Ground handling error leads to unladen flight in Western Australia

No fatalities • Perth Airport, Western Australia

A flight from Perth to Kalgoorlie departed without its intended baggage and freight after a failure to communicate an aircraft registration change led to a loading oversight.

What happened

Following the unserviceability of aircraft NHQ, the operator reassigned the Perth to Kalgoorlie service to aircraft NHV. While the operator verbally informed the contracted ground handling service provider about the change in aircraft, they did not communicate the new registration.

Because the ground handling provider's system showed the tasks for the original flight number as already completed, a team was not assigned to transfer baggage and freight from the original aircraft to the replacement. Although the updated load instruction sheet (LIS) contained the new registration, it was incorrectly marked as edition 1.

During pre-flight preparations, an individual entered the flight deck of NHV to confirm offload figures, as the loading supervisor could not be reached. The captain, a relatively new employee, misunderstood the purpose of this visit. Believing the LIS was intended for the new aircraft, the captain manually amended the registration on the document from NHQ to NHV. This manual amendment, which was a permitted practice at the time, led the crew to believe the loading instructions were certified for the current flight.

The investigation

The investigation focused on the communication breakdown between the operator and the ground handling provider. It was determined that the ground handling provider's system recorded the task for the flight number as finished, which prevented the allocation of a team to move the cargo. The investigation also examined the documentation error where the LIS was erroneously labeled as edition 1, contributing to the confusion regarding the task status.

Probable cause

The failure to transfer baggage and freight was caused by a lack of communication regarding the new aircraft registration and a documentation error that suggested the loading task was already complete. This was compounded by the flight crew's manual amendment of the load instruction sheet, which created a false sense of certainty regarding the cargo status.

Frequently asked questions

What happened in the 2017-02-03 Fokker B.V. F28 MK 0100 accident near Perth Airport, Western Australia?

A flight from Perth to Kalgoorlie departed without its intended baggage and freight after a failure to communicate an aircraft registration change led to a loading oversight.

Were there any fatalities in the 2017-02-03 Fokker B.V. F28 MK 0100 accident?

No fatalities were recorded in this accident.

What aircraft was involved and where did it happen?

The accident on 2017-02-03 involved a Fokker B.V. F28 MK 0100, registration VH-NHV, operated by Network Aviation, at Perth Airport, Western Australia.

What was the probable cause of the accident?

The failure to transfer baggage and freight was caused by a lack of communication regarding the new aircraft registration and a documentation error that suggested the loading task was already complete. This was compounded by the flight crew's manual amendment of the load instruction sheet, which created a false sense…

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