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Attributes | |
ACN | 762182 |
Time | |
Date | 200711 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl single value : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737 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 : first officer |
ASRS Report | 762182 |
Events | |
Anomaly | aircraft equipment problem : less severe |
Independent Detector | aircraft equipment other aircraft equipment : cabin alt warning other flight crewa |
Resolutory Action | flight crew : diverted to another airport flight crew : overcame equipment problem |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft |
Primary Problem | Aircraft |
Narrative:
This was a reposition flight. On the climb out we noticed that the aircraft sounds seemed a little louder than normal. My ears popped; which is unusual. We double-checked the door lights; all doors were indicating closed. We looked at the cabin altitude and pressure differential gauges and the indications didn't look too far astray at the time. At first we attributed the ear popping to an unusually fast rate of ascent (since we were so light). As we got around 10000 ft we checked the gauges again and noticed that the cabin altitude was higher than it should be. We decided to get clearance to return to ZZZ. As the captain was contacting ATC on the radio; the cabin altitude warning horn sounded. I pulled the power back and immediately started a descent to below 10000 ft. The captain got a lower altitude (5000 ft) and a heading from center to return to the airport. We landed uneventfully. When we arrived the mechanics inspected the forward entry door. They determined that a part of the door rigging was off enough to create a small gap at the aft portion of the door; but still seat the forward part of the door so it extinguishes the forward entry door light in the cockpit. The gap was small enough that combined with our rapid climb; the cabin altitude lagged similar to how it would normally lag behind the aircraft altitude. However; it is large enough that the aircraft cannot maintain pressurization and once you level or slow your climb; the cabin altitude will continue to increase. It may have been prevented if there was a procedure for the flight attendants to check the seals on the doors after securing them. Just coming out of flying the B-200 for yrs; it was easy for me to dismiss the initial loud cabin noise since there is a wide range of normal cabin noise in the B-200 fleet. In spite of this; we were suspicious and did not completely dismiss what was going on. In an attempt to stay on schedule; we made the decision to keep flying since we weren't 100% positive there was a problem. Since we were aware that something might not be right; we kept an ongoing and open discussion on the issue to try to be sure about what was really happening and continually rechking the gauges. It was because of CRM; the open exchange of thoughts and ideas and not being satisfied until both people were satisfied; that we were able to catch it well before the masks dropped. Callback conversation with reporter revealed the following information: the reporter did not know this aircraft's history as it related to this door anomaly. He did report that after maintenance examined the door; the aircraft was removed from service and the crew assigned another aircraft.
Original NASA ASRS Text
Title: A B737-700 DOOR SEAL FAILED PREVENTING CABIN PRESSURIZATION AFTER TKOF. THE CABIN ALT WARNING HORN SOUNDED. RETURNED TO DEP ARPT.
Narrative: THIS WAS A REPOSITION FLT. ON THE CLBOUT WE NOTICED THAT THE ACFT SOUNDS SEEMED A LITTLE LOUDER THAN NORMAL. MY EARS POPPED; WHICH IS UNUSUAL. WE DOUBLE-CHKED THE DOOR LIGHTS; ALL DOORS WERE INDICATING CLOSED. WE LOOKED AT THE CABIN ALT AND PRESSURE DIFFERENTIAL GAUGES AND THE INDICATIONS DIDN'T LOOK TOO FAR ASTRAY AT THE TIME. AT FIRST WE ATTRIBUTED THE EAR POPPING TO AN UNUSUALLY FAST RATE OF ASCENT (SINCE WE WERE SO LIGHT). AS WE GOT AROUND 10000 FT WE CHKED THE GAUGES AGAIN AND NOTICED THAT THE CABIN ALT WAS HIGHER THAN IT SHOULD BE. WE DECIDED TO GET CLRNC TO RETURN TO ZZZ. AS THE CAPT WAS CONTACTING ATC ON THE RADIO; THE CABIN ALT WARNING HORN SOUNDED. I PULLED THE PWR BACK AND IMMEDIATELY STARTED A DSCNT TO BELOW 10000 FT. THE CAPT GOT A LOWER ALT (5000 FT) AND A HDG FROM CTR TO RETURN TO THE ARPT. WE LANDED UNEVENTFULLY. WHEN WE ARRIVED THE MECHS INSPECTED THE FORWARD ENTRY DOOR. THEY DETERMINED THAT A PART OF THE DOOR RIGGING WAS OFF ENOUGH TO CREATE A SMALL GAP AT THE AFT PORTION OF THE DOOR; BUT STILL SEAT THE FORWARD PART OF THE DOOR SO IT EXTINGUISHES THE FORWARD ENTRY DOOR LIGHT IN THE COCKPIT. THE GAP WAS SMALL ENOUGH THAT COMBINED WITH OUR RAPID CLB; THE CABIN ALT LAGGED SIMILAR TO HOW IT WOULD NORMALLY LAG BEHIND THE ACFT ALT. HOWEVER; IT IS LARGE ENOUGH THAT THE ACFT CANNOT MAINTAIN PRESSURIZATION AND ONCE YOU LEVEL OR SLOW YOUR CLB; THE CABIN ALT WILL CONTINUE TO INCREASE. IT MAY HAVE BEEN PREVENTED IF THERE WAS A PROC FOR THE FLT ATTENDANTS TO CHK THE SEALS ON THE DOORS AFTER SECURING THEM. JUST COMING OUT OF FLYING THE B-200 FOR YRS; IT WAS EASY FOR ME TO DISMISS THE INITIAL LOUD CABIN NOISE SINCE THERE IS A WIDE RANGE OF NORMAL CABIN NOISE IN THE B-200 FLEET. IN SPITE OF THIS; WE WERE SUSPICIOUS AND DID NOT COMPLETELY DISMISS WHAT WAS GOING ON. IN AN ATTEMPT TO STAY ON SCHEDULE; WE MADE THE DECISION TO KEEP FLYING SINCE WE WEREN'T 100% POSITIVE THERE WAS A PROB. SINCE WE WERE AWARE THAT SOMETHING MIGHT NOT BE RIGHT; WE KEPT AN ONGOING AND OPEN DISCUSSION ON THE ISSUE TO TRY TO BE SURE ABOUT WHAT WAS REALLY HAPPENING AND CONTINUALLY RECHKING THE GAUGES. IT WAS BECAUSE OF CRM; THE OPEN EXCHANGE OF THOUGHTS AND IDEAS AND NOT BEING SATISFIED UNTIL BOTH PEOPLE WERE SATISFIED; THAT WE WERE ABLE TO CATCH IT WELL BEFORE THE MASKS DROPPED. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE REPORTER DID NOT KNOW THIS ACFT'S HISTORY AS IT RELATED TO THIS DOOR ANOMALY. HE DID REPORT THAT AFTER MAINTENANCE EXAMINED THE DOOR; THE ACFT WAS REMOVED FROM SVC AND THE CREW ASSIGNED ANOTHER ACFT.
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.