37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 108778 |
Time | |
Date | 198904 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : las |
State Reference | NV |
Altitude | msl bound lower : 10000 msl bound upper : 25000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 8000 flight time type : 3000 |
ASRS Report | 108778 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | none taken : unable |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
As we were climbing out of las through about 25000' we noticed the cabin altitude climbing at a higher than normal rate--about 1500 FPM--and that the cabin altitude was higher than it should have been for our altitude. We went the standby mode on the pressurization panel but were unable to control the cabin altitude, so we went to the manual position and with the outflow valve closed were unable to stop the cabin from climbing. At this point I asked my first officer to tell the center we needed a lower altitude and a clearance back to las, and I started a descent. The center cleared us to 10000' and then asked us to maintain 24000'. We told him we were unable and he again cleared us to 10000'. During our descent we accomplished the rapid decompression (although the cabin was only climbing at about 1500 FPM) and emergency descent checklist. I also cycled the engine bleed switches and shortly thereafter we began to regain control of the cabin altitude. We continued back to las and made a normal approach and landing. Although the O2 mask did deploy, the cabin altitude never got above 13000'. After reviewing the flight, I believe I caused this situation by letting myself become distracted during the takeoff phase where the cabin pressurization panel is normally configured after a no-bleeds takeoff. When I shut down the APU (the only source of bleed air for cabin pressurization) the cabin altitude began to climb. I should have ensured the pressurization system was properly configured prior to shutting down the APU.
Original NASA ASRS Text
Title: FLT CREW COULD NOT PRESSURIZE ACFT AFTER A NO ENGINE BLEEDS TKOF FROM LAS.
Narrative: AS WE WERE CLBING OUT OF LAS THROUGH ABOUT 25000' WE NOTICED THE CABIN ALT CLBING AT A HIGHER THAN NORMAL RATE--ABOUT 1500 FPM--AND THAT THE CABIN ALT WAS HIGHER THAN IT SHOULD HAVE BEEN FOR OUR ALT. WE WENT THE STANDBY MODE ON THE PRESSURIZATION PANEL BUT WERE UNABLE TO CONTROL THE CABIN ALT, SO WE WENT TO THE MANUAL POS AND WITH THE OUTFLOW VALVE CLOSED WERE UNABLE TO STOP THE CABIN FROM CLBING. AT THIS POINT I ASKED MY F/O TO TELL THE CENTER WE NEEDED A LOWER ALT AND A CLRNC BACK TO LAS, AND I STARTED A DSCNT. THE CENTER CLRED US TO 10000' AND THEN ASKED US TO MAINTAIN 24000'. WE TOLD HIM WE WERE UNABLE AND HE AGAIN CLRED US TO 10000'. DURING OUR DSCNT WE ACCOMPLISHED THE RAPID DECOMPRESSION (ALTHOUGH THE CABIN WAS ONLY CLBING AT ABOUT 1500 FPM) AND EMER DSCNT CHKLIST. I ALSO CYCLED THE ENG BLEED SWITCHES AND SHORTLY THEREAFTER WE BEGAN TO REGAIN CONTROL OF THE CABIN ALT. WE CONTINUED BACK TO LAS AND MADE A NORMAL APCH AND LNDG. ALTHOUGH THE O2 MASK DID DEPLOY, THE CABIN ALT NEVER GOT ABOVE 13000'. AFTER REVIEWING THE FLT, I BELIEVE I CAUSED THIS SITUATION BY LETTING MYSELF BECOME DISTRACTED DURING THE TKOF PHASE WHERE THE CABIN PRESSURIZATION PANEL IS NORMALLY CONFIGURED AFTER A NO-BLEEDS TKOF. WHEN I SHUT DOWN THE APU (THE ONLY SOURCE OF BLEED AIR FOR CABIN PRESSURIZATION) THE CABIN ALT BEGAN TO CLB. I SHOULD HAVE ENSURED THE PRESSURIZATION SYS WAS PROPERLY CONFIGURED PRIOR TO SHUTTING DOWN THE APU.
Data retrieved from NASA's ASRS site as of August 2007 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.