Recommendation Date
              Recipient Name
              Tranz Rail
          Text
              Take steps to ensure that before introducing operational innovations such as the Otira Tunnel ventilation system that adequate structured risk assessments are carried out, and recorded, to achieve the intent of the company safety system.
          Reply Text
              .. although Tranz Rail considered the issue at Otira was a design issue, and not a risk assessment issue, Tranz Rail would conduct adequate structured risk assessments for significant operational innovations.
          Related Investigation(s)