37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 809621 |
Time | |
Date | 200810 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl single value : 33000 |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 171 flight time total : 9318 flight time type : 1979 |
ASRS Report | 809621 |
Events | |
Anomaly | aircraft equipment problem : critical |
Independent Detector | aircraft equipment other aircraft equipment : cabin alt warning horn other flight crewa |
Resolutory Action | flight crew : overcame equipment problem |
Consequence | other |
Supplementary | |
Problem Areas | Airport |
Primary Problem | Airport |
Narrative:
After being in steady cruise for approximately 15 mins; the takeoff warning horn began to sound intermittently. The cabin altitude was at approximately 10500 ft and climbing very slowly. The cabin pressure controller was quickly switched from automatic to standby with no effect. Masks were donned and the qrc run. With aircraft packs switched to high and the cabin outflow valve in manual; the control of cabin altitude was regained. We coordinated with ATC and received clearance to descend to FL240 to give ourselves a greater margin of safety. After conferring with dispatch; we elected to continue to ZZZ. Flying an instrument approach in this confign is difficult; as the PNF is quite fully engaged keeping track of the cabin descent rate as the power is changed. ATC was agreeable and helpful allowing us a gradual descent. The advent of automatic controllers has made this once-common procedure a lost art. There is very limited information or procedural advice in the flight manual. I would suggest that the cabin be descended to about 4000 ft afl then request a level segment from ATC at that altitude. Descend slowly to that altitude; chasing the outflow valve all the way. Once level; the outflow valve should be fully opened before entering the final environment. We made the mistake of descending the cabin to about 1000 ft initially and then were very busy chasing the descent rate down to that aircraft altitude; reducing the PNF's situational awareness of the approach. The failure was very insidious and would have gone unnoticed much longer if not for the warning horn. This is the second such failure I have experienced in the last few months.
Original NASA ASRS Text
Title: A B737-500'S CABIN ALT WARNING HORN SOUNDED IN CRUISE AT FL330. AFTER MANUAL CABIN OUTFLOW VALVE SELECTION PRESSURIZATION CONTROL WAS REGAINED.
Narrative: AFTER BEING IN STEADY CRUISE FOR APPROX 15 MINS; THE TKOF WARNING HORN BEGAN TO SOUND INTERMITTENTLY. THE CABIN ALT WAS AT APPROX 10500 FT AND CLBING VERY SLOWLY. THE CABIN PRESSURE CONTROLLER WAS QUICKLY SWITCHED FROM AUTO TO STANDBY WITH NO EFFECT. MASKS WERE DONNED AND THE QRC RUN. WITH ACFT PACKS SWITCHED TO HIGH AND THE CABIN OUTFLOW VALVE IN MANUAL; THE CTL OF CABIN ALT WAS REGAINED. WE COORDINATED WITH ATC AND RECEIVED CLRNC TO DSND TO FL240 TO GIVE OURSELVES A GREATER MARGIN OF SAFETY. AFTER CONFERRING WITH DISPATCH; WE ELECTED TO CONTINUE TO ZZZ. FLYING AN INST APCH IN THIS CONFIGN IS DIFFICULT; AS THE PNF IS QUITE FULLY ENGAGED KEEPING TRACK OF THE CABIN DSCNT RATE AS THE PWR IS CHANGED. ATC WAS AGREEABLE AND HELPFUL ALLOWING US A GRADUAL DSCNT. THE ADVENT OF AUTOMATIC CONTROLLERS HAS MADE THIS ONCE-COMMON PROC A LOST ART. THERE IS VERY LIMITED INFO OR PROCEDURAL ADVICE IN THE FLT MANUAL. I WOULD SUGGEST THAT THE CABIN BE DSNDED TO ABOUT 4000 FT AFL THEN REQUEST A LEVEL SEGMENT FROM ATC AT THAT ALT. DSND SLOWLY TO THAT ALT; CHASING THE OUTFLOW VALVE ALL THE WAY. ONCE LEVEL; THE OUTFLOW VALVE SHOULD BE FULLY OPENED BEFORE ENTERING THE FINAL ENVIRONMENT. WE MADE THE MISTAKE OF DSNDING THE CABIN TO ABOUT 1000 FT INITIALLY AND THEN WERE VERY BUSY CHASING THE DSCNT RATE DOWN TO THAT ACFT ALT; REDUCING THE PNF'S SITUATIONAL AWARENESS OF THE APCH. THE FAILURE WAS VERY INSIDIOUS AND WOULD HAVE GONE UNNOTICED MUCH LONGER IF NOT FOR THE WARNING HORN. THIS IS THE SECOND SUCH FAILURE I HAVE EXPERIENCED IN THE LAST FEW MONTHS.
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.