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Wrong fuel

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NTSB defining event · CICTT: Fuel

CICTT occurrence categories (PDF)CICTT phases of flight (PDF)

All 6 cases9 anywhere in the sequence
Defining event in
6 cases
In the sequence of
9 cases
Fatal cases
0
NTSB code
194

NTSB has coded findings and defining events since 2008. Earlier cases used its older occurrence and cause codes, so they aren’t counted here.

When and where

In green, cases where it was the defining event; in gray, cases where it came elsewhere in the sequence. The map shows the cases where it was the defining event. Events are coded with the final report, so the latest years are incomplete.

Cases per year

2008Defining eventElsewhere in the sequence2026

Where

Open the map
Query with SQL
duckdb -csv -c "SELECT year(c.\"eventDate\") AS year, count(DISTINCT e.case_mkey) AS cases,
    count(DISTINCT e.case_mkey) FILTER (WHERE e.\"isDefiningEvent\") AS defining
  FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' e JOIN 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c ON c.\"mKey\" = e.case_mkey
  WHERE e.\"tier2Number\" = '194' AND e.case_mkey IN (SELECT case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' WHERE \"isDefiningEvent\")
  GROUP BY 1
  ORDER BY 1"

Prints the counts as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.

In these cases

Phase of flight
  • Prior to flight5
  • Initial climb1
In the probable cause
Aircraft models

Aircraft matched to the registry by N-number and date.

Query with SQL
duckdb -csv -c "WITH defining AS (SELECT * FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' WHERE \"tier2Number\" = '194' AND \"isDefiningEvent\")
  SELECT * FROM (
  SELECT 'Phase of flight' AS kind, e.\"tier1Number\" AS code, max(e.\"eventTier1Name\") AS name, count(DISTINCT e.case_mkey) AS cases
  FROM defining e
  GROUP BY ALL
  UNION ALL
  SELECT 'Finding in the probable cause', left(f.\"findingCode\", 8), max(f.\"tier4Name\"), count(DISTINCT f.case_mkey)
  FROM defining e JOIN 'https://openairdocs.org/data/latest/ntsb_findings.parquet' f ON f.case_mkey = e.case_mkey AND f.aircrafts_position = e.aircrafts_position AND f.\"inProbableCause\"
  WHERE f.\"findingCode\" GLOB '[0-9][0-9]*'
  GROUP BY ALL
  UNION ALL
  SELECT 'Aircraft model', a.aircraft_model_code, any_value(concat_ws(' ', m.manufacturer, m.model)), count(DISTINCT e.case_mkey)
  FROM defining e JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = e.case_mkey AND a.position = e.aircrafts_position
  LEFT JOIN 'https://openairdocs.org/data/latest/faa_aircraft_model.parquet' m ON m.code = a.aircraft_model_code
  WHERE a.aircraft_model_code IS NOT NULL
  GROUP BY ALL
  )
  QUALIFY row_number() OVER (PARTITION BY kind ORDER BY cases DESC) <= 10
  ORDER BY kind, cases DESC"

Prints the counts as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.

Newest cases · 6

NTSB ERA26LA314Accident · Serious injuriesClass 4 · LimitedFinal reportCessna 421 · Fulton, KYThe misfuelling of the airplane by the refueler. Contributing to the accident was the pilot’s failure to verify that the airplane had been properly fueled prior to departing on the accident flight.Aug 21, 2026 · N28RH · Substantial damageNTSB WPR21LA342Accident · Serious injuriesClass 4 · LimitedFinal reportBeech 58 · Palo Alto, CAThe fuelers addition of the incorrect fuel to the fuel tanks which resulted in a total loss of engine power.Sep 13, 2021 · N162DF · Substantial damageNTSB ANC20LA050Accident · Serious injuriesClass 3 · LimitedFinal reportRockwell 500 · Aniak, AKA loss of engine power due to the use of improper fuel. Contributing to the accident was the failure of the pilot and ground personnel to ensure that the airplane was serviced with the proper fuel.May 29, 2020 · N909AK · Substantial damageNTSB CEN15LA199Accident · Serious injuriesLimited investigationFinal reportCessna 421B · Diboll, TXThe total loss of engine power due to the use of an improper fuel type. Contributing to the accident were the servicing of the airplane with the improper fuel, noncompliance with an airworthiness directive, and the fuel nozzle installed on the fueling truck.Apr 17, 2015 · N421PK · Substantial damageNTSB ANC12CA082Accident · Minor injuriesData collectionFinal reportRobinson Helicopter R44 II · Wainwright, AKThe failure of ground personnel to ensure the helicopter was serviced with the proper fuel. Contributing to the accident was the pilot's failure to monitor the fueling process.Jul 31, 2012 · N74496 · Substantial damageNTSB CEN09LA145Accident · Minor injuriesLimited investigationFinal reportCessna 421C · Wichita, KSThe failure of line personnel to ensure that the airplane was serviced with the proper fuel. Contributing to the accident was the Federal Aviation Administration's approval of a Supplemental Type Certificate (STC) which allowed an improper fuel filler…Jan 30, 2009 · N345JB · Substantial damage
Query with SQL
duckdb -csv -c "SELECT c.\"ntsbNumber\", c.\"eventDate\", c.\"eventType\", c.\"eventCity\", c.\"eventStateOrRegion\", a.n_number, a.\"aircraftMake\", a.\"aircraftModel\", c.\"highestInjuryLevel\", c.\"totalFatal\", c.\"completionStatus\", c.report_url
  FROM 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c LEFT JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = c.\"mKey\" AND a.position = 1
  WHERE c.\"mKey\" IN (SELECT e.case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_events.parquet' e WHERE e.\"isDefiningEvent\" AND e.\"tier2Number\" = '194')
  ORDER BY c.\"eventDate\" DESC, c.\"ntsbNumber\" DESC"

Prints the whole list as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.