Inquiries & Recommendations

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Investigate and carry out a cost benefit analysis on any requirement that New Zealand ships carry an Automatic Identification System. In carrying out this analysis due regard shall be had to the mandatory requirements promulgated by the International Maritime Organization for SOLAS ships

Review your decision to disconnect the existing cockpit voice recorder in Boeing 737 aircraft with a view to bringing them back into service as soon as practicable.

critically review the design of the company’s survival craft launching apparatus and ensure that they: • can be readily understood by non-technical persons • will reliably perform tasks, which include lowering and deployment for training purposes • will perform safely under the control of operators with minimum experience and training • so far as is practicable, are failsafe • are accompanied by clear, unambiguous instructions in English.

At about 2000 on 14 March 2012, the fishing vessel Easy Rider departed Bluff for Great South Cape Island off the west coast of Stewart Island. The skipper, 2 crew members and 6 passengers were on board. The passengers were to be offloaded at Great South Island, where they were to prepare for the upcoming mutton-bird harvest. The skipper then intended to travel to his fishing grounds to engage in commercial fishing.

liaise with rescue helicopter and jet boat operators to develop a plan to introduce the use of a common radio frequency by all parties during rescue operations

The passenger walkway markings at Gates 12 to 14 be modified to suit the types of aircraft most frequently using these positions (SAAB and Metroliner).

Air traffic control is a highly safety-critical function of the aviation system, yet the process by which Airways ensured that workplace practices were in accordance with documented procedures was not effective, as shown by the non-compliance with written and agreed roster requirements.

Redevelop the current emergency response training programme for train controllers and network control managers, in conjunction with appropriate external agencies, to include but not limited to: · responding to emergency notifications · dealing with potentially distraught people reporting emergencies · procedures for ensuring emergency sites are identified and confirmed · the use of maps and map grid references when establishing such sites · procedures for contacting emergency services

Review New Zealand Rail Limited's fencing policy with a view to establishing a sound fence for sufficient distance with side of island platforms to make the authorised access more attractive than bypassing a fence.

Include in Advisory Circulars detailed mountain-flying training guidance information, to assist operators who conduct routine commercial operations into mountainous areas, such as Fiordland or similar regions, to meet the Civil Aviation Rules requirement to establish a training programme that ensures each of their pilots is trained and competent to fly in such areas.

In relation to the weather conditions in the area at the time of this accident, emphasises compliance with applicable VFR minima regarding flight visibility and clearance from cloud.

bring to the attention of the appropriate IMO committee the final version of this report and make a recommendation to the committee that it: consider reviewing the requirements for rescue boats to include a dedicated seating or bracing arrangement designed to minimise injury to the operating crew in the event of mishap or heavy weather operation.