Errors in passenger data and communication lead to erroneous loadsheet issuance

No fatalities • Canberra Airport, Australian Capital Territory

A series of data entry errors, expectation bias, and communication breakdowns resulted in an incorrect loadsheet being issued to a flight crew during a diversion event.

What happened

During a flight diversion involving a Qantas aircraft, a sequence of administrative errors led to the issuance of an inaccurate loadsheet. The process began when a customer journey lead entered an incorrect aircraft configuration code while creating an additional stop for the Canberra to Sydney sector. This error, likely driven by high workload and time pressure, triggered an automatic reduction in the passenger count within the system. While the initial data entry error was corrected, the subsequent automatic changes to the passenger composition went unnoticed.

As a result, several passengers who were physically on board the aircraft were either listed as standby or offloaded in the system. The airport duty manager at Canberra closed the flight using this erroneous data, failing to identify the discrepancy because the unusual presence of standby passengers on a diversion flight did not align with their expectations. Although the duty manager became aware of the standby passengers via a customer service agent, they did not communicate this discrepancy to load control, assuming the issue was being handled elsewhere.

Simultaneously, the load controller expressed concerns regarding the validity of the flight information. However, after being unable to resolve the anomalies, the load control system manager instructed the controller to proceed with the information available in the system. Consequently, an erroneous loadsheet was issued to the flight crew. The error was discovered after the loadsheet had been provided but before departure; however, the crew could not be notified because they had deselected the ground communication frequency and were not reachable via radio.

Probable cause

The issuance of an incorrect loadsheet was caused by a combination of a data entry error regarding aircraft configuration, a failure by airport personnel to communicate passenger discrepancies to load control, and a breakdown in communication that prevented the flight crew from being notified of the error before departure.

Frequently asked questions

What happened in the 2024-12-01 The Boeing Company 737-838 accident near Canberra Airport, Australian Capital Territory?

A series of data entry errors, expectation bias, and communication breakdowns resulted in an incorrect loadsheet being issued to a flight crew during a diversion event.

Were there any fatalities in the 2024-12-01 The Boeing Company 737-838 accident?

No fatalities were recorded in this accident.

What aircraft was involved and where did it happen?

The accident on 2024-12-01 involved a The Boeing Company 737-838, registration VH-XZK, operated by Qantas Airways Limited, at Canberra Airport, Australian Capital Territory.

What was the probable cause of the accident?

The issuance of an incorrect loadsheet was caused by a combination of a data entry error regarding aircraft configuration, a failure by airport personnel to communicate passenger discrepancies to load control, and a breakdown in communication that prevented the flight crew from being notified of the error before…

Loading the flight search…