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Atlas / NTSB / ERA12CA278

NTSB CAROL · Event

Event ERA12CA278

2012-04-12 West Palm Beach, Florida, United States Airport · F45 Minor 1 aircraft Status: Completed

Registry · N12003

FAA Aircraft Registry record.

Make / Model

BOEING 787-10

Seats / Engines

120 seats · 2 engines

ADS-B equipped

Yes — Mode-S A05626

Registrant of record

UNITED AIRLINES INC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The inadequate assembly of the brakes, which caused them to lock during the landing roll when the airplane transitioned from asphalt to turf, resulting in the airplane nosing over.

Factual narrative

**This report was modified on November 1, 2013. Please see the public docket for this accident to view the original report.**The pilot stated that upon returning to the airport from a local flight, he elected to land on the grass turf runway, which had an asphalt runway intersection within the first quarter of its length. His landing speed was about 60 mph, the airplane touched down long on the first portion of the grass turf. The pilot held off lowering the tail wheel initially but then lowered it firmly onto the ground. During the landing roll on the asphalt portion, the airplane began to arc to the left, the pilot applied full right rudder and then eased on a "slight amount" of right brake. As the airplane departed the asphalt section, it abruptly nosed over, the propeller struck the ground and the airplane came to rest inverted on the grass turf runway, incurring substantial damage to the vertical section and rudder. An inspection of the runway's asphalt to grass turf transition section revealed that the airplane's main landing gear tires dug into the turf as it left the slightly higher asphalt. An aviation safety inspector from the Federal Aviation Administration responded to the accident scene and interviewed the pilot, who reported no mechanical malfunctions or failures during the landing and rollout. While the airplane was being repaired after the accident, a mechanic determined that the bolts holding the main wheel halves in position were excessively long, causing the wheel halves to separate and the brake discs to change position when the airplane transitioned from the asphalt to the turf runway. **This brief was modified on November 1, 2013. Please see the public docket for this accident to view the original report.** The pilot stated that when he returned to the airport after a local flight, he elected to land on the turf runway, which intersected an asphalt runway. He said he touched down on the main landing gear "fairly long" on the first portion of the turf runway at a speed of about 60 mph. The pilot delayed lowering the tailwheel until the airplane was crossing the asphalt surface and then lowered the tailwheel firmly to the ground. The airplane began to veer left, and the pilot applied full right rudder and a "slight amount" of right brake to regain directional control. When the airplane transitioned from the asphalt surface to the turf runway, it abruptly nosed over. The airplane came to rest inverted, incurring substantial damage to the rudder. An examination of the runway's asphalt to turf transition section revealed that the airplane's main landing gear tires dug into the turf as it left the slightly higher asphalt. The pilot reported no mechanical malfunctions or failures during the landing and rollout. While the airplane was being repaired after the accident, a mechanic determined that the bolts holding the main wheel halves in position were excessively long, causing the wheel halves to separate and the brake discs to change position when the airplane transitioned from the asphalt to the turf runway. This condition likely caused the brake discs to jam in their housing and the wheels to stop rotating. 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 oper/perf/capability-Aircraft capability-Braking capability-Attain/maintain not possible - C
  • C Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel - C
  • C Aircraft-Aircraft systems-Landing gear system-Brake-Incorrect service/maintenance - C
  • Environmental issues-Operating environment-Airport facilities/design-Runway/landing area condition-Effect on operation

Verbatim from NTSB's published report. Source file NTSB_2012_ERA12CA278.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.