B738 (G-TAWD), en-route north of Lincolnshire UK, 17 October 2023

B738 (G-TAWD), en-route north of Lincolnshire UK, 17 October 2023

Publication info
Author
UK AAIB
Category
Accident Reports Human Factors Loss of Control
Date of publication
05/12/2024

On 17 October 2023 a Boeing 737-800 passing FL130 after departing Manchester received a cabin pressurisation warning and the crew recognised that both engine air bleeds were off. After correcting this, climb was continued without donning oxygen masks until a related air conditioning pack fault occurred which prompted the operator to request a return which was uneventful. The bleed-off condition had arisen after maintenance and had then not been recognised at release to service or during crew pre and post flight checks. The non-compliant crew response to the subsequent situation was found to have been both deliberate and unjustifiable.

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