No fatalities

2016-10-29: Airbus A320-232 (VH-VQC) — Jetstar Airways — Gold Coast, Queensland

Gold Coast, Queensland

On October 29, 2016, an Airbus A320-232 (registration VH-VQC) operated by Jetstar Airways was involved in an aviation accident near Gold Coast, Queensland. No fatalities were reported. Investigators recorded the probable cause as: The leading hand reported feeling rushed because of the extra tasks to be completed during the 30-minute turnaround, and this contributed to the checks not being completed. This summary draws on records from the Australian Transport Safety Bureau (ATSB); 8 related events involving the same aircraft type or operator are linked below.

Sourcesthe Australian Transport Safety Bureau (ATSB)Primary reportUpdated 1779789610Data APIEditorial standards
Airbus A320-232
Photo: Tosaka / CC BY 3.0, via Wikimedia Commons

During turnaround, ground crew errors led to a container being left onboard. Missing load sheet, unavailable controllers, and incomplete checks due to time pressure resulted in the oversight.

Background

The ground handling operator's aircraft loading procedures require obtaining a pit load sheet as a first step. If unavailable, ground crew are to contact ground operations controllers. In this occurrence, the pit load sheet was not provided, and the ground crew attempted to contact the controllers but they were unavailable. The investigation was unable to determine why the pit load sheet was not supplied.

Loading Process

Loader operator 1 began loading and was called away with the yellow ULA copy in their pocket instead of on the clipboard in the loader per normal procedure. Loader operator 2 continued the loading and assumed any containers already on the aircraft had been pre-loaded, reinforced by the absence of the yellow copy. Loader operator 2 completed loading without the yellow copy and did not document containers as they were loaded. No communication occurred between the two loader operators regarding task completion.

Unloading and Verification

After unloading, all compartments must be checked and confirmed empty. Loader operator 1 did check the hold but failed to see the container in position 31. The leading hand witnessed loader operator 1 checking the hold but did not perform an independent check of the hold themselves. Although position 31 was marked as empty on the ULA, neither loader operator 1 nor the leading hand verified the position's emptiness by physical inspection.

Contributing Factors

On that day, ground crew were required to complete additional tasks: putting in a lift, toilet cleaning, and water topping up. Ordinarily, the leading hand would delegate the toilet clean to another team to keep loader operators on their task. However, the leading hand called for assistance but none was available because two off-scheduled aircraft were also being turned around. The leading hand reported feeling rushed due to the extra tasks during the 30-minute turnaround, and this contributed to the checks not being completed.

Probable cause

The leading hand reported feeling rushed because of the extra tasks to be completed during the 30-minute turnaround, and this contributed to the checks not being completed.