No fatalities

2016-12-21: Airbus A320-232 (VH-VGI) — Jetstar Airways — Melbourne Airport, Victoria

Melbourne Airport, Victoria

On December 21, 2016, an Airbus A320-232 (registration VH-VGI) operated by Jetstar Airways was involved in an aviation accident near Melbourne Airport, Victoria. No fatalities were reported. Investigators recorded the probable cause as: The incorrect loading occurred because a clerk placed the freight card for the Sunshine Coast flight on the Adelaide ULD and the card for the Adelaide flight on the Sunshine Coast ULD. 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 1779789511Data APIEditorial standards
Aircraft registered VH-VGI
Aircraft registered VH-VGI. Photo: Laurent ERRERA from L'Union, France / CC BY-SA 2.0, via Wikimedia Commons

A 245 kg ULD was incorrectly loaded on a Sunshine Coast flight instead of a 93 kg ULD due to a freight card mix-up by a clerk. The same ULD number allowed duplicate entry in the old system.

Incident Details

An incorrect unit load device (ULD), weighing 245 kg, was loaded onto a flight operated by VGI to Sunshine Coast. The load sheet for that flight recorded a ULD weighing 93 kg. The discrepancy arose when a freight clerk placed the freight card intended for the Sunshine Coast flight onto a ULD destined for Adelaide, and simultaneously placed the card for the Adelaide flight onto the ULD meant for Sunshine Coast. Consequently, the Adelaide ULD was sent to Sunshine Coast.

Cause

The error occurred because both ULDs shared the same ULD number. It is likely that the clerk misread the flight details and attached the incorrect cards to the ULDs. The identical ULD number contributed to the confusion.

System Issue

In the older processing system, the same ULD number could be entered twice without triggering an error. In contrast, the newer system would generate an error feedback if a duplicate entry were attempted. Without such feedback, the clerk had no indication that the same container had been entered twice. Additionally, the data cross-check is performed by the same individual who entered the information, making it challenging to detect errors, especially during periods of high workload.

Potential Impact

The source notes that a similar error involving heavier weights could have a significant impact on the handling and performance of an aircraft.

Probable cause

The incorrect loading occurred because a clerk placed the freight card for the Sunshine Coast flight on the Adelaide ULD and the card for the Adelaide flight on the Sunshine Coast ULD.