Avianca B788 over Atlantic on Oct 31st 2024, loss of cabin pressure

Last Update: January 2, 2025 / 18:34:14 GMT/Zulu time

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Incident Facts

Date of incident
Oct 31, 2024

Classification
Incident

Airline
Avianca

Flight number
AV-46

Destination
Madrid, Spain

Aircraft Registration
N785AV

ICAO Type Designator
B788

An Avianca Boeing 787-8, registration N785AV performing flight AV-46 from Bogota (Colombia) to Madrid,SP (Spain) with 250 passengers and 9 crew, was enroute at FL420 over the Atlantic Ocean about 520nm south of Ponta Delgada (Portugal) when the crew initiated an emergency descent to FL100 and diverted to Ponta Delgada. The aircraft landed safely on Ponta Delgada's runway 12 about 90 minutes later.

The airline reported the aircraft had to divert due to the loss of cabin pressure. The crew followed procedures, all passengers and crew arrived in "perfect" condition in Ponta Delgada. A special flight by Wamos Air will take the passengers to Madrid.

A replacement Avianca Boeing 787-8 registration N796AV is currently enroute from Ponta Delgada to Madrid estimated to arrive in Madrid with a delay of about 19.5 hours.

On Jan 2nd 2025 Portugal's GPIAA summarized the sequence of events:

On 31st of October 2024 at 13:20 UTC, Avianca flight AV46 took off from El Dorado Airport (SKBO) in Bogotá heading to Adolfo Suárez - Barajas Airport (LEMD) in Madrid. During cruise at flight level 420, the flight crew was presented with an L GEN DRIVE L2 alarm, followed by the Left PACK failure.

According to the operator’s investigation, the APU was switched on and the crew began the descent to 41,000ft. At that time the recorded cabin altitude was 6,100ft.

At 19:55:07 UTC, crossing 41,000ft to 40,000ft, the crew made the decision to execute a “rapid descent” to 34,000ft in order to perform the left air conditioning reset.

At 19:57:43 UTC, when the aircraft was at 22,883ft, the crew turned off the left pack, the cabin altitude at that time was 10,100ft. The maximum recorded cabin altitude reached was 11,370ft at 22,860ft and the “CABIN ALTITUDE” alarm was displayed. The crew performed the memory items, downing their oxygen masks and performing an emergency descent to 10,000ft and declared emergency by CPDLC, VHF and HF.

Although the cabin did not exceed 14,000ft, the crew decided to manually deploy the passengers' oxygen masks. In coordination with Operations, they chose to proceed to Ponta Delgada as an alternate airport, where they landed without further incidents.

The Boeing 787 has a full electrical pressurisation system, supported in four generators (VFSG - Variable Frequency Starter Generator), two for each engine, which supply 235V AC power to their respective Bus to feed four cabin air compressors (CAC's), two per PACK, which independently supply pressurized air to each air conditioning unit to pressurize the aircraft.

According to the data retrieved from the FDR (Flight Data Recorder), both Cabin Air Compressors (CAC L1 and CAC L2) of the left side air conditioning pack went offline due to overload, just after the failure of the generator (VFSG L2).

The operator contacted the manufacturer (OEM) to obtain guidance on the circumstances of the event. Boeing declared that after the shutdown of the VFSG L2, the CAC L2 shutdown abruptly due to the power loss. The PCU (Pack Control Unit) then attempted to restart the CAC L2 and failed due to insufficient power available, causing the CAC L1 also to fail. The manufacturer reported that it is not unusual for the overload of one CAC to cause the overload of the adjacent CAC, due to the required pressure recovery.

Further investigation for possible issues with the fully operational RH Pack, usually sufficient to maintain the aircraft cabin pressure after LH pack failure, revealed that the RH Pack was also experiencing problems. The operator collected reports in which it was stated that, on a previous flight, it was very difficult to control the cabin temperature.

The depressurization event occurred during the third flight after major maintenance work was performed between October 2 and 27, 2024, where extensive work was performed on both Packs, specifically on the Recirculation Fans. This work resulted in a misassembled recirculation duct, allowing a gap to occur which consequently resulted in a significant leak.

The maintenance personnel involved stated that the RH PACK work area is difficult to access and there is little space available for handling components and tools. The operator declared that it is working on the identified safety issues within the MRO service provider.

The failed generator (VFSG L2) was sent to the manufacturer, CRANE, for further failure mode analysis.
Aircraft Registration Data
Registration mark
N785AV
Country of Registration
United States
Date of Registration
Manufacturer
BOEING
Aircraft Model / Type
787-8
Number of Seats
ICAO Aircraft Type
B788
Year of Manufacture
Serial Number
Aircraft Address / Mode S Code (HEX)
Engine Count
Engine Manufacturer
Engine Model
Engine Type
Pounds of Thrust
Main Owner
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Incident Facts

Date of incident
Oct 31, 2024

Classification
Incident

Airline
Avianca

Flight number
AV-46

Destination
Madrid, Spain

Aircraft Registration
N785AV

ICAO Type Designator
B788

This article is published under license from Avherald.com. © of text by Avherald.com.
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