Inquiries & Recommendations

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On 8 December 2021, the Commission recommended that KiwiRail and Waka Kotahi NZ Transport Agency examine how the selection of level crossings for LCSIAs and upgrade can be more accurately prioritised from ALCAM risk scores and other existing data sources. (012/21)

The interval between Regulation 76 checks, for part-time pilots be reviews.

Introduce a requirement for crew of passenger vessels equipped with Category II EPIRB’s to also carry a personal location beacon or similar device capable of transmitting a distress message, to increase the timeliness of notification of an emergency.

On 25 September 2024, the Commission recommended that NZ Transport Agency Waka Kotahi work with rail operators to assess the benefits of all rail operators on the Auckland rail network using a common engineering safety system to improve the safety of all users of that network.

critically review the existing communication and traffic management system for Manukau Harbour and upgrade it to ensure harbour users are aware of other traffic movements.

The Commission recommended that the Civil Aviation Authority of New Zealand address the growing gap between New Zealand’s minimum performance requirements and technical standards for NVIS and helicopter air ambulance operations and current international best practices.

On 27 September 2023, the Commission recommended that KiwiRail adequately address the risk posed by disconnecting level-crossing protections, whether planned or unplanned.

Put in place procedures to reinforce the need for effective bridge resources management on board the company's ships. This should include the requirement that the full bridge team are on the bridge before departure, and that administrative work is separated from the navigation function of the ship's officers.

Advise all recipients of its synchronous lifeboat release equipment of the type supplied to the Aratere, of this incident and of the potential for the equipment to be incorrectly engaged when recovering a lifeboat.

Harmonise the provisions relating to separation after loss of communications in the Manual of Air Traffic Services and the Flight Guide.

Advise all member Classification Societies of this incident, the contents of this report and the need for vigilance on the part of class surveyors and owners’ superintendents when inspecting welds and/or their associated parts during the construction and subsequent surveys of vessels.

review the Rail Operating Code with a view to clarifying those instances where staff to be relieved from duties when involved in an operating occurrence.