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During take-off, with the first officer at the controls, the captain noticed that the aircraft cabin was being affected by pressure surges. He selected the airconditioning automatic shutdown switch to "override" and also selected manual operation of the outflow valves, to control the cabin altitude. The cabin altitude was controlled successfully at 7000 feet until, with the aircraft at 20,000 feet on climb, the cabin altitude began to climb without pilot control input. An emergency descent was carried out, at an average of 4200 feet per minute, and the aircraft levelled at 7000 feet. During the descent the cabin altitude reached a maximum height of 12,000 feet and when the aircraft had levelled at 7000 feet, the cabin altitude was some 2000 feet below sea level. This change of cabin altitude is estimated to have occurred over a period of three minutes. The cabin altitude was raised to 2000 feet above sea level and the aircraft was depressurized for landing. The failure at take-off was caused by a faulty pressure switch in a system intended to shutdown the airconditioning systems in the event of an engine failure on take-off. Later in the climb a clamp failure in the airconditioning cooling air duct led to the shut-down of at least one airconditioning pack. During a period of high cockpit workload the pressure and temperature gauges associated with the airconditioning systems were not closely monitored. The selection of manual cabin altitude control aggravated the fluctuations in cabin altitude experienced during the flight.

Download Final Report
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General details
Date: 25 September 1984 Investigation status: Completed 
Time: 947 Investigation type: Occurrence Investigation 
Location:90 km W of Melbourne Occurrence type:Miscellaneous - Other 
State: Victoria Occurrence class: Operational 
Release date: 17 January 1985 Occurrence category: Incident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: McDonnell Douglas Corp. 
Aircraft model: DC-9 
Aircraft registration: VH-TJJ 
Type of operation: Air Transport High Capacity 
Damage to aircraft: Minor 
Departure point:Melbourne VIC
Departure time:0947
Destination:Adelaide SA; diversion to Melbourne VIC
 
 
 
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Last update 13 May 2014