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|
Attributes | |
ACN | 1244448 |
Time | |
Date | 201503 |
Local Time Of Day | 0601-1200 |
Place | |
Locale Reference | ZZZ.ARTCC |
State Reference | US |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Make Model Name | Cessna 337 Super Skymaster |
Operating Under FAR Part | Part 91 |
Flight Phase | Cruise |
Route In Use | Oceanic |
Flight Plan | IFR |
Component | |
Aircraft Component | Oxygen System/Crew |
Person 1 | |
Function | Single Pilot |
Qualification | Flight Crew Instrument Flight Crew Multiengine Flight Crew Private |
Experience | Flight Crew Last 90 Days 20 Flight Crew Total 1200 Flight Crew Type 700 |
Events | |
Anomaly | Aircraft Equipment Problem Critical Deviation - Procedural Maintenance Flight Deck / Cabin / Aircraft Event Illness |
Narrative:
During routine cruise at 13000 feet MSL; in an unpressurized aircraft; using a mountain high o2d2 oxygen regulator; trailing pilot in a flight of two aircraft experienced significant hypoxia. The lead pilot recognized classic signs - noticeable slurring of speech; decreased cognitive/situational awareness; altitude/course deviation. Reduction of altitude and 'keeping the pilot talking' yielded a safe landing; with no accident; injury or damage; thanks also to cooperation from center (air traffic control).the O2 regulator was approximately 10 years old; and had never been returned for upgrades/repairs. Thus sensors/regulator may be out of spec by this time; and aa (power source) batteries may have been low. No interval for regulator maintenance was specified at time of production. The affected pilot is nearly 60 years old; somewhat 'out of shape' with little physical exercise; mainly desk work; and approximately 6 feet 4 inches; 220 pounds; so the delivered oxygen dosage was apparently inadequate; and pilots' shallower; less pulsatile breathing after hours of flight at altitude may not have triggered oxygen release reliably with this older; non-upgraded model. It is also possible that the vinyl delivery hose became bent or crimped; denying 02 flow. In a high noise environment; the regulator alarm may be inaudible.suggestion: routine maintenance for this device may be a logical requirement; for flight safety reasons. Manufacturer offers upgrades/rebuild in the $100 range; so the cost/safety tradeoff is a reasonable one. Affected pilot is having his unit upgraded immediately...
Original NASA ASRS Text
Title: A pilot in a flight of two C-337's at 13;000 feet reported detecting the other pilot's conversational hypoxia symptoms so they descended and diverted. The Mountain High O2D2 regulator was a decade old and not serviced regularly.
Narrative: During routine cruise at 13000 feet MSL; in an unpressurized aircraft; using a Mountain High O2D2 oxygen regulator; trailing pilot in a flight of two aircraft experienced significant hypoxia. The lead pilot recognized classic signs - noticeable slurring of speech; decreased cognitive/situational awareness; altitude/course deviation. Reduction of altitude and 'keeping the pilot talking' yielded a safe landing; with no accident; injury or damage; thanks also to cooperation from Center (Air Traffic Control).The O2 regulator was approximately 10 years old; and had never been returned for upgrades/repairs. Thus sensors/regulator may be out of spec by this time; and AA (power source) batteries may have been low. No interval for regulator maintenance was specified at time of production. The affected pilot is nearly 60 years old; somewhat 'out of shape' with little physical exercise; mainly desk work; and approximately 6 feet 4 inches; 220 pounds; so the delivered oxygen dosage was apparently inadequate; and Pilots' shallower; less pulsatile breathing after hours of flight at altitude may not have triggered oxygen release reliably with this older; non-upgraded model. It is also possible that the vinyl delivery hose became bent or crimped; denying 02 flow. In a high noise environment; the regulator alarm may be inaudible.Suggestion: Routine maintenance for this device may be a logical requirement; for flight safety reasons. Manufacturer offers upgrades/rebuild in the $100 range; so the cost/safety tradeoff is a reasonable one. Affected pilot is having his unit upgraded immediately...
Data retrieved from NASA's ASRS site 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.