Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

limit the number of preferential trainers to two, supplemented by others for operational needs in specialist subjects, undertaking OJT of trainee train controllers or retraining train controllers to a subsequent desk.

change the procedures for introducing rule and regulation amendments to ensure staff are fully conversant with such changes prior to introduction, and that effective introduction is monitored.

The operator did not have adequate systems available for the pilot to determine the actual all-up weight and balance of the helicopter for the firefighting operation, or to ensure that incidents such as the previous loss of a window were recorded, notified to the CAA and investigated. The use of a prohibited door configuration suggested inadequate awareness of and adherence to flight manual limitations, which often differ between otherwise similar variants of an aircraft.

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.