However, both drivers' training was insufficient, and the train's braking system had not been optimised for slippery conditions.
The commission also said standard train speeds as they entered the station left little margin for error if something went wrong, and the stop block at Melling was less effective at absorbing impact than more modern equivalents.
Four urgent recommendations were made to KiwiRail to address issues to do with risk and two were made to the NZ Transport Agency to ensure low-adhesion braking requirements were defined in rail standards.
KiwiRail have already made several changes, including improving train brakes to deal with slippery conditions and reducing the speed that trains can approach Melling Station.
A new stop block has also been installed, and drivers of Matangi trains receive get training in a simulator.
Key lessons from the inquiry:
• Slippery tracks are foreseeable and train braking systems must be designed and tested to work properly under those conditions.
• Train drivers must be adequately trained in how their train's braking systems worked, and to drive within the trains' capabilities.
• When a new train is being commissioned and entered into service, operators should seek feedback from drivers to promptly identify and fix potential performance issues.