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|
Attributes | |
ACN | 783415 |
Time | |
Date | 200804 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl single value : 22000 |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
ASRS Report | 783415 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : briefing performance deficiency : testing performance deficiency : training performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : installation |
Supplementary | |
Problem Areas | Company Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
During cruise; first officer was reading a company message which requires pilots to monitor pressurization flow on some MD80 aircraft by the flow light on the pressurization controller; the flow light on the annunciator panel being inoperative. This controller had a sticker covering up the low flow light on the controller which read 'maintenance use only.' on landing in ZZZ; I called maintenance control and explained the problem. They had us do 2 procedures to test the flow light; both which did not work. They assured us the system worked; so we took the aircraft back to ZZZ1. Maintenance control said they would research the problem and inform ZZZ1 maintenance. Maintenance met the aircraft in ZZZ1; but were confused by the controller situation. After some research and several phone calls; it was determined that this aircraft had the wrong controller. Xyz controllers have the flow light on the controller disconnected and use the flow light on the annunciator panel. Some planes are just the opposite and have the annunciator panel flow light and use the flow light on the pressurization controller. This aircraft had an xyz controller; making both flow lights inoperative. My concern is that there are more MD80's with the wrong pressurization controller and that a depressurization and emergency descent will be done because the crew had no way to monitor pressurization flow. Callback conversation with reporter revealed the following information: reporter stated his carrier acquired different configuration md-80's that have been blended into the rest of their md-80 fleet. These acquired md-80's use the flow light on the pressure controller to monitor cabin pressurization low air flow; because the flow light on the annunciator panel has been made inoperative. Their standard configuration md-80's are just the reverse; because these aircraft have the pressurization flow light on these pressure controllers inoperative and use the annunciator panel flow light to monitor cabin pressurization low air flow. Reporter stated these two different pressurization flow monitoring requirements also require two different types of pressure controllers. They are not interchangeable. Aircraft are being found with incorrect controllers installed. As a result; neither of the flow lights will be functional. This requires the pilots to fly using manual mode of pressure controller operation because the crew has no way to monitor low pressure flow. Reporter also stated the md-80's have a tendency in icing conditions to have less pack airflow. This; coupled with the tail pitot tube tending to ice over; causes the packs to shut down in flight.
Original NASA ASRS Text
Title: A FLIGHT CREW REPORTS PROBLEMS WITH CARRIER COMPANY MESSAGE REQUIRING PILOTS TO MONITOR CABIN PRESSURIZATION FLOW BY THE FLOW LIGHT ON THE PRESSURE CONTROLLER; NOT THE ANNUNCIATOR PANEL LIGHT; ON CERTAIN MD80 ACFT. FLT CREW EXPERIENCED PRESSURE CONTROLLER ANOMALY; ALLEGING 2 DIFFERENT MODELS OF MD80 REQUIRING 2 DIFFERENT PRESSURE CONTROLLERS; SOMETIMES PLACED IN WRONG TYPE ACFT.
Narrative: DURING CRUISE; FO WAS READING A COMPANY MESSAGE WHICH REQUIRES PLTS TO MONITOR PRESSURIZATION FLOW ON SOME MD80 ACFT BY THE FLOW LIGHT ON THE PRESSURIZATION CONTROLLER; THE FLOW LIGHT ON THE ANNUNCIATOR PANEL BEING INOP. THIS CTLR HAD A STICKER COVERING UP THE LOW FLOW LIGHT ON THE CONTROLLER WHICH READ 'MAINT USE ONLY.' ON LNDG IN ZZZ; I CALLED MAINT CTL AND EXPLAINED THE PROB. THEY HAD US DO 2 PROCS TO TEST THE FLOW LIGHT; BOTH WHICH DID NOT WORK. THEY ASSURED US THE SYS WORKED; SO WE TOOK THE ACFT BACK TO ZZZ1. MAINT CTL SAID THEY WOULD RESEARCH THE PROB AND INFORM ZZZ1 MAINT. MAINT MET THE ACFT IN ZZZ1; BUT WERE CONFUSED BY THE CONTROLLER SITUATION. AFTER SOME RESEARCH AND SEVERAL PHONE CALLS; IT WAS DETERMINED THAT THIS ACFT HAD THE WRONG CONTROLLER. XYZ CONTROLLERS HAVE THE FLOW LIGHT ON THE CONTROLLER DISCONNECTED AND USE THE FLOW LIGHT ON THE ANNUNCIATOR PANEL. SOME PLANES ARE JUST THE OPPOSITE AND HAVE THE ANNUNCIATOR PANEL FLOW LIGHT AND USE THE FLOW LIGHT ON THE PRESSURIZATION CONTROLLER. THIS ACFT HAD AN XYZ CONTROLLER; MAKING BOTH FLOW LIGHTS INOP. MY CONCERN IS THAT THERE ARE MORE MD80'S WITH THE WRONG PRESSURIZATION CONTROLLER AND THAT A DEPRESSURIZATION AND EMER DSCNT WILL BE DONE BECAUSE THE CREW HAD NO WAY TO MONITOR PRESSURIZATION FLOW. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: REPORTER STATED HIS CARRIER ACQUIRED DIFFERENT CONFIGURATION MD-80'S THAT HAVE BEEN BLENDED INTO THE REST OF THEIR MD-80 FLEET. THESE ACQUIRED MD-80'S USE THE FLOW LIGHT ON THE PRESSURE CONTROLLER TO MONITOR CABIN PRESSURIZATION LOW AIR FLOW; BECAUSE THE FLOW LIGHT ON THE ANNUNCIATOR PANEL HAS BEEN MADE INOP. THEIR STANDARD CONFIGURATION MD-80'S ARE JUST THE REVERSE; BECAUSE THESE ACFT HAVE THE PRESSURIZATION FLOW LIGHT ON THESE PRESSURE CONTROLLERS INOP AND USE THE ANNUNCIATOR PANEL FLOW LIGHT TO MONITOR CABIN PRESSURIZATION LOW AIR FLOW. REPORTER STATED THESE TWO DIFFERENT PRESSURIZATION FLOW MONITORING REQUIREMENTS ALSO REQUIRE TWO DIFFERENT TYPES OF PRESSURE CONTROLLERS. THEY ARE NOT INTERCHANGEABLE. ACFT ARE BEING FOUND WITH INCORRECT CONTROLLERS INSTALLED. AS A RESULT; NEITHER OF THE FLOW LIGHTS WILL BE FUNCTIONAL. THIS REQUIRES THE PILOTS TO FLY USING MANUAL MODE OF PRESSURE CONTROLLER OPERATION BECAUSE THE CREW HAS NO WAY TO MONITOR LOW PRESSURE FLOW. REPORTER ALSO STATED THE MD-80'S HAVE A TENDENCY IN ICING CONDITIONS TO HAVE LESS PACK AIRFLOW. THIS; COUPLED WITH THE TAIL PITOT TUBE TENDING TO ICE OVER; CAUSES THE PACKS TO SHUT DOWN IN FLIGHT.
Data retrieved from NASA's ASRS site as of May 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.