Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Take the steps necessary to ensure masters of tugs, barges and other craft where stability is critical to their operation are provided with sufficient training in how to apply the provided stability information to ensure their vessels remain compliant with appropriate stability criteria.

Revise the design of the safety stirrup to better constrain the driveshaft and reduce the risk of injury in the event of a driveshaft failure.

Work with lifejacket industry stakeholders and commercial operators to identify and implement appropriate safety measures that mitigate the potential risks associated with: • inflating a lifejacket while obstructed overhead or in a confined space, limiting a wearer’s ability to escape to a safer area • the lack of guidance and procedures relating to the doffing and deflation of inflatable lifejackets, to increase a wearer’s ability to remove an inflated lifejacket if needed.

Reinforce with operating staff the company’s procedures for reporting instances of sudden incapacitation through illness or other condition while on duty.

On 27 July 2016 the Commission recommended to the Secretary for Transport that he promote, through the appropriate ICAO forum, the need for cockpit video recorders and/or other forms of data capture in the cockpits of certain classes of helicopter to address this safety issue.

Review the training, knowledge, and experience of Track and Structure Managers, Gangers, and those required to act in such positions, in respect of their ability to identify and understand the factors leading to track buckles and make timely and safe decisions about the application of speed restrictions in hot weather.

Enhance the policy and procedures for aircrew licensing written examinations, their purpose and construction, and the criteria that is applied to examination re-sits, so the "practice effect" does not undermine the examination process.

introduce procedures for certified staff operating HRVs to also be certified as to their local knowledge of the work area involved before they are permitted to work unaccompanied.

The need to review the operations at other aerodromes around New Zealand that have opposing circuits, to assess and minimise the potential for a mid-air collision.

In conjunction with Fullers Group Limited, 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.

Bring this report to the attention of the reviewers of adventure tourism in New Zealand the lessons learned from this accident, and in particular, ask them to consider how to deal with informing potential commercial jet boat passengers of the risks inherent with the activity.

Promulgate a requirement for independent, qualified inspection: for renewal of permit-to-fly, and on sale of an aircraft.