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|
Attributes | |
ACN | 452599 |
Time | |
Date | 199910 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : fat.airport |
State Reference | CA |
Altitude | msl single value : 24000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa.artcc |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute airway : j65.airway |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : multi engine pilot : flight engineer |
Experience | flight time last 90 days : 140 flight time total : 6400 flight time type : 900 |
ASRS Report | 452599 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance |
Independent Detector | aircraft equipment other aircraft equipment : cabin altitude indicator |
Resolutory Action | flight crew : declared emergency |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : repair |
Supplementary | |
Problem Areas | Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
We departed lax to pdx with a left pack MEL'ed under MEL xy-Y which allows pressurized flts on one pack only up to FL250. As we leveled off at FL240 the cabin never stabilized and climbed steadily at 500 FPM. We ran the stabilization items and abnormal checklist as we descended to FL220. Then FL180. As the cabin reached 10000 ft we went on oxygen and executed an emergency descent coordinated with center and associated checklist. As the cabin dscnded below 10000 ft we coordinated an in-flight re-release back to lax with our dispatch. With the help of bfl approach we organized a 3500 pound fuel dump to meet our landing weight requirements then returned to and landed safely at lax. We complied with far's, policies and proces as outlined by our company general operating manual and aircraft operating manual and also used good CRM skills to land safely. I think that older airplanes like the B727 equipped with cargo doors (always leaking) should never be allowed under any MEL to fly on one pack only above 10000 ft MSL in the interest of safety. Callback conversation with reporter revealed the following information: the reporter stated the direct cause of the pressurization failure was the leaking aft cargo door seal. The reporter said with one pack deferred as inoperative and single pack operation the airplane will just hold FL250 marginally with good door seals. The reporter said this is an old airplane and needs extra care and attention but does not get the necessary maintenance.
Original NASA ASRS Text
Title: A B727-200 AT LEVEL OFF AT FL240 STARTED AN EMER DSCNT DUE TO UNABLE TO MAINTAIN CABIN PRESSURE ON ONE OPERATIVE PACK CAUSED BY A LEAKING AFT CARGO DOOR SEAL.
Narrative: WE DEPARTED LAX TO PDX WITH A L PACK MEL'ED UNDER MEL XY-Y WHICH ALLOWS PRESSURIZED FLTS ON ONE PACK ONLY UP TO FL250. AS WE LEVELED OFF AT FL240 THE CABIN NEVER STABILIZED AND CLIMBED STEADILY AT 500 FPM. WE RAN THE STABILIZATION ITEMS AND ABNORMAL CHECKLIST AS WE DESCENDED TO FL220. THEN FL180. AS THE CABIN REACHED 10000 FT WE WENT ON OXYGEN AND EXECUTED AN EMER DSCNT COORDINATED WITH CTR AND ASSOCIATED CHECKLIST. AS THE CABIN DSCNDED BELOW 10000 FT WE COORDINATED AN INFLT RE-RELEASE BACK TO LAX WITH OUR DISPATCH. WITH THE HELP OF BFL APCH WE ORGANIZED A 3500 POUND FUEL DUMP TO MEET OUR LNDG WEIGHT REQUIREMENTS THEN RETURNED TO AND LANDED SAFELY AT LAX. WE COMPLIED WITH FAR'S, POLICIES AND PROCES AS OUTLINED BY OUR COMPANY GENERAL OPERATING MANUAL AND ACFT OPERATING MANUAL AND ALSO USED GOOD CRM SKILLS TO LAND SAFELY. I THINK THAT OLDER AIRPLANES LIKE THE B727 EQUIPPED WITH CARGO DOORS (ALWAYS LEAKING) SHOULD NEVER BE ALLOWED UNDER ANY MEL TO FLY ON ONE PACK ONLY ABOVE 10000 FT MSL IN THE INTEREST OF SAFETY. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE DIRECT CAUSE OF THE PRESSURIZATION FAILURE WAS THE LEAKING AFT CARGO DOOR SEAL. THE RPTR SAID WITH ONE PACK DEFERRED AS INOP AND SINGLE PACK OP THE AIRPLANE WILL JUST HOLD FL250 MARGINALLY WITH GOOD DOOR SEALS. THE RPTR SAID THIS IS AN OLD AIRPLANE AND NEEDS EXTRA CARE AND ATTENTION BUT DOES NOT GET THE NECESSARY MAINT.
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.