ACR HAS CABIN PRESSURE CLB AT BEGINNING OF DSCNT. EMER DSCNT MADE AFTER RESPONSE TO TCASII.

Date: 1992-03 · Aircraft: Medium Large Transport; Low Wing; 2 Turbojet Eng

Anomalies: aircraft-equipment-problem-critical|deviation-altitude-excursion-from-assigned-altitude|other-unspecified

Synopsis

ACR HAS CABIN PRESSURE CLB AT BEGINNING OF DSCNT. EMER DSCNT MADE AFTER RESPONSE TO TCASII.

Narrative

FL370 WITH DISCRETION TO FL240 CABIN PRESSURE STARTED CLBING AT MAX RATE FOR NO REASON. PUT MASK ON AND STARTED DSCNT WHILE FO TRIED TO CLOSE OUTFLOW VALVE. I MADE A MISTAKE AND FAILED TO FLIP MY MICROPHONE MASK SWITCH TO MASK; AND WAS UNABLE TO COM WITH FORT WORTH. THINKING I MAY HAVE A SECOND PROBLEM (RADIOS) I SQUAWKED 7700; THEN WAITED FOR AN AIRPLANE TO CLR ON TCASII (15-30 SECONDS); THEN CONTINUED THE DSCNT; FINALLY REALIZING MY MISTAKE AND FLIPPING THE SWITCH TO COM WITH FORT WORTH ARTCC. LEVELED AT 10000 FT AND ONCE FLT ATTENDANTS RPTED ALL OK; CANCELLED EMER. RECOMMENDATIONS: I ADMITTED MY MISTAKE TO COMPANY SO THEY COULD EMPHASIZE THE MASK SWITCH TO OTHERS. PROC NOW SAYS 'ESTABLISH COM' WHICH I THOUGHT I HAD DONE RATHER PROFOUNDLY WHEN I SCREAMED CLOSE THE OUTFLOW VALVE AT THE FO JUST AS I PUT MY MASK ON. MY NEW PROC IS FLIP THE SWITCH AND ESTABLISH COM. SUPPLEMENTAL INFO FROM ACN 204276: DUE TO HIGH WORKLOAD; THE APCH DSCNT CHKLIST WAS COMPLETED AT 10000 FT AND NOT 18000 FT; AND THE FINAL DSCNT CHKLIST WAS COMPLETED AT APPROX 700 FT AGL BEFORE LNDG. NEVER SAW CABIN ABOVE 16000 FT.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.