37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 476153 |
Time | |
Date | 200006 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : boi.airport |
State Reference | ID |
Altitude | msl bound lower : 37000 msl bound upper : 37300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zlc.artcc tower : mci.tower |
Operator | common carrier : charter |
Make Model Name | Citation III, VI, VII |
Operating Under FAR Part | Part 135 |
Navigation In Use | other |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 140 flight time total : 8700 flight time type : 700 |
ASRS Report | 476153 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : cfi pilot : atp |
Experience | controller non radar : 11 controller radar : 11 flight time last 90 days : 158 flight time total : 2960 flight time type : 141 |
ASRS Report | 475580 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | other controllera other flight crewa other flight crewb |
Resolutory Action | controller : issued alert controller : issued new clearance controller : provided flight assist flight crew : diverted to another airport flight crew : landed as precaution |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
On an IFR from north bend, or, to chicago midway, the cabin altitude alert light and warning horn caused immediate concern in the cockpit. While donning my oxygen mask, I inadvertently disengaged the autoplt, but re-engaged it as soon as I could. While dealing with what could have been a potential serious emergency, the 300 ft high altitude was initially unnoticed. I heard ATC calling about the atl alert, but was more concerned about the pressurization problem. Descent was requested and approved for FL240 so the alert was ended. I elected to make a precautionary landing at boi to determine the problem with the pressurization system. Supplemental information from acn 475580: aircraft was cruising on autoplt at FL370. A pressurization controller malfunctioned causing a rapid decompression. While reaching for his oxygen mask, the pilot inadvertently disconnected the autoplt causing a +300 ft altitude alert at center. Once the error was discovered, the pilot asked for a descent where a safe landing was made at boi.
Original NASA ASRS Text
Title: C650 CREW HAD CABIN DEPRESSURIZATION IN ZLC CLASS A AIRSPACE.
Narrative: ON AN IFR FROM NORTH BEND, OR, TO CHICAGO MIDWAY, THE CABIN ALT ALERT LIGHT AND WARNING HORN CAUSED IMMEDIATE CONCERN IN THE COCKPIT. WHILE DONNING MY OXYGEN MASK, I INADVERTENTLY DISENGAGED THE AUTOPLT, BUT RE-ENGAGED IT AS SOON AS I COULD. WHILE DEALING WITH WHAT COULD HAVE BEEN A POTENTIAL SERIOUS EMER, THE 300 FT HIGH ALT WAS INITIALLY UNNOTICED. I HEARD ATC CALLING ABOUT THE ATL ALERT, BUT WAS MORE CONCERNED ABOUT THE PRESSURIZATION PROB. DSCNT WAS REQUESTED AND APPROVED FOR FL240 SO THE ALERT WAS ENDED. I ELECTED TO MAKE A PRECAUTIONARY LNDG AT BOI TO DETERMINE THE PROB WITH THE PRESSURIZATION SYS. SUPPLEMENTAL INFO FROM ACN 475580: ACFT WAS CRUISING ON AUTOPLT AT FL370. A PRESSURIZATION CONTROLLER MALFUNCTIONED CAUSING A RAPID DECOMPRESSION. WHILE REACHING FOR HIS OXYGEN MASK, THE PLT INADVERTENTLY DISCONNECTED THE AUTOPLT CAUSING A +300 FT ALT ALERT AT CTR. ONCE THE ERROR WAS DISCOVERED, THE PLT ASKED FOR A DSCNT WHERE A SAFE LNDG WAS MADE AT BOI.
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.