Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Conduct a risk assessment of navigation in confined waters and upgrade the passage plans to make use of techniques such as monitored turns and critical decision points and foster the use of good bridge resource management to implement and monitor the passage plans

Operators' safety management systems should indentify risks to their operations and put in place processes to mitigate any identified risk. The share fishing system of remuneration has the potential to place significant commercial pressure on skippers, which could compromise good judgment when making decisions affecting the safety of their vessels and crew. This potentially serious safety issue should be addressed through operators' safety management systems with guidance from Maritime New Zealand in consultation with fishing industry organizations.

Review the procedures in use for releasing the chain from the aircraft if it should become snagged.

Identify all other private level crossings that the public are invited to use to ensure that: - the appropriate authority has been given for such use - the deed of grant contains appropriate conditions that ensure public safety - the appropriate signage for a public level crossing status is in place.

Amend Welair's Operations Manual to include a paragraph altering pilots to the hazards of operating into Awaroa in strong north-westerly wind conditions.

Consider fitting a fire-detection and fixed fire-extinguishing system to the vessel.

Review the existing understandings with the RNZAF in relation to the observance of airspeed restrictions in controlled airspace.

In conjunction with the safe ship management company, amend the safe ship management manuals throughout the fleet to contain in the training of crews the necessity in an emergency situation of making passengers aware of the crew’s presence and the need for them, as trained personnel, to provide guidance, help and support to passengers.

Reviews the effectiveness of the Tranz Rail safety system to provide safe access for rail service users at suburban commuter stations.

Coordinate across government and other appropriate agencies to identify and source air and maritime assets that are appropriately designed, equipped and crewed to meet New Zealand’s full SAR requirements. Government agencies that have a potential dual use for these assets or who have existing assets that could provide a dual role should be considered.

It is a safety issue that the system for tasking a Coastguard rescue vessel does not always ensure that the people responsible for tasking or operating the vessel are in possession of sufficient information to make a prudent decision on whether the task should be undertaken. Further, a person independent of the crew should always involved in the decision process. It is recommended that the Chief Executive of The Royal New Zealand Coastguard Inc. develops a nationwide standard that supports measured decisions based on the maximum available information when tasking coastguard vessels.

remind operators of commercial transport operations that passengers may require additional briefing or training in safety and emergency procedures appropriate to an intended flight so that they can actively assist in the safe conduct of the flight.