37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 135419 |
Time | |
Date | 199001 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : roc |
State Reference | NY |
Altitude | agl bound lower : 0 agl bound upper : 2500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : roc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | climbout : takeoff landing other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 12500 flight time type : 6500 |
ASRS Report | 135419 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | other |
Narrative:
After takeoff roc, aircraft would not pressurize. It was obvious that all air conditioning and pressurization systems were operating normally and that a 'hole' existed in the airplane. I elected for an immediate return to roc. We found door 2R was closed in a cocked position. The cams on the leading edge of the door had not engaged their proper slots. The door warning light was not on in spite of this condition. Had local mechanic inspect door for damage, etc, and clear log with concurrence of our maintenance folks in sfo. As we had a dual fuel load to start and still had 4.5 over minimum fuel load for the leg, we took off again about 1 hour late. However, I failed to contact dispatch personally for a rerelease, which made dispatch unhappy and rightfully so. I was busily involved in clearing the log and just assumed that dispatch was informed by others in the company. A complicating factor was that our ACARS system failed to report our landing and block times back in roc, thus dispatch was not aware of the event until after we were airborne the second time. This is a good reminder that after any event, the first person to contact is dispatch because of their joint responsibility for the flight.
Original NASA ASRS Text
Title: FLT CREW OF MLG UNABLE TO PRESSURIZE ACFT AFTER TKOF. RETURNED, LANDED. ACARS DID NOT ADVISE DISPATCH. FLT TOOK OFF AFTER MAINTENANCE FAILING TO OBTAIN RERELEASE. COMPANY AND FAA POLICY.
Narrative: AFTER TKOF ROC, ACFT WOULD NOT PRESSURIZE. IT WAS OBVIOUS THAT ALL AIR CONDITIONING AND PRESSURIZATION SYSTEMS WERE OPERATING NORMALLY AND THAT A 'HOLE' EXISTED IN THE AIRPLANE. I ELECTED FOR AN IMMEDIATE RETURN TO ROC. WE FOUND DOOR 2R WAS CLOSED IN A COCKED POSITION. THE CAMS ON THE LEADING EDGE OF THE DOOR HAD NOT ENGAGED THEIR PROPER SLOTS. THE DOOR WARNING LIGHT WAS NOT ON IN SPITE OF THIS CONDITION. HAD LOCAL MECHANIC INSPECT DOOR FOR DAMAGE, ETC, AND CLEAR LOG WITH CONCURRENCE OF OUR MAINT FOLKS IN SFO. AS WE HAD A DUAL FUEL LOAD TO START AND STILL HAD 4.5 OVER MINIMUM FUEL LOAD FOR THE LEG, WE TOOK OFF AGAIN ABOUT 1 HR LATE. HOWEVER, I FAILED TO CONTACT DISPATCH PERSONALLY FOR A RERELEASE, WHICH MADE DISPATCH UNHAPPY AND RIGHTFULLY SO. I WAS BUSILY INVOLVED IN CLEARING THE LOG AND JUST ASSUMED THAT DISPATCH WAS INFORMED BY OTHERS IN THE COMPANY. A COMPLICATING FACTOR WAS THAT OUR ACARS SYSTEM FAILED TO REPORT OUR LNDG AND BLOCK TIMES BACK IN ROC, THUS DISPATCH WAS NOT AWARE OF THE EVENT UNTIL AFTER WE WERE AIRBORNE THE SECOND TIME. THIS IS A GOOD REMINDER THAT AFTER ANY EVENT, THE FIRST PERSON TO CONTACT IS DISPATCH BECAUSE OF THEIR JOINT RESPONSIBILITY FOR THE FLT.
Data retrieved from NASA's ASRS site as of July 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.