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ASC-ASR-10-08-012


資料發布日期 103-09-18
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事故名稱 國泰航空公司 CX 521 班機 A330-300 型機 國籍標誌及登記號碼 B-HLH 因暫時性艙壓供氣異常緊急下降事故
改善建議編號 ASC-ASR-10-08-012
受建議單位 國泰航空公司
改善建議狀態 非本國政府機關,由其相關主管機關督導
改善建議內容

評估最低裝備需求表或增修訂組員操作程序,當飛機在1套氣源失效情況下飛行時,能及時啟動APU運轉,儘早恢復艙壓,以降低乘員失壓的風險。

Consider evaluating the MEL dispatch or reviews other procedures under one engine bleed air fail to recover the cabin pressurization capability with APU in a timely manner in case of the second engine bleed air system failed to reduce the depressurization risk. 


 

回覆往來紀錄

11/0/20104 CPA (Cathay Pacific Airways)

CPA response
  In addition to the information already provided in the TW-ASC final report in the section describing safety actions already taken by CPA. Nil further
~New procedure in April 2009 rev of TSM to confirm if further troubleshooting is required when an a/c        experiences PRV not closed fault.
~Temporary Restrictions imposed in CPA A330 MEL from Sep 2008. No dispatch out of Hong Kong for ; ATA 36-11-01, 36-11-02, 36-11-03, 36-11-04, 36-11-05, 36-11-06, 36-11-07.
~Additional restrictions imposed on CPA A330 operations from Jan 2009.
CMS Fault message:
  THRM/FAN AIR-V/SENSE LINE must be investigated as per TSM36-11-81-810-850 [861]prior to next HKG   departure.
~A new MEL revision has been developed by CX Airbus Fleet Office and Engineering, and is still awaiting final approval from Airbus before being made permanent. This new MEL revision reintroduces an operational procedure whereby the APU is started in case of a subsequent bleed failure in flight.  ~Mandarin language has been added to the cabin auto-announcements (ref. Cabin Crew Manual Vol5, p.1.9.1 and p.2.8.1, and cabin crew induction,conversion and refresher training).

 

飛安會意見:接受。

最後異動時間 111-12-08
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