Investigation number
200100035
Occurrence date
Location
Gunnedah, Aero.
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Incorrect configuration
Occurrence category
Incident
Highest injury level
None

There was insufficient evidence to determine the factors that led to the out of trim condition. The aircraft was correctly loaded and well within the centre of gravity envelope. Appropriately qualified maintenance personnel could find no fault with the trim system after a comprehensive check and the aircraft handled normally on the subsequent sectors. The possibility of a mis-set trim was explored and cannot be excluded. The pilot stated that all the appropriate checks before takeoff were carried out. The before-takeoff checks included setting the trim.

A checklist can be viewed in human factors terms as an additional interface between the human and the machine. That interface controls the method and sequence of the aircraft's configuration. Regardless of the type or method used, the disciplined use of cockpit checklists by pilots is an essential element in flight safety. Distractions and interruptions can break the checklist process and may result in a checklist error or omission. This may be critical in single-pilot operations where the checklist is often the last line of defence against configuration errors. Having ensured that the appropriate training and checking has been carried out, an operator's safety management is dependent on the degree of discipline and professionalism applied to each phase of the operation by the pilot.

Aircraft Details
Manufacturer
Embraer-Empresa Brasileira De Aeronautica
Model
EMB-820
Registration
VH-HVA
Serial number
820C-045
Operation type
Air Transport Low Capacity
Departure point
Gunnedah, NSW
Departure time
0820 hours ESuT
Destination
Sydney, NSW
Damage
Nil