37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 145712 |
Time | |
Date | 199005 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : bvt |
State Reference | IN |
Altitude | msl bound lower : 28500 msl bound upper : 28500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zid |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | cruise other 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 : 150 flight time total : 3750 |
ASRS Report | 145712 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : overcame equipment problem flight crew : declared emergency none taken : unable none taken : anomaly accepted |
Consequence | faa : investigated |
Supplementary | |
Primary Problem | Aircraft |
Narrative:
Loss of pressurization occurred passing through FL285. It was first discovered because a popping sensation in the ears. Corrective actions were taken by leveling the aircraft, manually controling the outflow valves, and eventually making an emergency descent. My first thought was that the second officer had made an operational error. After scanning his panel and not finding that to be so, I ordered manual operation. When this procedure did not produce the desired results, an emergency descent was executed. Although the procedure was performed correctly, the experience level of the first and second officers did have an effect on the quality of the maneuver in that the time to execute the maneuver was lengthened. Upon landing and FAA inspection of the aircraft, insulation was found wedged in the left-aft outflow valve. At this time I have not been informed as to whether the insulation actually belonged in the adjacent areas and therefore it is impossible for me to offer an opinion as to how to correct the problem.
Original NASA ASRS Text
Title: LOSS OF CABIN PRESSURIZATION RESULTS IN EMERGENCY DESCENT.
Narrative: LOSS OF PRESSURIZATION OCCURRED PASSING THROUGH FL285. IT WAS FIRST DISCOVERED BECAUSE A POPPING SENSATION IN THE EARS. CORRECTIVE ACTIONS WERE TAKEN BY LEVELING THE ACFT, MANUALLY CTLING THE OUTFLOW VALVES, AND EVENTUALLY MAKING AN EMER DSNT. MY FIRST THOUGHT WAS THAT THE S/O HAD MADE AN OPERATIONAL ERROR. AFTER SCANNING HIS PANEL AND NOT FINDING THAT TO BE SO, I ORDERED MANUAL OPERATION. WHEN THIS PROC DID NOT PRODUCE THE DESIRED RESULTS, AN EMER DSNT WAS EXECUTED. ALTHOUGH THE PROC WAS PERFORMED CORRECTLY, THE EXPERIENCE LEVEL OF THE FIRST AND SECOND OFFICERS DID HAVE AN EFFECT ON THE QUALITY OF THE MANEUVER IN THAT THE TIME TO EXECUTE THE MANEUVER WAS LENGTHENED. UPON LNDG AND FAA INSPECTION OF THE ACFT, INSULATION WAS FOUND WEDGED IN THE LEFT-AFT OUTFLOW VALVE. AT THIS TIME I HAVE NOT BEEN INFORMED AS TO WHETHER THE INSULATION ACTUALLY BELONGED IN THE ADJACENT AREAS AND THEREFORE IT IS IMPOSSIBLE FOR ME TO OFFER AN OPINION AS TO HOW TO CORRECT THE PROBLEM.
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.