Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Shunting locomotives which travel along main lines or regularly pass over level crossings on public roads be fitted with event recorders.

The Commission recommends that the Civil Aviation Authority amend its policies and procedures for issuing certificates of airworthiness for imported second-hand aircraft to ensure that the appropriate audit and assurance processes are in place and the procedures are consistently applied.

He inspect the various types of aircraft used for air transport operations and identify each door which a passenger might use as an exit in an emergency.

Introduce a documented policy where the crews of company vessels, including the pilot vessels and tugs, routinely verify the operation of the channel beacons in any area transited at night, with logbook entries to record results.

On 28 October 2015 the Commission recommended that the Chief Executive of Maritime New Zealand review the Dream Weaver operation with a view to ensuring that the Dream Weaver is fit for its intended purpose and that the operator’s safety management system, or the succeeding MOSS system, is operating as it should.

Publish an alert bulletin warning all Robinson R22 operators of the potential damage from such an occurrence and requirement an engineer's inspection if an attempt is made to start with the clutch engaged.

It is a safety issue that the Coastguard did not extend the training in the concept of crew resource management to all members of the crew so that the crews could work cohesively as a team to maintain situational awareness, monitor the plan, anticipate dangerous situations, acquire timely information and avoid pre-occupation with minor problems.

In spite of the education material produced by the Civil Aviation Authority on hand-starting aircraft, the understanding of the risks associated with that activity were not well recognised by this operator and might not be with other operators in that sector of the industry.

On 15 May 2025, the Commission recommended that the owner of the Shiling review the performance of ship management companies engaged to operate its ships against international and domestic requirements, to enable it to be satisfied that the ships are seaworthy for every voyage.

Review the policy and procedures for issuing exemptions from compliance with the rules to ensure that safety critical standards are not compromised.

Soundsair be subject to an Audit by the Air Transport Division with a minimum delay, unless such action had already been taken or the company was no longer operating.

Promote resource management concepts throughout the operational staff of the port.