Inquiries & Recommendations
Ngā ketuketutanga me ngā tūtohunga
Ngā ketuketutanga me ngā tūtohunga
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Maritime
MO-2021-205
TAIC final report shows why equipment should be operated by people who understand how to use it safely, and why safety management systems should require ongoing monitoring and review of risk control effectiveness. A container ship crew member's leg was seriously injured when caught in a moving part of a telescopic ladder.
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Aviation
AO-2021-005
New Zealand has completed its support for this inquiry. Please note, TAIC will not be producing a report for this inquiry.
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Maritime
MO-2021-204
TAIC reports on fatal capsize of recreational boat while crossing harbour bar. NZ needs to require boats to be registered, and we need minimum standards for boat design and construction, and we need to assess skippers for minimum standards of knowledge and boat handling. To accept the status quo is to accept the current rate of 15-20 deaths a year. Education campaigns to encourage safer boating are good but not enough; they don’t reach all skippers and listening is optional.
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Aviation
AO-2021-003
Fatal helicopter crash. An Airbus AS350 B3e helicopter ZK-ITD was being flown from the operator’s base in Milton to a client’s cherry orchard near Alexandra to conduct frost protection operations. The helicopter conducted a series of turns immediately before, and after, reaching the township of Lawrence. Soon after, the helicopter made a descending right-hand turn through nearly 160 degrees before entering a left-hand spiral dive that ended in a near vertical nose-down impact with the ground.
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Rail
RO-2021-105
TAIC report presents rail safety issues with working practices, engineering protections, and safety guidelines -- factors that contributed to unintended shunt movement, in Picton. A remote-controlled shunt loco and wagon moved off the end of the quay-to-ferry rail linkspan and into the harbour.
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Rail
RO-2021-104
Passenger train derailed by landslip debris in heavy rain. Safety issues: rail network resilience (slope stability in intense rain); automated emergency alerts; driver training; radio coverage and checking by drivers and regulator; derailment emergency response. Recommendations call for action by KiwiRail, Transdev Wellington, Auckland One Rail.
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Maritime
MO-2021-203
At about 4am on 28 July 2021, fishing vessel Commission (motoring) collided with the container vessel Kota Lembah (drifting awaiting port berth at Auckland). Damage to fishing vessel stabiliser and wheelhouse. Neither vessel’s hull was breached. Nobody hurt. TAIC recommendations address 3 key issues: watchkeeping standards & practice; adherence to collision prevention rules; and fatigue.
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Aviation
AO-2021-002
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:
Rail
RO-2021-103
What happened At 1651 on 19 July 2021, the second and third carriages parted on a KiwiRail-operated Auckland to Hamilton southbound Te Huia passenger train travelling at 91 kilometres per hour. The parting occurred at about 636.9 kilometres (see Site Information paragraph 2.76) between Papakura and Pukekohe on the North Island Main Trunk (NIMT), and caused the brakes to automatically apply in both train portions as air hoses between the carriages separated. There were no injuries, but some damage to inter-carriage electrical jumper cables.
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Aviation
AO-2021-001
On 9 July 2021, a Kavanagh Balloons E-260 carrying 10 passengers and a pilot on a scenic flight over the Wakatipu Basin made a hard landing after two aborted attempts. The impact ejected the pilot and two passengers, causing serious injuries, while others sustained minor or no injuries. The balloon slid about 150 metres before coming to rest with minor damage.
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Maritime
MO-2021-202
Fire in engine room on factory trawler (quickly extinguished). Diesel oil sprayed onto hot engine exhaust, under pressure when an accumulator in the fuel system unwound from its pipe connector and dislodged. Lessons and recommendations for Marine sector relate to maintenance of safety-critical and remote-operated systems; Command and control for fire response; and design of gaseous fire-extinguishing systems.
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Aviation
AO-2022-004
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: