B789, en-route, eastern Belgium, 2017

B789, en-route, eastern Belgium, 2017

Summary

On 29 April 2017, a Boeing 787-9 which had just reached cruise altitude after despatch with only one main ECS available began to lose cabin pressure. A precautionary descent and PAN was upgraded to a rapid descent and MAYDAY as cabin altitude rose above 10,000 feet. The Investigation found that aircraft release to service had not been preceded by a thorough enough validation of the likely reliability of the remaining ECS system. The inaudibility of the automated announcement accompanying the cabin oxygen mask drop and ongoing issues with the quality of CVR readout from 787 crash-protected recorders was also highlighted.

Description

On 29 April 2017, a Boeing 787-9 Dreamliner (G-ZBKF) being operated by British Airways on a scheduled international passenger flight from London Heathrow to Delhi with an augmented crew was in the cruise at FL350 in unrecorded day flying conditions when an EICAS indication of increasing cabin altitude occurred. Due to despatch with one Environmental Control System (ECS) inoperative, a descent was initiated, a PAN and then, as cabin altitude exceeded 10,000 feet, a MAYDAY was declared and an air turnback was made to London Heathrow without further event.

Investigation

A Field Investigation was carried out by the UK AAIB. Relevant recorded data was available from the duplicated Enhanced Airborne Flight Recorders (EAFR), flight data for the entire flight and CVR audio from climbing through FL110 eastbound until the end of the flight. Useful data were also available from the aircraft’s Central Maintenance Computing Function (CMCF) and from the Aircraft Health Monitoring (AHM) system, a ground-linked service that generates messages which can also be accessed by a flight crew but do not on their own require any action by them.

It was noted that the 50 year-old Captain had a total of 14,200 flying hours of which 1238 hours were on type. The experience of the First Officer was not documented.

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