37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 709407 |
Time | |
Date | 200609 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : zbw.artcc |
State Reference | MA |
Altitude | msl single value : 16500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | general aviation : corporate |
Make Model Name | Learjet 31 |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Flight Plan | VFR |
Aircraft 2 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | other |
Make Model Name | B757 Undifferentiated or Other Model |
Flight Phase | cruise : level |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 21000 flight time type : 600 |
ASRS Report | 709407 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude conflict : airborne less severe non adherence : published procedure |
Independent Detector | aircraft equipment : tcas other flight crewa other flight crewb |
Resolutory Action | flight crew : overcame equipment problem flight crew : took precautionary avoidance action |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
My first officer had apparently turned the auxiliary heat switch on in error when attempting to turn on the air conditioner. I asked my first officer to turn off the cockpit auxiliary heater; as it was certainly not necessary. He apparently mistakenly turned off the 'cabin air' switch rather than the cockpit auxiliary heater. In lear jets; the 'cabin air' switch is the master control switch for the pressurization system. Under normal conditions; it allows engine bleed air into the pressurization system to control the cabin pressure of the aircraft in normal operation. With the cabin air switch 'off;' engine bleed air is not allowed to pressurize the cabin and normal pressurization is lost. The result of the first officer's inadvertent deactivation of the 'cabin air' system was to depressurize our cabin. The outflow valves would close to try to contain the existing pressure but this would be; and was; only a temporary fix. As no new bleed air was allowed to pressurize the aircraft; pressurization gradually leaked out and our cabin altitude rose to above 10000 ft. Above 10000 ft a number of things occur. First a cabin altitude warning sounds (and illuminates a caution advisory) and subsequently the pressurization system attempts to control the cabin altitude by switching into an emergency mode. In this mode; the bleed valves trip open and hot; unmodulated; high pressure air is pumped directly into the cabin. This stops pressure loss; but is very noisy and quite hot. The previously mentioned aural warning (unsilenceable) was also continuing to sound making communications virtually impossible. (The combination of aural warning and high pressure air rushing into the cockpit is deafening.) at this point; I elected to begin a descent in compliance with the associated emergency procedure. I advised ATC that we were experiencing pressurization problems and needed to descend to below 10000 ft. Due to the noise in the cockpit; I was unable to hear ATC's response. We had only descended a few ft when I noticed a TCAS target in front of and below our aircraft. I obtained a visual on the traffic (a B757) which was crossing right to left and below our aircraft. I immediately leveled off and turned slightly to the right to increase the offset. Our TCAS only showed the position and altitude of the B757 and its status never elevated to an alert or RA. After the B757 was well clear to our left; I continued the descent to 8500 ft where I was able to reset the emergency air trip and regain control of the aircraft pressurization. With our communications with ATC restored; we continued with no further event.
Original NASA ASRS Text
Title: LEAR 31A FLT CREW HAS PRESSURIZATION PROBS; DSNDS AND AVOIDS TCAS DEPICTED TRAFFIC.
Narrative: MY FO HAD APPARENTLY TURNED THE AUX HEAT SWITCH ON IN ERROR WHEN ATTEMPTING TO TURN ON THE AIR CONDITIONER. I ASKED MY FO TO TURN OFF THE COCKPIT AUX HEATER; AS IT WAS CERTAINLY NOT NECESSARY. HE APPARENTLY MISTAKENLY TURNED OFF THE 'CABIN AIR' SWITCH RATHER THAN THE COCKPIT AUX HEATER. IN LEAR JETS; THE 'CABIN AIR' SWITCH IS THE MASTER CTL SWITCH FOR THE PRESSURIZATION SYS. UNDER NORMAL CONDITIONS; IT ALLOWS ENG BLEED AIR INTO THE PRESSURIZATION SYS TO CTL THE CABIN PRESSURE OF THE ACFT IN NORMAL OP. WITH THE CABIN AIR SWITCH 'OFF;' ENG BLEED AIR IS NOT ALLOWED TO PRESSURIZE THE CABIN AND NORMAL PRESSURIZATION IS LOST. THE RESULT OF THE FO'S INADVERTENT DEACTIVATION OF THE 'CABIN AIR' SYS WAS TO DEPRESSURIZE OUR CABIN. THE OUTFLOW VALVES WOULD CLOSE TO TRY TO CONTAIN THE EXISTING PRESSURE BUT THIS WOULD BE; AND WAS; ONLY A TEMPORARY FIX. AS NO NEW BLEED AIR WAS ALLOWED TO PRESSURIZE THE ACFT; PRESSURIZATION GRADUALLY LEAKED OUT AND OUR CABIN ALT ROSE TO ABOVE 10000 FT. ABOVE 10000 FT A NUMBER OF THINGS OCCUR. FIRST A CABIN ALT WARNING SOUNDS (AND ILLUMINATES A CAUTION ADVISORY) AND SUBSEQUENTLY THE PRESSURIZATION SYS ATTEMPTS TO CTL THE CABIN ALT BY SWITCHING INTO AN EMER MODE. IN THIS MODE; THE BLEED VALVES TRIP OPEN AND HOT; UNMODULATED; HIGH PRESSURE AIR IS PUMPED DIRECTLY INTO THE CABIN. THIS STOPS PRESSURE LOSS; BUT IS VERY NOISY AND QUITE HOT. THE PREVIOUSLY MENTIONED AURAL WARNING (UNSILENCEABLE) WAS ALSO CONTINUING TO SOUND MAKING COMS VIRTUALLY IMPOSSIBLE. (THE COMBINATION OF AURAL WARNING AND HIGH PRESSURE AIR RUSHING INTO THE COCKPIT IS DEAFENING.) AT THIS POINT; I ELECTED TO BEGIN A DSCNT IN COMPLIANCE WITH THE ASSOCIATED EMER PROC. I ADVISED ATC THAT WE WERE EXPERIENCING PRESSURIZATION PROBS AND NEEDED TO DSND TO BELOW 10000 FT. DUE TO THE NOISE IN THE COCKPIT; I WAS UNABLE TO HEAR ATC'S RESPONSE. WE HAD ONLY DSNDED A FEW FT WHEN I NOTICED A TCAS TARGET IN FRONT OF AND BELOW OUR ACFT. I OBTAINED A VISUAL ON THE TFC (A B757) WHICH WAS XING R TO L AND BELOW OUR ACFT. I IMMEDIATELY LEVELED OFF AND TURNED SLIGHTLY TO THE R TO INCREASE THE OFFSET. OUR TCAS ONLY SHOWED THE POS AND ALT OF THE B757 AND ITS STATUS NEVER ELEVATED TO AN ALERT OR RA. AFTER THE B757 WAS WELL CLR TO OUR L; I CONTINUED THE DSCNT TO 8500 FT WHERE I WAS ABLE TO RESET THE EMER AIR TRIP AND REGAIN CTL OF THE ACFT PRESSURIZATION. WITH OUR COMS WITH ATC RESTORED; WE CONTINUED WITH NO FURTHER EVENT.
Data retrieved from NASA's ASRS site as of January 2009 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.