37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 556648 |
Time | |
Date | 200208 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | intersection : bleuz |
State Reference | MS |
Altitude | msl single value : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zme.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival star : n/s |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 20 flight time total : 22000 flight time type : 13000 |
ASRS Report | 556648 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 175 flight time total : 15000 flight time type : 500 |
ASRS Report | 556501 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : company policies non adherence : published procedure non adherence other other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : cab alt warning horn other flight crewa other flight crewb |
Resolutory Action | controller : provided flight assist flight crew : overcame equipment problem |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Cruising from bhm to msy at FL350. The flight attendants called and asked us to warm up the cabin. The first officer warmed up the cabin and turned off the gasper fan. Began a descent to FL240. After a short time, cabin altitude warning horn began to sound. Horn was silenced, cabin altitude was at 10000 ft, and differential pressure was indicated. Cabin was in a slight climb. Began emergency procedure for rapid depressurization. As the first officer was going for the QRH, 1 noticed that the r-hand air conditioning pack switch was in the 'off' position. It was placed 'on' and the cabin immediately began to descend. During this time we had notified ATC that we were requesting a lower altitude as we were experiencing a pressurization problem. They cleared us for further descent and asked if we were declaring an emergency. Our initial thought was to get the airplane below 14000 ft to keep the oxygen masks from deploying. Once the cabin was under control the descent was slowed and we replied that we were not declaring an emergency and our situation was under control. At no time did we descend below a cleared altitude or deviation from our assigned route. The sequence of events that led to this began when the first officer turned off the r-hand air conditioning pack switch instead of the gasper fan during cruise by mistake. The cabin slowly climbed during cruise and then slightly more once the power was reduced to begin the descent allowing it to finally reach 10000 ft setting off the warning horn. Supplemental information from acn 556501: in trying to regulate the cabin, I turned off the gasper and recirculation fan switches and evidently bumped or inadvertently placed the right pack switch to 'off.'
Original NASA ASRS Text
Title: A B737-300 CREW, IN CRUISE AT FL350, EXPERIENCED A CABIN PRESSURE LOSS WHEN ONE OF THE 2 AIR CONDITIONING PACKS WAS INADVERTENTLY TURNED OFF.
Narrative: CRUISING FROM BHM TO MSY AT FL350. THE FLT ATTENDANTS CALLED AND ASKED US TO WARM UP THE CABIN. THE FO WARMED UP THE CABIN AND TURNED OFF THE GASPER FAN. BEGAN A DSCNT TO FL240. AFTER A SHORT TIME, CABIN ALT WARNING HORN BEGAN TO SOUND. HORN WAS SILENCED, CABIN ALT WAS AT 10000 FT, AND DIFFERENTIAL PRESSURE WAS INDICATED. CABIN WAS IN A SLIGHT CLB. BEGAN EMER PROC FOR RAPID DEPRESSURIZATION. AS THE FO WAS GOING FOR THE QRH, 1 NOTICED THAT THE R-HAND AIR CONDITIONING PACK SWITCH WAS IN THE 'OFF' POS. IT WAS PLACED 'ON' AND THE CABIN IMMEDIATELY BEGAN TO DSND. DURING THIS TIME WE HAD NOTIFIED ATC THAT WE WERE REQUESTING A LOWER ALT AS WE WERE EXPERIENCING A PRESSURIZATION PROB. THEY CLRED US FOR FURTHER DSCNT AND ASKED IF WE WERE DECLARING AN EMER. OUR INITIAL THOUGHT WAS TO GET THE AIRPLANE BELOW 14000 FT TO KEEP THE OXYGEN MASKS FROM DEPLOYING. ONCE THE CABIN WAS UNDER CTL THE DSCNT WAS SLOWED AND WE REPLIED THAT WE WERE NOT DECLARING AN EMER AND OUR SIT WAS UNDER CTL. AT NO TIME DID WE DSND BELOW A CLRED ALT OR DEV FROM OUR ASSIGNED RTE. THE SEQUENCE OF EVENTS THAT LED TO THIS BEGAN WHEN THE FO TURNED OFF THE R-HAND AIR CONDITIONING PACK SWITCH INSTEAD OF THE GASPER FAN DURING CRUISE BY MISTAKE. THE CABIN SLOWLY CLBED DURING CRUISE AND THEN SLIGHTLY MORE ONCE THE PWR WAS REDUCED TO BEGIN THE DSCNT ALLOWING IT TO FINALLY REACH 10000 FT SETTING OFF THE WARNING HORN. SUPPLEMENTAL INFO FROM ACN 556501: IN TRYING TO REGULATE THE CABIN, I TURNED OFF THE GASPER AND RECIRCULATION FAN SWITCHES AND EVIDENTLY BUMPED OR INADVERTENTLY PLACED THE R PACK SWITCH TO 'OFF.'
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.