37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 598474 |
Time | |
Date | 200310 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : oejd.artcc |
State Reference | FO |
Altitude | msl bound lower : 36000 msl bound upper : 37000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : oejd.artcc |
Operator | general aviation : corporate |
Make Model Name | Gulfstream IV |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : vacating altitude climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 10000 flight time type : 1000 |
ASRS Report | 598474 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 16000 flight time type : 1000 |
ASRS Report | 598133 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far non adherence : company policies |
Independent Detector | aircraft equipment other aircraft equipment : cabin differential pressure indicator. other flight crewa other flight crewb |
Resolutory Action | flight crew : overcame equipment problem other |
Consequence | other |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
I was on a ferry flight. After takeoff, the baggage door seal did not seal. The control of the aircraft was given to the first officer. I, PIC, went and investigated the cargo hold. I found the door seal (cargo) not sealed. As I was returning to the flight deck, the cabin altitude exceeded 13500 ft and the passenger oxygen masks dropped. Upon reaching the flight deck, I donned my oxygen mask and descended to 15000 ft with permission from ATC. I continued to my destination at that altitude level. The cabin pressure was now 8800 ft. Upon arrival at destination, a mechanic met the aircraft, inspected the door seal and found a small gap. He applied some rtv sealant. 1 hour later, I closed the aircraft doors and did a pressure check. All was ok. I re-stowed the passenger oxygen mask and continued with the next flight. All was ok. The seal inflated and did not leak. My failure, as I later learned, was that I did not log this in the aircraft log as a discrepancy and I was not approved to re-stow the passenger oxygen mask. Supplemental information from acn 598133: on climb out, the flight attendant reported a noise from the baggage compartment. Upon captain's return, I informed him that the cabin was still climbing. As he took the controls from me, the masks dropped, at approximately 13000 ft cabin altitude. We did not declare an emergency, and continued to destination. Later, the captain showed me the small cut in the baggage door seal and the repair that the mechanic had made by applying some rtv sealant. It was only later that I learned that there were issues concerning the fact that this was not entered into the aircraft log as a discrepancy, and that the captain was not approved to re-stow the masks.
Original NASA ASRS Text
Title: GLF-4 CREW HAD A CARGO DOOR PRESSURIZATION LEAK THAT REQUIRED A RAPID DSCNT TO 15000 FT BECAUSE THE CABIN WAS CLBING UNCTLABLY. THE CREW CONTINUED TO DEST WITH PARTIAL PRESSURIZATION. OXYGEN MASKS DROPPED. THE CAPT DID NOT RECORD THE CARGO DOOR PROB IN THE ACFT MAINT LOG. THE CAPT REPACKED THE OXYGEN MASKS IN NON COMPLIANCE WITH MAINT REGS.
Narrative: I WAS ON A FERRY FLT. AFTER TKOF, THE BAGGAGE DOOR SEAL DID NOT SEAL. THE CTL OF THE ACFT WAS GIVEN TO THE FO. I, PIC, WENT AND INVESTIGATED THE CARGO HOLD. I FOUND THE DOOR SEAL (CARGO) NOT SEALED. AS I WAS RETURNING TO THE FLT DECK, THE CABIN ALT EXCEEDED 13500 FT AND THE PAX OXYGEN MASKS DROPPED. UPON REACHING THE FLT DECK, I DONNED MY OXYGEN MASK AND DSNDED TO 15000 FT WITH PERMISSION FROM ATC. I CONTINUED TO MY DEST AT THAT ALT LEVEL. THE CABIN PRESSURE WAS NOW 8800 FT. UPON ARR AT DEST, A MECH MET THE ACFT, INSPECTED THE DOOR SEAL AND FOUND A SMALL GAP. HE APPLIED SOME RTV SEALANT. 1 HR LATER, I CLOSED THE ACFT DOORS AND DID A PRESSURE CHK. ALL WAS OK. I RE-STOWED THE PAX OXYGEN MASK AND CONTINUED WITH THE NEXT FLT. ALL WAS OK. THE SEAL INFLATED AND DID NOT LEAK. MY FAILURE, AS I LATER LEARNED, WAS THAT I DID NOT LOG THIS IN THE ACFT LOG AS A DISCREPANCY AND I WAS NOT APPROVED TO RE-STOW THE PAX OXYGEN MASK. SUPPLEMENTAL INFO FROM ACN 598133: ON CLBOUT, THE FLT ATTENDANT RPTED A NOISE FROM THE BAGGAGE COMPARTMENT. UPON CAPT'S RETURN, I INFORMED HIM THAT THE CABIN WAS STILL CLBING. AS HE TOOK THE CTLS FROM ME, THE MASKS DROPPED, AT APPROX 13000 FT CABIN ALT. WE DID NOT DECLARE AN EMER, AND CONTINUED TO DEST. LATER, THE CAPT SHOWED ME THE SMALL CUT IN THE BAGGAGE DOOR SEAL AND THE REPAIR THAT THE MECH HAD MADE BY APPLYING SOME RTV SEALANT. IT WAS ONLY LATER THAT I LEARNED THAT THERE WERE ISSUES CONCERNING THE FACT THAT THIS WAS NOT ENTERED INTO THE ACFT LOG AS A DISCREPANCY, AND THAT THE CAPT WAS NOT APPROVED TO RE-STOW THE MASKS.
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.