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|
Attributes | |
ACN | 428262 |
Time | |
Date | 199902 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : mzb.vortac |
State Reference | CA |
Altitude | msl bound lower : 2000 msl bound upper : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure : on vectors departure : other published ifr departure |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 280 flight time total : 9500 flight time type : 4520 |
ASRS Report | 428262 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : multi engine |
Events | |
Anomaly | aircraft equipment problem : less severe |
Independent Detector | aircraft equipment other aircraft equipment : pressurization auto fail lgt |
Resolutory Action | aircraft : equipment problem dissipated flight crew : overcame equipment problem flight crew : overrode automation none taken : detected after the fact |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On climb out, call sign air carrier 123 from san, noticed cabin altitude climbing at +2000 FPM (norm is 500 FPM). Automatic fail light illuminated. Got out automatic fail loss of pressurization checklist, but was interrupted with having to prompt first officer, who was flying leg to level off at 10000 ft, and altitude warning horn. So selected packs on high during that, but did no good -- so I thought I returned them to automatic. When I got to checklist 'confirm bleeds on,' I realized the bleeds were off and packs on high. I do not know if we took off in that confign or if I inadvertently turned off the bleeds, when I thought of turning the packs back to automatic? When bleeds selected on, pressurization returned to normal. Step-climbed to cruise altitude (FL320) with vigilant eye on pressurization schedule, which worked normally for descent into las with maintenance in las who thought it was a supply problem. Did not write up discrepancy since the supply problem was bleeds in off position!
Original NASA ASRS Text
Title: B737-300 PRESSURIZATION AUTO FAIL LIGHT ILLUMINATED AFTER TKOF FROM SAN.
Narrative: ON CLBOUT, CALL SIGN ACR 123 FROM SAN, NOTICED CABIN ALT CLBING AT +2000 FPM (NORM IS 500 FPM). AUTO FAIL LIGHT ILLUMINATED. GOT OUT AUTO FAIL LOSS OF PRESSURIZATION CHKLIST, BUT WAS INTERRUPTED WITH HAVING TO PROMPT FO, WHO WAS FLYING LEG TO LEVEL OFF AT 10000 FT, AND ALT WARNING HORN. SO SELECTED PACKS ON HIGH DURING THAT, BUT DID NO GOOD -- SO I THOUGHT I RETURNED THEM TO AUTO. WHEN I GOT TO CHKLIST 'CONFIRM BLEEDS ON,' I REALIZED THE BLEEDS WERE OFF AND PACKS ON HIGH. I DO NOT KNOW IF WE TOOK OFF IN THAT CONFIGN OR IF I INADVERTENTLY TURNED OFF THE BLEEDS, WHEN I THOUGHT OF TURNING THE PACKS BACK TO AUTO? WHEN BLEEDS SELECTED ON, PRESSURIZATION RETURNED TO NORMAL. STEP-CLBED TO CRUISE ALT (FL320) WITH VIGILANT EYE ON PRESSURIZATION SCHEDULE, WHICH WORKED NORMALLY FOR DSCNT INTO LAS WITH MAINT IN LAS WHO THOUGHT IT WAS A SUPPLY PROB. DID NOT WRITE UP DISCREPANCY SINCE THE SUPPLY PROB WAS BLEEDS IN OFF POS!
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.