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|
Attributes | |
ACN | 603057 |
Time | |
Date | 200312 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : egtt.artcc |
State Reference | FO |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : egtt.artcc |
Operator | common carrier : air carrier |
Make Model Name | B777 Undifferentiated or Other Model |
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 |
ASRS Report | 603057 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : non compliance with mel non adherence : company policies non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : cabin differential pressure, cabin altitude other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance controller : provided flight assist flight crew : diverted to another airport flight crew : landed as precaution none taken : detected after the fact other |
Consequence | other other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft Company |
Primary Problem | Maintenance Human Performance |
Narrative:
Air interruption. Cabin pressurization became uncontrollable during climb out from lhr. Declared an emergency to facilitate an emergency descent to 10000 ft and diverted back to lhr. After ATC was notified, we dumped fuel to preclude an overweight landing. Landing was uneventful. Callback conversation with reporter revealed the following information: the aircraft was dispatched with 1 outflow valve MEL'ed inoperative. The MEL requires the inoperative outflow valve be deactivated in an almost closed position. The outflow valve was actually deactivated open. The crew was assigned to ferry the aircraft across the atlantic the next day. The reporter noted that the outflow valve controller was replaced. The deferred item was cleared and the aircraft operated normally.
Original NASA ASRS Text
Title: B777-200 CREW WAS UNABLE TO PRESSURIZE THE ACFT. ONE OUTFLOW VALVE WAS MEL'ED INOP.
Narrative: AIR INTERRUPTION. CABIN PRESSURIZATION BECAME UNCTLABLE DURING CLBOUT FROM LHR. DECLARED AN EMER TO FACILITATE AN EMER DSCNT TO 10000 FT AND DIVERTED BACK TO LHR. AFTER ATC WAS NOTIFIED, WE DUMPED FUEL TO PRECLUDE AN OVERWT LNDG. LNDG WAS UNEVENTFUL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE ACFT WAS DISPATCHED WITH 1 OUTFLOW VALVE MEL'ED INOP. THE MEL REQUIRES THE INOP OUTFLOW VALVE BE DEACTIVATED IN AN ALMOST CLOSED POS. THE OUTFLOW VALVE WAS ACTUALLY DEACTIVATED OPEN. THE CREW WAS ASSIGNED TO FERRY THE ACFT ACROSS THE ATLANTIC THE NEXT DAY. THE RPTR NOTED THAT THE OUTFLOW VALVE CONTROLLER WAS REPLACED. THE DEFERRED ITEM WAS CLRED AND THE ACFT OPERATED NORMALLY.
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.