B788, en-route, Northwest Pacific Ocean, 2019

B788, en-route, Northwest Pacific Ocean, 2019

Summary

On 1 June 2019, a Boeing 787-8 lost all cabin air conditioning after both packs failed less than an hour from its destination, Narita. When the Cabin Altitude reached 10,000 feet, the descent already commenced was completed as an emergency descent and the flight thereafter was without further event. The Investigation found that although an amended non normal procedure restricting pack resets to a maximum altitude of 35000 feet had been issued almost two months earlier, it was still “under review” at the operator which has since amended their procedures for assessing manufacturer communications which have operational safety implications.

Description

On 1 June 2019, a Boeing 787-8 (JA828A) being operated by All Nippon Airways (ANA) on a scheduled international passenger flight from San Jose USA to Narita as ANA171 with an augmented flight crew of three pilots was in the cruise in day VMC when both air conditioning packs failed. A descent at normal rate was commenced and converted to an emergency descent when the cabin altitude reached 10,000 feet,at which point an emergency was declared. The flight thereafter was completed without further event.

Investigation 

The event was classified as a Serious Incident and an Investigation was carried out by the Japan Transport Safety Board (JTSB). Relevant information was downloaded from the on- board EAFR (Enhanced Airborne Flight Recorders) and AMF-CPL (Airplane Condition Monitoring Function - Continuous Parameter Logging) and was also available from crew statements and ATC communications and radar recordings.

At the time of the  event, the 50 year-old Captain, who had a total of 13,368 hours flying experience of which 2,004 hours were on type, was acting as PF and the 48 year-old relief pilot, who had a total of 10,545 hours flying experience of which 1,472 hours were on type, was occupying the First Officer’s seat.

What Happened

When level at FL 430 a little over 9 hours flight time since takeoff, thrust was reduced to slow down slightly from M 0.84 to M 0.78 in order to meet the required destination ETA. Soon after this, the EICAS indicated that the left side air conditioning pack had failed and on checking the operating status of the system on the MFDU it was found both left side Cabin Air Compressors had shut down.  

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