ERA11LA392

NTSB accident investigation · Robinson Helicopter R22 Beta · West Palm Beach, FL · July 10, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
July 10, 2011, 09:10 local (13:10 UTC)
Place
West Palm Beach, FL
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N10786Robinson Helicopter R22 Beta
Defining event
Initial climb: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed · report February 6, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20110710013199A
Case key
81056

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

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.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Design: equipment designOrganizational issues › Development · ManufacturerRobinson Helicopter R22 BETA: 1 caseAll aircraft: 35 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleRobinson Helicopter R22 BETA: 14 casesAll aircraft: 3,958 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

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.

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.

Aircraft

Registration
N10786
Reported as
Robinson Helicopter R22 Beta
Category
Helicopter
Serial number
2267
Airframe hours
1,427
Engine
Lycoming O-320, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Ocean Helicopters Inc
Registered owner
Airman Helicopter Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 24, 2011 · 70 hours before
Departed
PBI · West Palm Beach, FL
Destination
PBI · West Palm Beach, FL
Airport
PBI · Palm Beach International

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
28
Injuries
None
Certificates
Flight instructor, Commercial
Instrument ratings
Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
May 8, 2011
Seat
Left
Flight hours
300 total · 250 in this make and model · 260 as pilot in command · 60 in the last 90 days · 30 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 2, 2010
Seat
Right
Flight hours
200 total · 12 in this make and model · 160 as pilot in command · 12 in the last 90 days · 12 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
84 °F, dew point 79 °F
Altimeter
30.04 inHg
Observed at
PBI

Docket · 3

The files NTSB released with the investigation on December 14, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 294 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N10786 · 1

Matched to the same aircraft by N-number and date.