On 12 July 2018, a Boeing 737-800 was climbing through FL135 soon after takeoff from Sydney with First Officer line training in progress when the cabin altitude warning horn sounded because both air conditioning packs had not been switched on. The Captain took control and descended the aircraft to FL100 until the situation had been normalised and the intended flight was completed. The Investigation noted that although both pilots were experienced in command on other aircraft types, both had limited time on the 737 and concluded that incorrect system configuration was consequent on procedures and checklists not being managed appropriately.
Description
On 12 July 2018, a Boeing 737-800 (VH-VUB) being operated by Tiger Airways on a scheduled domestic passenger flight from Sydney to Melbourne during daylight hours on a line training flight for the First Officer was passing FL 135 in the climb approximately 6 minutes after takeoff when the cabin altitude warning horn sounded. The trainee First Officer immediately recognised that both air conditioning packs were switched off and selected them to on and the Captain took control and descended the aircraft to FL100 until pressurisation was normalised after which the flight was completed without further event.
Investigation
An Investigation was carried out by the Australian Transport Safety Bureau (ATSB). Data were retrieved from both the FDR and CVR but only that from the former was analysed. These data confirmed that although both engine bleed switches had been ‘on’ from takeoff, both air conditioning packs had been ‘off’ throughout that time. FDR parameters did not include cabin altitude but it was considered that since the cabin oxygen masks had not automatically deployed, it was unlikely to have exceeded 14,000 feet.
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