B767-300 CREW EXPERIENCES PRESSURIZATION PROB WHILE DEALING SIMULTANEOUSLY WITH IRREGULAR SYS OP; ATC CLRNC CHANGES; AND WX AVOIDANCE AT LOW ALT AT HAVANA.

1999-07 · NASA ASRS report 443965

Date: 1999-07 · Aircraft: B767-300 and 300 ER

Anomalies: aircraft-equipment-problem-less-severe|deviation-discrepancy-procedural-published-material-policy|inflight-event-encounter-weather-turbulence

Synopsis

B767-300 CREW EXPERIENCES PRESSURIZATION PROB WHILE DEALING SIMULTANEOUSLY WITH IRREGULAR SYS OP; ATC CLRNC CHANGES; AND WX AVOIDANCE AT LOW ALT AT HAVANA.

Narrative

FO FLYING; CAPT PERFORMING PNF DUTIES; PDC CLRED TO FL240. DURING TKOF ROLL; HAVANA TWR ADVISED US TO STOP CLB AT 2000 FT. THE SID REQUIRES NO ACCELERATION UNTIL 2000 FT AND WE HAD PREBRIEFED FLAP RETRACTION AT 2000 FT. AFTER GEAR RETRACTION WE CALLED HAVANA DEP CTL. AS WE LEVELED AT 2000 FT; BEGAN FLAP RETRACTION. CONCURRENTLY; DEP CTLR GAVE US A SE HDG (RWY 6 TKOF) FOR TFC; THEN A HDG BACK TO THE NE WITH A CLB TO 4000 FT. WHILE THIS ACTIVITY WAS OCCURRING; WE RETRACTED FLAPS AND I GOT THE 2 PACKS ON. WITH THE PAUSES NECESSARY TO LET THE PRESSURIZATION STABILIZE BTWN STEPS; I WAS INTERRUPTED BY ONE OF THE RADIO CALLS WITH HDG AND ALT CHANGE; SUPPORT FOR THE PF WITH MCP INPUTS AND CONCERN FOR TSTM BUILDUPS IN FRONT OF US. WE WERE THEN CLRED TO FL240 AND DIRECT TO TADPO INTXN. PASSING 10000 FT; THE CABIN ALT HORN BEGAN TO SOUND. I LOOKED OVER ON THE OVERHEAD PANEL TO FIGURE OUT WHAT THE PROB WAS. THE FO LEVELED THE ACFT AT 11000 FT SAVING THE DEPLOYMENT OF OXYGEN MASKS. I REALIZED THE PRESSURIZATION SWITCH WAS STILL IN MANUAL. I RECONFIGURED THE SYS AND SOON CABIN PRESSURE WAS BACK UNDER CTL. WE CONTINUED CLB TO FL240 AND COMPLETED THE FLT TO MIA. ACR B767-300 ACFT HAVE HAD COMPRESSOR STALL PROBS AT OR IMMEDIATELY AFTER TKOF. THE 'FIX' UNTIL ALL ENGS ARE MODIFIED TO RECTIFY THE PROB IS TO TAKE OFF WITH PACKS OFF AND PRESSURIZATION SWITCH IN MANUAL VERSUS AUTO. WE TYPICALLY FLY THIS ACFT TO SOUTH AMERICA OUT OF MIA WITH A 3 MAN CREW; SO THE JUMP SEAT FO TYPICALLY HANDLES THE PACK/PRESSURIZATION RECONFIGN. NONETHELESS; EVEN WITH A 2 MAN OP; OVERSATURATION OF PNF BY EVENTS SUCH AS THESE CAN LEAD TO ERRORS. IT IS DIFFICULT TO SEE THE PRESSURIZATION SWITCHES FROM THE CAPT'S SEAT. THEY ARE ABOVE THE FO'S HEAD. TO PREVENT A RECURRENCE; I BELIEVE THE CAPT SHOULD MAKE ALL TKOFS IN 2 MAN OPS UNTIL AFTER TKOF CHKLIST COMPLETE AT 3000 FT; THEN XFER CTL TO FO IF IT'S THE FO'S LEG TO FLY. I ALSO BELIEVE THIS IS A TRAINING ISSUE FOR THIS NONSTANDARD MANUAL OP ON AN AUTOMATIC/ELECTRIC AIRPLANE. THE AFTER TKOF CHKLIST DOES NOT ADDRESS THE RECONFIGN OF THE PRESSURIZATION. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATES THAT HE HAS CONTACTED THE ACR AND UNION SAFETY PERSONNEL CONCERNING THE 'TEMPORARY' AND HAZARDOUS PROC. HE HAS SPOKEN WITH SEVERAL OTHER CREWS THAT HAVE HAD THE SAME OCCURRENCE AND HAS ACTUALLY SPOKEN WITH ONE CREW JUST AFTER AN INCIDENT JUST LIKE THIS RPT. HE STATES THAT ON OR APPROX XA/AUG/99; THIS NEW PROC HAS BEEN HALTED. THE PROC NOW IS TO OPERATE THE AIR CONDITIONING AND PRESSURIZATION SYSTEMS IN THE MANNER STATED IN THE FLT MANUALS. THE RPTR FEELS THAT THE FEEDBACK FROM CREWS WAS INSTRUMENTAL IN GETTING THE PROC RE-REVISED.

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

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