Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Require your pilots to compute required landing distances for the destination before loading their aircraft for lights terminating at an airstrip.

KiwiRail's records of random drug and alcohol tests for the three years from 2013 to 2015 showed that 95% of the positive results had related to employees working in its safety-critical infrastructure maintenance and train operations areas. KiwiRail's practice of randomly testing 10% of its workforce annually means that an individual is potentially tested once every 10 years, which is consistent with the rail protection officer not having been randomly tested in the previous 10 years.

Publish widely, including to foreign Civil Aviation Authorities where the PA31 type is operated, advisory material about the cause of this undercarriage failure-to-extend accident, to alert operators and pilots to a previously unknown deficiency, and to assist any future investigation of a similar occurrence.

Conduct a practical pre-contract audit of each international cargo handling contractor's ability to meet the requirements of the contract prior to entering into any future contract.

The Commission recommended that Talley’s introduces a system for managing contractors working on board. The system should include sign-off for each task, a job safety analysis for each task that may pose risks to the contractors or crew, and, where applicable, testing to ensure the repaired system is fit for purpose.

Review the appropriateness of the company operations manual landing procedure which requires a deviation from the PAPI glide path indication to achieve the required touchdown point versus the manufacturer's claim that the necessary landing distance safety margins can be achieved by maintaining the standard approach technique.

Inspect a sample of other vessels under Survey Nelson Limited's safe ship management system to measure what their level of compliance with the Maritime Rules is, and take whatever measures are deemed appropriate.

Reviews the adequacy of standards and procedures relating to the operation of existing sidings on steep grades, and the installation of new sidings on steep grades, to ensure safe operation and adequate main line protection have been, or will be, achieved as appropriate.

Consider either recalling all old HJ-212 steering nozzles or producing a service bulletin warning users of possible failure and the consequences.

On 25 October 2017 the Commission recommended that the Director of Maritime New Zealand, use the Port and Harbour Marine Safety Code and its associated governance arrangements, or any other appropriate mechanism, to ensure that port authorities produce and publish passage plans for their respective pilotage districts that meet the port-specific requirements and guidelines contained in, Chapter V, Safety of Navigation, of the Annex to the International Convention for the Safety of Life at Sea and Resolution A.893(21) Guidelines for Voyage Planning.

Review and update company manuals and procedures to ensure they are correct and provide the best available guidance for pilots to detect, avoid and escape from adverse or hazardous conditions.

while formulating the company's Safety Management System, he gives priority to those sections which relate to procedures and practices for the critical shipboard operations of passage planning and navigation in confined waters.