Inquiries & Recommendations

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If the landing procedure required cannot be adhered to in respect of flap settings and approach speeds then no landing be attempted.

implement a programme on board the company's vessels to encourage Masters and officers to become familiar with and utilise all the bridge equipment to best advantage.

They reiterate to Locomotive Engineers that "crashing" alarms to operate them is not an acceptable practice, and that it may lead to unreliable or unexpected results.

Urgently review the adequacy of the existing Local Instruction covering shunting at Gracefield to ensure it clearly defines under what circumstances, if any, loose shunting is allowed with a two man gang.

Assess the suitability and, where necessary, upgrade the Coromandel Harbour navigation aids to allow passenger ferries such as the Te Waka o Kapanga to enter and leave the harbour in safety.

in conjunction with the General Manager of Veolia Transport Auckland Limited, implement an integrated fault recording and management process for the Auckland suburban rail passenger vehicles that incorporates, but not limited to, the features of the existing Fleet Management Protocols and 54D Book recording systems.

When conducting any review of Maritime Rule 40A, [Design, Construction and Equipment - Passenger Ships Solas] undertake a cost benefit analysis to consider any existing restricted limit passenger ships with totally enclosed engine spaces to be fitted with a fire detection system and a remotely operated fire extinguishing system in the engine space (s). Where a cost benefit is demonstrated as positive, consider drafting an amendment to Maritime Rule 40A for the Minister’s consideration.

Review the company promotional advertising literature for both Kawarau Jet and Helijet to ensure that prospective customers are made fully aware of the nature of the trip they may be undertaking and the inherent risks involved.

Ensures that the strategic plan being developed by Airways and the risk assessment being conducted by the CAA in regard to Queenstown address the following safety issues in respect of that aerodrome and, if applicable, generally i. the variability of procedures used by pilots when circling after a non-precision approach and in the event of not landing off an approach ii. The separation of aircraft making different types of instrument approaches in Queenstown controlled airspace iii. The appropriateness of the large aircraft visual circuit procedure at Queenstown iv.

Include within existing special track inspection procedures a requirement that such inspections are carried out immediately before the passage of the next train through the affected area.

While persons in charge of recreational craft are not required to demonstrate an in-depth knowledge of Maritime Rules around collision avoidance, the risk of collisions and other mishaps will be elevated, increasingly so with increases in recreational boating activity. It is recommended that the Secretary for Transport address this safety issue by recommending rules or some other mechanism that require the person in charge of a designated recreational craft to hold a licence or certificate that requires them to be appropriately educated to identified standards.

prepare educational material for employers and seafarers on the problems associated with stress, including fatigue, medical conditions and certain types of medication, and the impact this may have on the fitness for duty of those working in safety critical tasks