Jump to Content
Download final report
[ Download PDF: 1.82MB]
 
 
 

What happened

On 3 September 2012, an Airbus A321, registered VH-VWY and being operated by Jetstar Airways, was being flown on a scheduled passenger flight from Melbourne, Victoria to Cairns, Queensland. During a visual approach to runway 15 at Cairns, the aircraft drifted slightly high on profile and the captain instructed the first officer, who was the pilot flying, to go around. During the go-around, the aircraft exceeded the flap limit speed and climbed to 2,700 ft, exceeding the 2,000 ft limit assigned by air traffic control.

What the ATSB found

The ATSB found that the first officer had a low level of expectancy of, and was not mentally prepared for, a go-around. Although the initial steps in the go-around procedure were implemented effectively, the first officer’s attention focussed on airspeed management and they did not retard the thrust levers from the take-off go-around detent to the climb detent at an appropriate point during the go-around. Consequently, the aircraft’s auto-thrust system was not activated to reduce the amount of thrust. After the initial breakdown in applying the go-around procedure, the crew experienced a high workload, which significantly limited their capacity to resolve the situation.

The ATSB found that this occurrence had similar features to many previous go-around occurrences. In summary, all-engine go-arounds in modern air transport aircraft are often a challenging task when there is a requirement to level-off at a low altitude, and many pilots have had limited preparation for such tasks. 

What's been done as a result

Following this and a number of related occurrences, Jetstar Airways included ‘unscripted’ go‑arounds in its recurrent training sessions. One of these sessions also emphasised the importance of moving the thrust levers to the climb detent without delay.

In August 2013, as a result of a detailed review of similar go-around occurrences, the French Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile (BEA) issued a series of recommendations about go-around issues to the European Aviation Safety Agency.

Safety message

A go-around with all aircraft systems available to the crew is a normal but infrequently flown, dynamic manoeuvre, requiring a very methodical series of actions on the part of the flight crew, at relatively high tempo, particularly when level-off at a low altitude is planned. This occurrence serves as a reminder of the importance of being mentally prepared to conduct a go-around, even in fine conditions.


Download final report
[ Download PDF: 1.82MB]
 
 
 
 

Safety issue

AO-2012-116-SI-01 -  

Go-around preparedness

All-engine go-arounds in modern air transport aircraft are often a challenging task when there is a requirement to level-off at a low altitude, and many pilots have had limited preparation for this task.

Safety issue details
Issue number:AO-2012-116-SI-01
Who it affects:All operators and flight crew of modern air transport aircraft
Status:Adequately addressed

 
General details
Date: 03 September 2012 Investigation status: Completed 
Time: 0925 EST Investigation type: Occurrence Investigation 
Location   (show map):Cairns Airport Occurrence type:Airframe overspeed 
State: Queensland Occurrence class: Operational 
Release date: 03 November 2014 Occurrence category: Incident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: Airbus 
Aircraft model: A321 
Aircraft registration: VH-VWY 
Serial number: 1408 
Operator: Jetstar Airways 
Type of operation: Air Transport High Capacity 
Sector: Jet 
Damage to aircraft: Nil 
Departure point:Melbourne, Vic.
Destination:Cairns, Qld
 
 
 
Share this page Provide feedback on this investigation
Last update 18 July 2016