37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 337530 |
Time | |
Date | 199605 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dsm |
State Reference | IA |
Altitude | msl bound lower : 12000 msl bound upper : 12000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | DC-9 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute airway : zau |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : cfi pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 9500 flight time type : 50 |
ASRS Report | 337530 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 7000 |
ASRS Report | 337406 |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : declared emergency none taken : unable |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Narrative:
Passing 12000 ft MSL, automatic pressurization failed causing outflow valve to drive to full open position causing a rapid decompression. Master warning illuminated along with cabin altitude annunciator. Donned oxygen masks, performed emergency checklist, returned to dsm. Made uneventful normal landing after declaring emergency due to captain's high minimums of 300 - 1 mi (less than 100 hours in type). This was a mechanical failure. There is no way to prevent this because every now and then things do fail. But looking back in retrospect it's interesting to note my mental behavior. At first, you see master warning lights and the pressure change in the cockpit. The first thing that crosses your mind for a split second is the air of confusion until you figure out exactly what's going on. The most difficult part of the flight was trying to slow myself down and not to rush. In that situation your brain is thinking so fast on things you need to do, who to talk to, where to land, make sure the copilot is doing what he's supposed to, etc. It's physically impossible to perform these tasks that fast. So what I guess I should say is that I re-learned the importance of not being rushed, try to slow down, especially in an emergency or abnormal situation. But then again, easier said than done.
Original NASA ASRS Text
Title: ACFT EQUIP PROB. LOST PRESSURIZATION DURING CLBOUT FROM ARPT. DECLARED EMER AND RETURNED TO DEP ARPT. CAPT WAS STILL ON HIGH MINIMUMS AND ARPT WX WAS BELOW HIS MINIMUMS.
Narrative: PASSING 12000 FT MSL, AUTO PRESSURIZATION FAILED CAUSING OUTFLOW VALVE TO DRIVE TO FULL OPEN POS CAUSING A RAPID DECOMPRESSION. MASTER WARNING ILLUMINATED ALONG WITH CABIN ALT ANNUNCIATOR. DONNED OXYGEN MASKS, PERFORMED EMER CHKLIST, RETURNED TO DSM. MADE UNEVENTFUL NORMAL LNDG AFTER DECLARING EMER DUE TO CAPT'S HIGH MINIMUMS OF 300 - 1 MI (LESS THAN 100 HRS IN TYPE). THIS WAS A MECHANICAL FAILURE. THERE IS NO WAY TO PREVENT THIS BECAUSE EVERY NOW AND THEN THINGS DO FAIL. BUT LOOKING BACK IN RETROSPECT IT'S INTERESTING TO NOTE MY MENTAL BEHAVIOR. AT FIRST, YOU SEE MASTER WARNING LIGHTS AND THE PRESSURE CHANGE IN THE COCKPIT. THE FIRST THING THAT CROSSES YOUR MIND FOR A SPLIT SECOND IS THE AIR OF CONFUSION UNTIL YOU FIGURE OUT EXACTLY WHAT'S GOING ON. THE MOST DIFFICULT PART OF THE FLT WAS TRYING TO SLOW MYSELF DOWN AND NOT TO RUSH. IN THAT SIT YOUR BRAIN IS THINKING SO FAST ON THINGS YOU NEED TO DO, WHO TO TALK TO, WHERE TO LAND, MAKE SURE THE COPLT IS DOING WHAT HE'S SUPPOSED TO, ETC. IT'S PHYSICALLY IMPOSSIBLE TO PERFORM THESE TASKS THAT FAST. SO WHAT I GUESS I SHOULD SAY IS THAT I RE-LEARNED THE IMPORTANCE OF NOT BEING RUSHED, TRY TO SLOW DOWN, ESPECIALLY IN AN EMER OR ABNORMAL SIT. BUT THEN AGAIN, EASIER SAID THAN 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.