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|
Attributes | |
ACN | 1042750 |
Time | |
Date | 201210 |
Local Time Of Day | 0601-1200 |
Place | |
Locale Reference | ZZZ.Airport |
State Reference | US |
Environment | |
Flight Conditions | Marginal |
Light | Daylight |
Aircraft 1 | |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | Initial Climb Taxi Takeoff |
Flight Plan | IFR |
Component | |
Aircraft Component | Pressurization Control System |
Person 1 | |
Function | Captain Pilot Not Flying |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Events | |
Anomaly | Deviation - Procedural Published Material / Policy |
Narrative:
Two highly experienced pilots on second leg of a 5-leg day. Had just done an aircraft swap for a 15 minute flight in marginal weather conditions. Pushed back from gate and de-iced. Just as we were starting our first engine; ATC advised us of a 15 minute delay awaiting the arrival of an inbound aircraft (non-radar environment). We elected to use our company's single engine taxi-out procedure. Almost immediately; ATC advised that there would be no delay if we 'keep things moving.' started second engine; taxied; and departed. As soon as we were airborne; my ears told me something might be amiss with the cabin pressurization. Sure enough; some pressurization panel switches were not in the normal positions. Corrected and continued.first time with a 5-leg day in years. (Have been flying mostly turns). First time to de-ice this season. First time to use revised de-icing procedures. First time for me to fly in a high workload; non-radar area of our route system in a couple of years. First time for me to use single engine taxi-out procedure in at least a year. As a crew; we had discussed these issues and how the 'swiss cheese holes could line up'. Bottom line was we allowed interruptions; changes of plans; and a desire to 'keep the operation moving' to get in the way of not completely finishing the after start flow and checklist. We even talked about a 'safety pause'; but obviously didn't pause enough.
Original NASA ASRS Text
Title: A B737 crew took off unpressurized because they were rushed to takeoff after de-icing; planning a single engine taxi; and then were suddenly released for takeoff before they were ready.
Narrative: Two highly experienced pilots on second leg of a 5-leg day. Had just done an aircraft swap for a 15 minute flight in marginal weather conditions. Pushed back from gate and de-iced. Just as we were starting our first engine; ATC advised us of a 15 minute delay awaiting the arrival of an inbound aircraft (non-radar environment). We elected to use our company's single engine taxi-out procedure. Almost immediately; ATC advised that there would be no delay if we 'keep things moving.' Started second engine; taxied; and departed. As soon as we were airborne; my ears told me something might be amiss with the cabin pressurization. Sure enough; some pressurization panel switches were not in the normal positions. Corrected and continued.First time with a 5-leg day in years. (Have been flying mostly turns). First time to de-ice this season. First time to use revised de-icing procedures. First time for me to fly in a high workload; non-radar area of our route system in a couple of years. First time for me to use single engine taxi-out procedure in at least a year. As a crew; we had discussed these issues and how the 'Swiss cheese holes could line up'. Bottom line was we allowed interruptions; changes of plans; and a desire to 'keep the operation moving' to get in the way of not completely finishing the after start flow and checklist. We even talked about a 'safety pause'; but obviously didn't pause enough.
Data retrieved from NASA's ASRS site as of July 2013 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.