Aviation safety investigations & reports

Data input error involving a Boeing 737, VH-XZI near Adelaide Airport, SA on 12 October 2014

Investigation number:
Status: Completed
Investigation completed


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On 12 October 2014, the flight crew operating a Qantas Airways B737 aircraft, registered VH‑XZI, were preparing for the approach and landing into Adelaide, South Australia. The captain was the pilot flying (PF) and the first officer was the pilot monitoring (PM).

The PM calculated the expected landing weight (LW) and after obtaining confirmation from the PF that his calculations were valid, he entered this figure into the aircraft gross weight (Gross WT) section of the approach reference page. However, a figure of 52 tonne (T) had been inadvertently entered instead of the predicted LW of 62 T. The flight management computer calculated the flap speed schedule and the landing reference speed (Vref), based on this lower weight.

At about 1,500 ft above mean sea level the captain disconnected the autopilot and hand flew the remainder of the approach and landing. During the approach, the PM made a verbal reference about the airspeed being ‘wrong’, however the PF reported he did not clearly hear what the PM had said, nor did he understand what message the PM was trying to convey. All the instrumentation presented to him looked normal, so he continued to focus on aircraft flight path management.

The PM reported he had advised the PF that the speed was wrong and had also announced the correct speed to be flown. When he noticed the PF advance the power (which was in response to the gusty conditions) he thought the PF had responded to his call. However the aircraft landed 7.5° nose pitch up; whereas normal was 3.5-3.75° nose pitch up. There were no injuries and no damage to the aircraft.

Action taken by Qantas

As a result of this incident, the new operating procedures will include an item requiring the PM to compare the landing weight entered into the Approach Reference page during descent preparation, with the load sheet estimated landing weight.

An ATSB research study titled Take-off performance calculated and entry errors: A global perspective is a research paper which focused on such incidents and accidents in the 20 years prior to 2009. A consistent aspect was the apparent inability of flight crew to perform ‘reasonableness checks’ to determine when parameters were inappropriate for the flight.

Aviation Short Investigations Bulletin - Issue 42

Download Final report
[Download  PDF: 252KB]
Alternate: [Download  DOCX: 840KB]

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General details
Date: 12 October 2014   Investigation status: Completed  
Time: 1545 CDT   Investigation level: Short - click for an explanation of investigation levels  
Location   (show map): Adelaide Airport    
State: South Australia   Occurrence type: Incorrect configuration  
Release date: 27 August 2015   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft details

Aircraft details
Aircraft manufacturer The Boeing Company  
Aircraft model 737-838  
Aircraft registration VH-XZI  
Serial number 39364  
Operator Qantas  
Type of operation Air Transport High Capacity  
Sector Jet  
Damage to aircraft Nil  
Departure point Alice Springs, NT  
Destination Adelaide, SA  
Last update 14 November 2018