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|
Attributes | |
ACN | 569650 |
Time | |
Date | 200212 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : zzz.vor |
State Reference | US |
Altitude | msl single value : 31500 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 60 flight time total : 10000 flight time type : 4000 |
ASRS Report | 569650 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : company policies non adherence : published procedure |
Independent Detector | aircraft equipment : altitude alert aircraft equipment other aircraft equipment : cabin ah warning horn other flight crewa other flight crewb |
Resolutory Action | flight crew : overcame equipment problem other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
First officer did preflight at night. The pressurization controller had been in manual (AC or dc). It is supposed to be in 'automatic.' we took off from ZZZ, after deicing on the ground in ZZZ, the pressurization controller was still in 'manual.' at FL315, the cabin altitude warning horn sounded. Cabin altitude was at 10000 ft. The captain immediately turned the pressurization controller to 'automatic.' the cabin stabilized at 10000 ft, and then started descending to 6400 ft (for FL330). Pressurization was normal for rest of flight (approximately 7 hours). Notified maintenance. No maintenance required. Cabin altitude was at 10000 ft for approximately 1-2 mins. Contributing factors: controller is always left in 'automatic' by flight crew's. Maintenance, possibly turns pressurization to 'manual' to close outflow valve in cold WX. Dark cockpit (night) not familiar with pressurization controls. Discovery and corrective actions: cabin altitude warning horn (10000 ft). Turning pressurization controller to 'automatic.'
Original NASA ASRS Text
Title: B737-400 FLC TKOF WITH PRESSURIZATION CTLR IN THE MANUAL POS INSTEAD OF AUTO. DURING CLB, THE ACFT DIDN'T PRESSURIZE AND CABIN ALT WARNING HORN SOUNDED.
Narrative: FO DID PREFLT AT NIGHT. THE PRESSURIZATION CONTROLLER HAD BEEN IN MANUAL (AC OR DC). IT IS SUPPOSED TO BE IN 'AUTO.' WE TOOK OFF FROM ZZZ, AFTER DEICING ON THE GND IN ZZZ, THE PRESSURIZATION CONTROLLER WAS STILL IN 'MANUAL.' AT FL315, THE CABIN ALT WARNING HORN SOUNDED. CABIN ALT WAS AT 10000 FT. THE CAPT IMMEDIATELY TURNED THE PRESSURIZATION CONTROLLER TO 'AUTO.' THE CABIN STABILIZED AT 10000 FT, AND THEN STARTED DSNDING TO 6400 FT (FOR FL330). PRESSURIZATION WAS NORMAL FOR REST OF FLT (APPROX 7 HRS). NOTIFIED MAINT. NO MAINT REQUIRED. CABIN ALT WAS AT 10000 FT FOR APPROX 1-2 MINS. CONTRIBUTING FACTORS: CTLR IS ALWAYS LEFT IN 'AUTO' BY FLC'S. MAINT, POSSIBLY TURNS PRESSURIZATION TO 'MANUAL' TO CLOSE OUTFLOW VALVE IN COLD WX. DARK COCKPIT (NIGHT) NOT FAMILIAR WITH PRESSURIZATION CTLS. DISCOVERY AND CORRECTIVE ACTIONS: CABIN ALT WARNING HORN (10000 FT). TURNING PRESSURIZATION CTLR TO 'AUTO.'
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.