Inquiries & Recommendations

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Advises all secondary school boards of the circumstances of the Henderson accident and suggests that boards in the vicinity of a rail corridor, which may have similar problems, raise the issue of potential hazards in the rail environment with students and co-operate with Tranz Rail, local authorities, and other affected local groups to develop and implement specific local action plans to minimise or eliminate hazards.

Ensures standards and inspection procedures are in place to prevent the use of strops and other restraining devices which are below desirable standards.

The training syllabus for the New Zealand Commercial Pilot Licence (Aeroplane) be amended to include "Mountainous-terrain flight training" and the extent of training required be similar to that already specified in the case of Commercial Pilot Licence Helicopter, and the requirement be applicable prior to the validation or conversion of foreign Pilot Licences to equivalent New Zealand Pilot Licence[s]. [Repeated as part of SR 023/02 (investigation 02-001) on 19 July 02.]

On 23 May 2018 the Commission recommended that the Director of Maritime New Zealand use an appropriate mechanism to make it mandatory for crotch straps to be fitted to lifejackets required on board commercial vessels that operate out of bar harbours and off exposed coastlines

Define the person (or persons) upon whom the responsibility for the inspection of safety equipment and safety features on carriages rests.

Revise immediately, the information in the NZAIP Planning Manual page AGA 0-29 Section 9 and in Civil Aviation Information Circulars GEN A19 and A20.

Expedite the implementation of his plans for obtaining the appropriate staff numbers to achieve their planned safety audits in the appropriate time scales.

Arranges to install a cab warning light to indicate whenever the locomotive headlight is not on full beam for any reason.

[the LTSA, MSA and OSH] Liaise as necessary to immediately bring to the attention of the relevant sectors of the New Zealand land and sea transport industry the need to be alert to sub-standard connection of stacks of bases and replace such connections with a system which complies with an appropriate standard.

In conjunction with the safe ship management company, review and revise the operations manual for the Tiger III and the policy manual for the company to reflect the actual practices and procedures. This should include the operation at Cape Brett and the conditions in which passengers are allowed onto the foredeck.

ensure that all relevant Rule clauses and sub-clauses are specified in the "Work By Rule" section of the information bulletin.

On 23 February 2017 the Commission: - gave notice to the Director of Civil Aviation that recommendation 007/17 had been made to the Administrator of the FAA, which recommended the FAA extend the limitations and requirements of FAA AD 95-26-04 to the R44 and R66, and to all Robinson pilots regardless of their experience levels