Vol 5 Summary Recommendations
Vol 5 Summary Recommendations
The CTV building, designed and constructed in the • whether any particular features of the building
mid-1980s, collapsed during the earthquake that struck contributed to the failure.
Christchurch at 12:51pm on 22 February 2011. The
The Terms of Reference precluded any inquiry into
collapse resulted in the death of 115 people and others
questions of liability. However, this did not prevent
suffered serious injuries.
consideration of errors or failings in design, permitting,
construction, inspection or any other matter that might
explain why the CTV building failed and why the failure
caused such extensive injury and death.
In Volume 6 we have set out our findings on these
Recommendation
matters. The collapse of the CTV building caused
much more injury and death than any of the other
building failures on 22 February 2011. Even though it
was designed under relatively recent building codes,
its failure was severe and resulted in the floor slabs We recommend that:
collapsing on top of one another, leaving most of 107.Where holes are required to be drilled in
those inside the building with no chance of survival. concrete, critical reinforcing should be
avoided. If it cannot be avoided, then specific
We do not summarise our conclusions here. Readers
mention should be made on the drawings and
wanting to see a summary of those findings are directed
specifications of the process to be followed if
to section 9 of Volume 6, where we set out the principal
steel is encountered, and inspection by the
conclusions we have reached. That section was also
engineer at this critical stage should be required.
written with a view to it being translated into the
languages spoken by many of the bereaved. Unusually
for a New Zealand tragedy, many of those who died Following the earthquake, Urban Search and Rescue
were foreign nationals. Resources have not permitted engineers working on the CTV site, Mr Graham Frost,
the full report to be translated. However, section 9 of Dr Robert Heywood and Mr John Trowsdale, took
Volume 6 has been translated into Japanese, simplified extensive photographs and labelled building elements.
Chinese, Thai and Korean. Their public-spirited initiative created an excellent
record of the state of the building and individual
The engineering design of the building was deficient
elements following collapse. There was no formal
in a number of respects. While there were elements of
system whereby this information was collected and the
the applicable codes that were confusing, a building
Royal Commission commends these engineers for their
permit should not have been issued for the building as
very thorough documentation and assessment of the
designed. There were also inadequacies in the
collapse debris.
construction of the building. The post-earthquake
inspections of the CTV building also illustrated areas Overall, we consider that the evidence provided an
in which building assessment processes could be adequate basis to make findings about the state of
improved. As noted above, a summary of all our the building after its collapse and to draw conclusions
findings in respect of the CTV building is set out in about possible collapse scenarios. However,
section 9 of Volume 6 of this Report. implementation of practice guidelines for forensic
engineering is warranted to ensure that high quality
We mention here matters that are the subject of specific
forensic work is guaranteed for future investigations.
recommendations arising from our inquiry into the CTV
building.
• while the initial lateral strength of a building Section 2: Building management after
may be acceptable, critical non-ductile earthquakes
weak links in load paths may result in
This section considers the management of buildings
rapid degradation in strength during
after an earthquake, both during and after a state of
an earthquake. It is essential to identify
emergency. We briefly outline New Zealand’s civil
these characteristics and allow for this
defence and emergency management framework
degradation in assessing potential seismic
and give an overview of the building safety evaluation
performance. The ability of a building to
process used to assess buildings after an earthquake.
deform in a ductile mode and sustain its
lateral strength is more important than its We consider that, overall, New Zealand was very well
initial lateral strength; and served by the engineers, building control officials and
others who volunteered in the building safety evaluation
process carried out after the Canterbury earthquakes.
We appreciate the valuable evidence many of these
volunteers gave the Royal Commission to assist us to
make recommendations for improvements to the
management of buildings after earthquakes.
The Royal Commission considers that life safety As well as considering the process of building safety
should be the main objective for managing buildings evaluation, we have discussed and made
after earthquakes. We consider that current legislation recommendations about the way in which engineers
provides for New Zealand’s building safety evaluation evaluate buildings when carrying out rapid assessments
process, but we recognise that proposals to introduce and detailed engineering evaluations after earthquakes.
new emergency management provisions into the We also make recommendations about the way that
Building Act 2004 may address some of the problems building safety evaluators should be identified and trained.
that occurred when the process transitioned from
civil defence to normal building control arrangements
controlled by territorial authorities.
Recommendations
Recommendations We recommend that:
How evaluators assess buildings after
earthquakes
We recommend that:
116. The Ministry of Business, Innovation and
111. Life safety should be the overarching
Employment, the Ministry of Civil Defence
objective of building management after
and Emergency Management, GNS Science,
earthquakes as communities both respond to
the New Zealand Society for Earthquake
and recover from the disaster.
Engineering and other engineering technical
112. The building safety evaluation process should groups should research how and when
be used following a range of disasters. building safety evaluators should account
113. Legislation should provide that a building for aftershocks.
safety evaluation operation should only be 117. The building safety evaluation process should
commenced during a state of emergency. set out the factors evaluators need to take into
114. The Ministry of Business, Innovation and account when considering how a building will
Employment should progress its proposals to respond in an aftershock, including:
incorporate new emergency risk management • how close the main shock was to an
provisions into the Building Act 2004 to: urban centre that could be affected by
• make the Ministry of Business, Innovation an aftershock;
and Employment responsible for the • the direction of the main shock and any
development and maintenance of likely aftershocks; and
New Zealand’s building safety evaluation
process; • how soil, ground conditions and any other
relevant factors may affect the intensity of
• make territorial authorities responsible for the ground motions in an aftershock.
delivering a building safety evaluation
Mobilising a sufficient number of skilled
operation; and
building safety evaluators
• give the Ministry of Business, Innovation
118. The Ministry of Business, Innovation and
and Employment a formal role within
Employment should progress their proposal
national civil defence and emergency
to establish a core team of building safety
planning arrangements.
evaluators that the Ministry could call on.
115. The Ministry of Business, Innovation and
119. The Ministry of Business, Innovation and
Employment should continue working with
Employment should carefully consider the
the Ministry of Civil Defence and Emergency
merits and detail of any proposals about
Management on the detail of the above
the size of this group of building safety
proposals.
evaluators.
120. The ability to supplement this team with more
evaluators who have received basic training
should be maintained.
121. Legislation should continue to provide for a 131. This training programme should be
waiver of liability for building safety developed using the New Zealand Society for
evaluators carrying out rapid assessments. Earthquake Engineering’s building evaluation
122. The liability waiver for building safety resource and training capability objectives
evaluators should be aligned with the building framework, in which building safety evaluators
safety evaluation process instead of being are split into three different groups and each
restricted to an operation carried out in a group receives a different level of training.
state of emergency. 132. The core group of building safety evaluators
Guidelines for building safety evaluators who are a national resource capable of
leading a building safety evaluation operation,
123. The Ministry of Business, Innovation and
and those Chartered Professional Engineers,
Employment should work with the New
structural engineers and senior building
Zealand Society for Earthquake
officials who wish to be building safety
Engineering, the Structural Engineering
evaluators, should be required to attend
Society New Zealand and others with
compulsory training.
appropriate experience and expertise to
finalise guidelines for Detailed Engineering 133. Only trained building safety evaluators should
Evaluations as soon as possible. be authorised to participate in a building
safety evaluation operation unless the
124. Guidelines should be developed that assist
circumstances of a particular disaster make
building safety evaluators to assess when
this impractical.
and how to enter a damaged building.
134. If the scale of the emergency requires the
125. These guidelines should be based on the
mobilisation of the largest group of potential
Urban Search and Rescue training on
building safety evaluators, who have not
when and how to assess entry to a
received the compulsory training, these
damaged building.
evaluators should work, wherever practicable,
126. These guidelines should be attached to the under the supervision of those evaluators
guidelines that the Ministry of Business, who have attended the compulsory training.
Innovation and Employment is developing
135. Territorial authority staff with civil defence
on the way in which engineers should carry
and emergency management responsibilities
out Detailed Engineering Evaluations after
should be required to attend the compulsory
earthquakes.
building safety evaluator training as part of
127. New Zealand’s building safety evaluation their job training.
guidelines should incorporate detailed
Indicating that evaluators have the right skills
guidance to engineers about the way they
should assess the damage to particular 136. The Ministry of Business, Innovation and
building types. Employment should keep a list of the people
who complete the compulsory training for
128. The field guide for building safety evaluators
building safety evaluators and should make
should be finalised.
this list available to all territorial authorities.
Training for building safety evaluators 137. Where available, only Chartered Professional
129. The building safety evaluation process should Engineers should carry out Level 2 Rapid
incorporate a training programme for all Assessments.
building safety evaluators.
130. Such training should cover: Despite some problems, we consider that, overall, the
building safety evaluation operations after the
• what the building safety evaluation
Canterbury earthquakes were well delivered. We
process is and how it works; and
recommend that a number of changes are made to
• how to identify and assess the damage improve the delivery of New Zealand’s building safety
evaluators observe in buildings after evaluation process, which follows current international
an earthquake. best-practice.
Recommendations 147. Information management systems should
be developed as part of planning for
New Zealand’s building safety evaluation
process.
We recommend that:
148. The Ministry of Business, Innovation and
138. The Indicator Building model should be Employment should work with territorial
incorporated into New Zealand’s building authorities and other relevant agencies to
safety evaluation process. develop a way for territorial authority building
139. The Ministry of Business, Innovation and records to be electronically recorded and
Employment should provide guidance to stored off-site.
territorial authorities to support their plans to 149. A clear system for identifying individual
carry out a building safety evaluation process. buildings should be developed and included in
140. Territorial authorities should be required to the
plan their building safety evaluation process plans for a building safety evaluation process.
as part of their civil defence and emergency
150. Land Information New Zealand should
management plans.
continue to work on initiatives that develop
141. Only official building safety evaluators should consistent national addressing protocols
be authorised to place, change or remove and make this information available to the
placards, and to carry out rapid assessments general public.
for this purpose.
Recommendations related to the placards The Royal Commission heard evidence that there were
142. The placards placed as a result of the significant issues in the transition of responsibility for
building safety evaluation process should the building safety evaluation process from civil
be rewritten in a plain English format. defence to normal building management arrangements
governed by territorial authorities. We discuss and
143. In principle, the colour of the green placard
make recommendations about the need for transition
should be changed to white. The Ministry of
mechanisms and about the way in which territorial
Business, Innovation and Employment should
authorities should manage buildings after earthquakes.
consult with the international building safety
We consider that all buildings should be assessed
evaluation community about the merits and
further after the rapid assessment phase of the building
detail of the change before deciding whether
safety evaluation operation. This assessment should be
or not to do this.
based on the nature of the event, the type of structure
144. Formal procedures should be developed that and the level of damage observed. The Royal
set out when and how the status of a building Commission has heard evidence regarding the barriers
could be changed. The placard on a building faced by some building owners motivated to address
should only be changed if the formal the damage to their building after the September
procedures are followed. earthquake. We consider that some of these barriers
are indicative of issues with the management of
Communication and information management earthquake-prone buildings and we make
145. The Ministry of Business, Innovation and recommendations about these specific issues in
Employment should be responsible for Volume 4 of our Report.
developing and releasing public communication
materials about building management after
earthquakes and other disasters during and
after the state of emergency.
146. GNS Science should develop protocols and
plans to ensure that it is ready to advise the
Ministry of Business, Innovation and
Employment, other government agencies,
local authorities and the wider public after
an earthquake.
Recommendations d legislation should require territorial
authorities to classify buildings in their
districts in accordance with the preceding
Recommendation within the timeframes
We recommend that: established under Recommendation 82 in
151. After an earthquake that has given rise to the Volume 4 of our Report (Recommendation
declaration of a state of emergency, buildings 82 requires the assessment of earthquake-
should be assessed in accordance with the prone and potentially earthquake-prone
following process: buildings);
a all buildings should be subject to a rapid e where the rapid assessment process had
assessment process; identified the need for further evaluation of
a building in one of these defined Groups,
b for the purposes of subsequent steps,
the building should not be occupied
buildings should be placed in the following
until the Civil Defence Controller or the
categories:
territorial authority (as appropriate) has
i) Group 1: non-unreinforced masonry approved the occupancy of the building
buildings that do not have a known after the following assessments:
critical structural weakness, and either,
i) for Group 1 buildings:
• in the case of concrete buildings,
• where no significant structural
were designed to NZS 3101:1995 or
damage was seen, a Level 2 Rapid
later editions of that Standard;
Assessment;
• in the case of structural steel
• where significant structural damage was
buildings, were designed to NZS
seen, a Plans-Based Assessment for
3404:1992 (informed by the Heavy
Engineering Research Association lower levels of structural damage and
guidelines published in 1994) or later a Detailed Engineering Evaluation for
editions of that Standard; higher levels of structural damage;
Recommendation
Processes in which guidance is given are informal, and
do not pass through the scrutiny of a regulatory review
process: the best-practice advice is not formalised as
legal requirements, and therefore may or may not be
utilised or taken into account by practitioners. We recommend that:
185. The Institution of Professional Engineers
There are risks in the informal component of this
New Zealand, the New Zealand Institute of
approach. These include whether the necessary
Architects, and the New Zealand Registered
expertise will remain available on a voluntary basis
Architects Board, supported by the Ministry
to enable the process to continue over time, and the
of Business, Innovation and Employment,
absence of an objective process that tests the
should work together to ensure greater
content and assesses the consequences of the
collaboration and information sharing
best-practice guidance by formal regulatory review.
between architects and structural engineers.
Assessment of consequences would include
examining the costs of the best-practice standards and
requirements to determine value in the context of the
risks being managed. In addition, without any formal
recognition, the adoption of the recommended best-
practices is difficult to monitor and cannot be enforced.
This makes it unlikely that they will be consistently
applied by practitioners.