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|
Attributes | |
ACN | 425089 |
Time | |
Date | 199901 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : stl |
State Reference | MO |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Dawn |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Fokker 100 |
Navigation In Use | Other |
Flight Phase | ground other : taxi |
Route In Use | departure other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial |
ASRS Report | 425089 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Air Traffic Incident | Pilot Deviation |
Narrative:
After departing stl, cabin pressure controller channel message alert appeared on the MFDU. As I was PF, the captain selected manual pressurization and regained control. Cabin rate of climb appeared normal afterward. Also normal psid. A min or two later, the 10000 ft cabin altitude alarm sounded. We found both packs had been left off since ground deicing. Captain restored packs and cabin pressurized normally without further incident. Checked and found no ill effects among passenger or crew. Warning lasted 20-30 seconds, and cabin altitude did not climb visibly past 10000 ft. We believe several events contributed to the situation. We had deiced once and delayed past holdover time during heavy snow. We encountered concerted resistance to redeicing on the part of stl personnel, but succeeded in deicing a second time after refusing to accept anything other than clean wings and surfaces. We then attempted with more success to taxi and depart within the performance envelope of the deice fluid. During the short taxi we made all our adjustments to the tps and spent a lot of time watching traffic and txwys in addition to (ironically) discussing the takeoff and the WX. Time became a bit too compressed. In hindsight, we should have recognized the potential for task saturation and notched up the vigilance or slowed down. Moral of the story: pay more attention and slow down when events begin to pile up.
Original NASA ASRS Text
Title: FK10 CREW DISCOVERS AIR CONDITIONING PACKS HAD NOT BEEN TURNED ON BEFORE TKOF AT STL.
Narrative: AFTER DEPARTING STL, CABIN PRESSURE CTLR CHANNEL MESSAGE ALERT APPEARED ON THE MFDU. AS I WAS PF, THE CAPT SELECTED MANUAL PRESSURIZATION AND REGAINED CTL. CABIN RATE OF CLB APPEARED NORMAL AFTERWARD. ALSO NORMAL PSID. A MIN OR TWO LATER, THE 10000 FT CABIN ALT ALARM SOUNDED. WE FOUND BOTH PACKS HAD BEEN LEFT OFF SINCE GND DEICING. CAPT RESTORED PACKS AND CABIN PRESSURIZED NORMALLY WITHOUT FURTHER INCIDENT. CHKED AND FOUND NO ILL EFFECTS AMONG PAX OR CREW. WARNING LASTED 20-30 SECONDS, AND CABIN ALT DID NOT CLB VISIBLY PAST 10000 FT. WE BELIEVE SEVERAL EVENTS CONTRIBUTED TO THE SIT. WE HAD DEICED ONCE AND DELAYED PAST HOLDOVER TIME DURING HVY SNOW. WE ENCOUNTERED CONCERTED RESISTANCE TO REDEICING ON THE PART OF STL PERSONNEL, BUT SUCCEEDED IN DEICING A SECOND TIME AFTER REFUSING TO ACCEPT ANYTHING OTHER THAN CLEAN WINGS AND SURFACES. WE THEN ATTEMPTED WITH MORE SUCCESS TO TAXI AND DEPART WITHIN THE PERFORMANCE ENVELOPE OF THE DEICE FLUID. DURING THE SHORT TAXI WE MADE ALL OUR ADJUSTMENTS TO THE TPS AND SPENT A LOT OF TIME WATCHING TFC AND TXWYS IN ADDITION TO (IRONICALLY) DISCUSSING THE TKOF AND THE WX. TIME BECAME A BIT TOO COMPRESSED. IN HINDSIGHT, WE SHOULD HAVE RECOGNIZED THE POTENTIAL FOR TASK SATURATION AND NOTCHED UP THE VIGILANCE OR SLOWED DOWN. MORAL OF THE STORY: PAY MORE ATTN AND SLOW DOWN WHEN EVENTS BEGIN TO PILE UP.
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.