Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Ensures that the T.A. Explorer, and other vessels belonging to the company, have an appropriate pilot information card.

Give consideration to mandatory action such as the publication of an Airworthiness Directive to require the installation of fuel pumps modified or manufactured to the latest improved status on LTS 101 gas turbine engines, or to require specific modifications to be incorporated, including SB 73-9, on existing fuel pumps currently at a lower modification status.

Emphasise to all senior managers of air transport operations the need for them to be aware of their responsibilities, including: • identifying the foreseeable risks to their operations; • putting in place suitable defences to minimise those risks, which might go beyond what the generic rules require; • maintaining those defences.

Introduce the following directions into the harbour bylaws covering their ports, to emphasise the intent and principles of STCW and SOLAS: • all vessels, whether under pilotage or pilot exempt, shall have an agreed passage plan for transits within harbour limits • the number of crew members on the bridge shall be sufficient to safely carry out the agreed passage plan

On 27 April 2017 the Commission recommended that the Director of Maritime New Zealand work with surveyors and designers of fishing vessels to ensure that fishing vessels have effective means of escape from all compartments for all reasonably foreseeable emergency situations.

Liase with CHH and incorporate procedures in the "Railway Operating Plan" which control CHH operations (and its subsidiaries) adjacent to the rail tracks to ensure safe integrated operations.

Explore ways of making Ansett New Zealand's CRM training more realistic by use of a flight simulator or otherwise.

Provide safety and training manuals for his vessels

[the LTSA, MSA and OSH] Liaise as necessary to bring the problem of substandard connections between stacked bases to the attention of safety agencies in other countries where it is considered the use of dissimilar interlocking systems could result in similar substandard practices.

Advise all member Classification Societies of this incident in order that where synchronous [lifeboat] release equipment of the same type is fitted on ships classed by them, their surveyors and all relevant ship operators are made aware of the potential for improper engagement of the equipment.

Ensure that managers and users of aerodromes, in particular for unattended aerodromes, understand and fulfil their responsibilities for ensuring safe operations. This includes: a. Facilitating a coordinated approach with WorkSafe New Zealand, LGNZ and NZ Airports Association, among others, b. Providing training and support to aerodrome operational and management personnel, and c. Identifying and encouraging aerodrome user group’s contributions towards aerodrome safety.

Require Airways to ensure that ATIS broadcasts at all applicable airports, regardless of the means of format and transmission of ATIS, have clear word and sentence structures, are unambiguous, never imply that things are normal when they are not, contain no permanent information and conform as closely as possible to ICAO recommended standards.