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|
Attributes | |
ACN | 211508 |
Time | |
Date | 199205 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : atl |
State Reference | GA |
Altitude | agl bound lower : 0 agl bound upper : 7000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : atl tower : atl |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : initial climbout : takeoff ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 110 flight time total : 6500 flight time type : 110 |
ASRS Report | 211508 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 11000 flight time type : 150 |
ASRS Report | 211511 |
Events | |
Anomaly | non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | other |
Narrative:
We were #3 for takeoff and about to start our second engine when captain noticed on medium large transport aircraft in front of us, an open access panel for rear stairway. Copilot contacted tower and then contacted the affected company aircraft on company frequency to explain access door problem. While copilot was communicating captain started the #2 engine and signaled the cabin crew to prepare for takeoff. When the preceding aircraft became #1 for takeoff they elected to return to gate for inspection. This immediately made us (#1) for takeoff. Tower cleared us for takeoff and captain called for the before takeoff checklist (omitting the delayed start checklist after he started the #2 engine. At 3000 ft AGL we realized our aircraft was not pressurizing and the outflow valve was closed. The copilot set climb power as directed, then switched from #1 pressurization system to the #2 pressurization system, but to no avail. At this point autothrottles and thrust management computer failed. The captain suspected there was an electrical mechanical problem with these system and asked departure to level at 7000 ft and requested clearance to return to departure airport. Due to workload of communications, checklists, and approach setup. There was no further troubleshooting of the system. While accomplishing checklists the copilot found both air conditioning pack switches in the off position where they had been since start of second engine. Aircraft returned to airport for uneventful landing. The crew was rushed for takeoff and captain did not perform delayed start checklist after starting #2 engine. Consequently, pack switches left in off position and aircraft was not able to pressurize on climb out.
Original NASA ASRS Text
Title: FLC OF AIR CARRIER MLG ACFT RETURNED TO ARPT AFTER THE ACFT PRESSURIZATION WAS NOT WORKING DURING DEP.
Narrative: WE WERE #3 FOR TKOF AND ABOUT TO START OUR SECOND ENG WHEN CAPT NOTICED ON MLG ACFT IN FRONT OF US, AN OPEN ACCESS PANEL FOR REAR STAIRWAY. COPLT CONTACTED TWR AND THEN CONTACTED THE AFFECTED COMPANY ACFT ON COMPANY FREQ TO EXPLAIN ACCESS DOOR PROBLEM. WHILE COPLT WAS COMMUNICATING CAPT STARTED THE #2 ENG AND SIGNALED THE CABIN CREW TO PREPARE FOR TKOF. WHEN THE PRECEDING ACFT BECAME #1 FOR TKOF THEY ELECTED TO RETURN TO GATE FOR INSPECTION. THIS IMMEDIATELY MADE US (#1) FOR TKOF. TWR CLRED US FOR TKOF AND CAPT CALLED FOR THE BEFORE TKOF CHKLIST (OMITTING THE DELAYED START CHKLIST AFTER HE STARTED THE #2 ENG. AT 3000 FT AGL WE REALIZED OUR ACFT WAS NOT PRESSURIZING AND THE OUTFLOW VALVE WAS CLOSED. THE COPLT SET CLB PWR AS DIRECTED, THEN SWITCHED FROM #1 PRESSURIZATION SYS TO THE #2 PRESSURIZATION SYS, BUT TO NO AVAIL. AT THIS POINT AUTOTHROTTLES AND THRUST MGMNT COMPUTER FAILED. THE CAPT SUSPECTED THERE WAS AN ELECTRICAL MECHANICAL PROBLEM WITH THESE SYS AND ASKED DEP TO LEVEL AT 7000 FT AND REQUESTED CLRNC TO RETURN TO DEP ARPT. DUE TO WORKLOAD OF COMS, CHKLISTS, AND APCH SETUP. THERE WAS NO FURTHER TROUBLESHOOTING OF THE SYS. WHILE ACCOMPLISHING CHKLISTS THE COPLT FOUND BOTH AIR CONDITIONING PACK SWITCHES IN THE OFF POS WHERE THEY HAD BEEN SINCE START OF SECOND ENG. ACFT RETURNED TO ARPT FOR UNEVENTFUL LNDG. THE CREW WAS RUSHED FOR TKOF AND CAPT DID NOT PERFORM DELAYED START CHKLIST AFTER STARTING #2 ENG. CONSEQUENTLY, PACK SWITCHES LEFT IN OFF POS AND ACFT WAS NOT ABLE TO PRESSURIZE ON CLBOUT.
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.