NTSB CAROL · Event
Event ERA11LA392
Aircraft involved
Probable cause & findings
Separation of the auxiliary fuel tank cap, which entered the tail rotor system. Contributing to the accident was the lack of a fuel tank cap restraint.
Factual narrative
On July 10, 2011, about 0910 eastern daylight time, a Robinson R22 BETA, N10786, operated by Ocean Helicopters Inc., was substantially damaged during an autorotation, following a system malfunction during initial climb from Palm Beach International Airport (PBI), West Palm Beach, Florida. The certified flight instructor (CFI) was not injured and the student pilot incurred minor injuries. The instructional flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the planned local flight, which departed PBI about 0840. According to the CFI, he and the student pilot performed five or six quick-stops. They then proceeded with a normal takeoff. About 200 feet above the ground, the helicopter yawed right, which was unable to be corrected with left pedal input. The CFI then entered an autorotation as the helicopter continued to yaw right. He also observed that the horizontal and vertical stabilizers had separated from the tailboom and were falling to the ground. According to a Federal Aviation Administration inspector, a fuel cap separated and entered the tail rotor system, resulting in a tailrotor imbalance and partial separation. The helicopter subsequently spun during the autorotation and landed hard. During the impact, the tail rotor separated and the fuselage sustained substantial damage. The fuel cap had separated from the right fuel tank, which was the auxiliary fuel tank, and was not serviced prior to the accident flight. The separated fuel cap was recovered and was missing its restraining chain and gasket. Both pilots reported that they checked the fuel caps during preflight inspection. Additionally, the main fuel tank (left) cap had remained secured throughout the accident sequence. Examination of the main fuel tank cap revealed that it did contain a gasket, but not a chain. Review of helicopter manufacturer data revealed that on November 22, 1993, the manufacturer ceased installing restraining chains on its fuel caps; however, production of the accident helicopter was completed in January, 1993, and it should have left the factory with restraining chains attached to the fuel caps. Review of the helicopter's maintenance records did not reveal any instance of the fuel cap restraining chains being removed in the field. During initial climb, about 200 feet above the ground, the helicopter's auxiliary fuel tank cap separated and entered the tail rotor system. The tail rotor became unbalanced and partially separated. The pilot subsequently entered an autorotation as the horizontal and vertical stabilizers also separated, and the helicopter landed hard. The auxiliary fuel tank cap was not serviced prior to the accident flight and the pilot reported that he checked the security of the auxiliary and main fuel tank caps during preflight inspection. The separated fuel cap was recovered and did not contain a restraining chain and gasket. The main fuel tank cap remained secured throughout the accident sequence and examination of that cap revealed that it did contain a gasket but not a chain. The helicopter manufacturer ceased installing restraining chains about 18 years prior to the accident; however, the accident helicopter was produced about 10 months before that and should have left the factory with fuel tank cap restraining chains. Review of the helicopter's maintenance records did not reveal any instance of the fuel cap restraining chains being removed in the field. Additionally, the investigation could not determine if the auxiliary fuel tank cap gasket was absent prior to the accident flight or separated during impact with the tail rotor. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft systems-Fuel system-Fuel storage-Design - C
- F Organizational issues-Development-Design-Equipment design-Manufacturer - F
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Attain/maintain not possible - C
Verbatim from NTSB's published report. Source file
NTSB_2011_ERA11LA392.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
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The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
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