Pressurization system failure on Boeing 737-400 at London Heathrow

Casualties unknown • Heatrow (EGLL), PL

A Boeing 737-400 experienced a cabin pressurization failure immediately after takeoff from London Heathrow, which was resolved by switching to standby mode.

What happened

On September 30, 2013, a Boeing 737-40 and departing from London Heathrow (EGLL) experienced a malfunction in the cabin pressurization system. Immediately after takeoff, the crew received an "AUTO FAIL" message, indicating that normal cabin pressurization was not being maintained. The crew responded by switching the pressurization control mode from AUTO to STANDBY, which engaged automatic control of the outflow valve and successfully restored proper cabin pressure. Because the crew identified and addressed the issue immediately, the cabin altitude did not reach unsafe levels.

Following the flight, the crew recorded the malfunction in the aircraft technical log. Maintenance personnel in Warsaw (WAW) subsequently cleared the aircraft for continued operation under the Minimum Equipment List (MEL 21-14-01), which allows for the operation of the aircraft with a malfunctioning AUTO mode until the next scheduled C-check (every 4,000 flight hours).

The investigation

The investigation, conducted by the operator, focused on the recurring nature of the malfunction. This was the second occurrence of the issue within a short period. Due to the aircraft's continuous operational schedule, performing the complex and time-consuming troubleshooting required for the B737 cabin pressure regulation system was difficult during short ground intervals.

On October 4, 2013, the malfunction recurred, at which point the aircraft was removed from service for technical inspection. The investigation established that the faulty outflow valve was the direct cause of the pressurization failure. Following the replacement of the valve, the issue was resolved. The defective component was sent to the manufacturer for repair, though the specific cause of the valve's failure remains unknown. The valve had been 2,299 flight hours into its 12,000-hour overhaul interval.

Probable cause

The direct cause of the pressurization failure was a malfunction of the aircraft's outflow valve.

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Frequently asked questions

What happened in the 2013-09-30 Boeing 737-400 accident near Heatrow (EGLL), PL?

A Boeing 737-400 experienced a cabin pressurization failure immediately after takeoff from London Heathrow, which was resolved by switching to standby mode.

What aircraft was involved and where did it happen?

The accident on 2013-09-30 involved a Boeing 737-400, at Heatrow (EGLL), PL.

What was the probable cause of the accident?

The direct cause of the pressurization failure was a malfunction of the aircraft's outflow valve.

Investigation report by the Polish State Commission on Aircraft Accidents Investigation (PKBWL). Original record: https://pkbwl.gov.pl/raporty/2013-1564/. This page is a structured re-presentation; facts and quotes are in the Panstwowa Komisja Badania Wypadkow Lotniczych (PKBWL), Poland.

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