37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 524547 |
Time | |
Date | 200109 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : mdw.airport |
State Reference | IL |
Altitude | msl bound lower : 13000 msl bound upper : 15000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude climbout : vacating altitude |
Route In Use | departure : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp pilot : cfi |
Experience | flight time last 90 days : 80 flight time total : 6000 flight time type : 737 |
ASRS Report | 524547 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 110 flight time total : 22000 flight time type : 110 |
ASRS Report | 524548 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : cabin pr alert |
Resolutory Action | aircraft : equipment problem dissipated controller : issued advisory flight crew : overrode automation flight crew : returned to intended or assigned course flight crew : overcame equipment problem flight crew : became reoriented flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During my after start flow, when I should have switched off the APU bleed, I, in error, switched off the engine bleeds. During the climb checks, I saw a slow cabin climb and cabin diff, but did not catch my mistake. As we climbed through around 13000 ft, the cabin alert sounded. The captain quickly corrected my error and donned his oxygen mask. I pitched to a slow climb, donned my oxygen mask and with ATC's ok, leveled the plane. The situation quickly returned to normal. The cabin never exceeded 10000 ft. No emergency was declared and the flight was continued. Supplemental information from acn 524548: we advised ATC we were stopping at 15000 for a short time and then continued the climb to FL290. ATC had marked us level at 15000. We should have advised ATC before renewing climb.
Original NASA ASRS Text
Title: A CLIMBING DEP B737-800 ACFT STARTS TO LOSE CABIN PRESSURE AT 13000 FT WHEN THE FO HAD MISTAKENLY TURNED OFF THE ENG BLEEDS INSTEAD OF THE APU BLEED SWITCH DURING AFTER START AT MDW, IL.
Narrative: DURING MY AFTER START FLOW, WHEN I SHOULD HAVE SWITCHED OFF THE APU BLEED, I, IN ERROR, SWITCHED OFF THE ENG BLEEDS. DURING THE CLB CHECKS, I SAW A SLOW CABIN CLB AND CABIN DIFF, BUT DID NOT CATCH MY MISTAKE. AS WE CLIMBED THROUGH AROUND 13000 FT, THE CABIN ALERT SOUNDED. THE CAPT QUICKLY CORRECTED MY ERROR AND DONNED HIS OXYGEN MASK. I PITCHED TO A SLOW CLIMB, DONNED MY OXYGEN MASK AND WITH ATC'S OK, LEVELED THE PLANE. THE SIT QUICKLY RETURNED TO NORMAL. THE CABIN NEVER EXCEEDED 10000 FT. NO EMER WAS DECLARED AND THE FLT WAS CONTINUED. SUPPLEMENTAL INFO FROM ACN 524548: WE ADVISED ATC WE WERE STOPPING AT 15000 FOR A SHORT TIME AND THEN CONTINUED THE CLB TO FL290. ATC HAD MARKED US LEVEL AT 15000. WE SHOULD HAVE ADVISED ATC BEFORE RENEWING CLB.
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.