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On 28 July 2011, a Jetstar Airways, Airbus A320-232 aircraft, registered VH-VQA, departed Newcastle, New South Wales on a scheduled passenger service to Melbourne, Victoria. The First Officer (FO) was designated as the pilot flying.

While on approach to runway 34 at Melbourne, at about 245 ft (radio altitude), the Captain realised that the landing checklist had not been completed. At the same time, the crew received a 'TOO LOW FLAP' aural and visual warning from the aircraft's enhanced ground proximity warning system (EGPWS). The Captain identified that the aircraft was not in the landing configuration, immediately called for a go-around which the FO initiated. Prior to establishing a positive rate of climb, the crew received a second 'TOO LOW FLAP' warning.

The operator conducted an investigation and determined that the following factors had contributed to the incident: incomplete approach brief, loss of situation awareness, improper coaching techniques and cognitive overload. As a result, the operator intends to:

  • provide the Captain and FO with a remedial training and coaching program
  • conduct a review of their command upgrade training to ensure it focuses on the development of a positive cockpit authority gradient, and the command of flight capabilities
  • incorporate this incident into the command upgrade training course as a case study
  • conduct a review of their recurrent human factors training.
Download Final Report - Bulletin
[ Download PDF: 5.43MB]
 
 
 
 
General details
Date: 28 July 2011 Investigation status: Completed 
Time: 2000 EST Investigation type: Occurrence Investigation 
Location   (show map):Melbourne Airport Occurrence type:Incorrect configuration 
State: Victoria Occurrence class: Operational 
Release date: 12 December 2011 Occurrence category: Incident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: Airbus Industrie 
Aircraft model: A320 
Aircraft registration: VH-VQA 
Serial number: 3783 
Operator: Jetstar 
Type of operation: Air Transport High Capacity 
Damage to aircraft: Nil 
Destination:Melbourne, Vic.
 
 
 
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Last update 15 November 2016