Jump to Content
Download Final Report
[ Download PDF: 397KB]
 
 
 

At about 1324 Eastern Standard Time on 28 July 2014, the flight crew of an Airbus A320 aircraft, registered VH-VFU, was preparing the aircraft for the return leg from Sydney, New South Wales, to Adelaide, South Australia.

ATC issued the crew with a departure clearance for runway 16L. A Configuration 2 (flap and slat setting) was required for take-off. Shortly after, ATC advised the crew that the clearance was cancelled and re-issued a new departure clearance for runway 34L.

As a Configuration 1 + F would now be required for take-off, the FMGC was updated. The crew then briefed on the new departure, however neither crew member recalled specifically briefing on the changed take-off configuration.

The PM inadvertently selected the originally calculated Flap 2 take-off setting. He then checked the flap position on the upper ECAM. As he believed he needed to set flap 2, the flap 2 setting displayed on the ECAM confirmed what he believed to be correct.

Despite carrying out all the required flows and checklists, as they taxied the aircraft to the runway 34L holding point, neither of the crew detected the incorrect configuration setting. The aircraft departed normally, and at about 800 ft the crew detected and managed the error and continued to Adelaide.

Jetstar has advised the ATSB they are taking the following Safety Actions.

Jetstar has decided to undertake a detailed review of the results from their Flight Safety Integration Audit (FSIA) program. This is a continuous safety audit program targeted toward identifying specific operational threats and risks associated with failed/erroneous Human-Machine Interface activities. The airline will then develop action plans to address any identified themes.

Jetstar will also incorporate a summary of the incident in the next edition of the company flight crew Technical Newsletter. This will include suggestions on how to mitigate against similar occurrences.

 

Aviation Short Investigations Bulletin - Issue 39

Download Final Report
[ Download PDF: 397KB]
 
 
 
 
General details
Date: 28 July 2014 Investigation status: Completed 
Time: 1337 EST Investigation type: Occurrence Investigation 
Location   (show map):Sydney Airport Occurrence type:Incorrect configuration 
State: New South Wales Occurrence class: Operational 
Release date: 26 February 2015 Occurrence category: Incident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: Airbus 
Aircraft model: A320-232 
Aircraft registration: VH-VFU 
Serial number: 5814 
Operator: Jetstar Airways 
Type of operation: Air Transport High Capacity 
Sector: Jet 
Damage to aircraft: Nil 
Departure point:Sydney, NSW
Destination:Adelaide, SA
 
 
 
Share this page Provide feedback on this investigation
Last update 26 February 2015