amend the emergency fire procedures for each of the groups’ ferries to better reflect the characteristics of each vessel, the use of available equipment on board and the safest possible method of fire fighting in the differing areas on board especially enclosed spaces.

Use this report to re-emphasise to pilots and operators the hazards of icing, in particular tailplane icing and freezing rain.

Carry out a risk assessment of the Master’s workload on each of the company’s vessels with a view to reviewing the minimum crewing documents to ensure that adequate support is provided for the Master.

Implement the requirements of Maritime Rule 31C [Crewing and Watchkeeping - Fishing Vessels] for all vessels operated by his company and update the Safe Ship Management manuals as necessary.

Ensure MMS's resources are adequate for present and predicted workloads.

Produce educational material reminding operators of the importance of ensuring that procedures developed by the operator do not conflict with the mandatory provisions of the Aircraft Flight Manual.

Reviews the training, knowledge, and experience of Track and Structures Managers, Gangers, and those required to act in such positions, in respect to their ability to identify and understand the track related factors contributing to derailments and to make timely and safe decisions regarding the track geometry improvement required, and speed to be applied, before the track is reopened for traffic.

Draw the pilots' attention to their duty to ensure that their passengers use the safety harness provided.