37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 266053 |
Time | |
Date | 199403 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : mci |
State Reference | MO |
Altitude | msl bound lower : 10000 msl bound upper : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zkc tracon : sat |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other descent 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 : 14000 flight time type : 5000 |
ASRS Report | 266053 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : exited adverse environment other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
In cruise, FL310 had uncontrolled cabin climb. Went to manual cabin control and checked out flow valve full closed. Received descent clearance to FL240 at this time, and started descent as cabin continued to climb. Requested and received clearance to 10000 ft and regained cabin control below FL200. Cabin climbed to 9500 ft before starting down. Had flight attendants secure cabin and be seated as descent was started, and cockpit crew went on oxygen. Continued to mci at 10000 ft. Maintenance found blown duct on right pack system and I believe loose ducting on left side. Of course there is no specific procedure in our cockpit operating procedures book covering this event, but after reviewing procedures (in the hotel) it seems that the engine cabin pressure loss checklist basically covers what needed to be done. Unfortunately, I believe the mind set for this procedure is to use it after cabin pressure loss, and not as a preventive measure, which would have saved me a lot of confusion as to what really needed to be done.
Original NASA ASRS Text
Title: ACFT EQUIP PROB MALFUNCTION CREATES NEED FOR LOWER ALT. EMER NOT DECLARED.
Narrative: IN CRUISE, FL310 HAD UNCTLED CABIN CLB. WENT TO MANUAL CABIN CTL AND CHKED OUT FLOW VALVE FULL CLOSED. RECEIVED DSCNT CLRNC TO FL240 AT THIS TIME, AND STARTED DSCNT AS CABIN CONTINUED TO CLB. REQUESTED AND RECEIVED CLRNC TO 10000 FT AND REGAINED CABIN CTL BELOW FL200. CABIN CLBED TO 9500 FT BEFORE STARTING DOWN. HAD FLT ATTENDANTS SECURE CABIN AND BE SEATED AS DSCNT WAS STARTED, AND COCKPIT CREW WENT ON OXYGEN. CONTINUED TO MCI AT 10000 FT. MAINT FOUND BLOWN DUCT ON R PACK SYS AND I BELIEVE LOOSE DUCTING ON L SIDE. OF COURSE THERE IS NO SPECIFIC PROC IN OUR COCKPIT OPERATING PROCS BOOK COVERING THIS EVENT, BUT AFTER REVIEWING PROCS (IN THE HOTEL) IT SEEMS THAT THE ENG CABIN PRESSURE LOSS CHKLIST BASICALLY COVERS WHAT NEEDED TO BE DONE. UNFORTUNATELY, I BELIEVE THE MIND SET FOR THIS PROC IS TO USE IT AFTER CABIN PRESSURE LOSS, AND NOT AS A PREVENTIVE MEASURE, WHICH WOULD HAVE SAVED ME A LOT OF CONFUSION AS TO WHAT REALLY NEEDED TO BE DONE.
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.