A reopened inquiry into a helicopter crash near Queenstown has uncovered "too many ways" pilots can get around requirements that they be medically and mentally fit to fly.
As a result, the Transport Accident Investigation Commission has asked the Ministry of Health to add safety-critical occupations to a person's records in an under-development national electronic health database.
It also wants doctors to be reminded of their obligation to inform authorities when such a person's health could affect their job.
Flight student James Patterson Gardner, 18, and instructor Steven Combe, 42, died after their Robinson R44 helicopter crashed near Queenstown in 2015.
TAIC's initial report into the crash last year blamed the concerning issue of "mast bumping" for the crash.