Inquiries & Recommendations

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surveys the fixed container lashing points and makes repairs as necessary.

Review the action taken in respect of the Office of Air Accidents Investigation's recommendation that unserviceable flight instruments be removed or covered over so that inadvertent reference cannot be made to them in flight.

Develop educational material to raise awareness of the rules prohibiting cellphone use on IFR flights.

Further explore whether Rescue Coordination Centre should be responsible for tasking and coordinating all SAR aviation assets, as is done overseas.

Ensure each pilot in his company confirm in writing that the/she had read and understood the contents of the company's Operations Manual(s).

The Commission has determined that the current format of the CAA's audit and surveillance programme might not be effective for determining the true level of industry compliance with Civil Aviation Rules. The Commission recommends that the Director of Civil Aviation addresses this safety issue.

Institute a schedule of routine inspections for the equipment once it has been approved.

Either immediately prohibit the public use of the level crossing in accordance with Clause 1(d) of the Deed of Grant or, if public use is to continue, give written consent to the lessee under conditions which ensure safe public access.

There were discrepancies between the Rail Operating Rules and Procedures, the Rail Operating Code, the Conveyance of Dangerous Goods Code Supplement and the National Rail System Standard in how to respond to a derailment involving empty LPG wagons and staff were not appropriately trained and familiar with the correct procedures to follow.

On 24 August 2017, the Commission recommended that the Chief Executive of KiwiRail review its post-incident drug and alcohol policy to ensure that all personnel directly involved in an accident and/or operating incident are asked to submit to testing.

Review the likely safety benefits of the installation of suitable carbon monoxide detection devices in the cabins of aircraft which have potential for an ingress of carbon monoxide, with a view to making the installation of such devices mandatory in appropriate circumstances.

Liaise with the Christchurch City Council to review the integrated use of Barters Road and Kirk Road level crossings and take such steps as are necessary to encourage long vehicles to use Barters Road level crossing and to prohibit any uncontrolled crossing of Kirk Road level crossing by vehicles exceeding 11 m in length.