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Monitoring communications

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NTSB finding · Personnel issues › Psychological › Attention/monitoring

All 8 cases
Cases
8
In the probable cause
8 (100%)
Fatal cases
5
NTSB code
02021530

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 NTSB made it part of the probable cause; in gray, a factor or other finding. Findings are coded with the final report, often a year or more after the event, so the latest years are incomplete.

Cases per year

2008In the probable causeFactor only2026

Where

Open the map
Query with SQL
duckdb -csv -c "SELECT year(c.\"eventDate\") AS year, count(DISTINCT f.case_mkey) AS cases,
    count(DISTINCT f.case_mkey) FILTER (WHERE f.\"inProbableCause\") AS in_probable_cause
  FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' f JOIN 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c ON c.\"mKey\" = f.case_mkey
  WHERE starts_with(f.\"findingCode\", '02021530') AND c.\"eventDate\" >= DATE '2000-01-01'
  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 the same cases

Defining events
Aircraft models

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

Other findings
Query with SQL
duckdb -csv -c "WITH matched AS (SELECT DISTINCT case_mkey, aircrafts_position FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' WHERE starts_with(\"findingCode\", '02021530'))
  SELECT * FROM (
  SELECT 'Defining event' AS kind, e.\"tier2Number\" AS code, max(e.\"eventTier2Name\") AS name, count(DISTINCT f.case_mkey) AS cases
  FROM matched f JOIN 'https://openairdocs.org/data/latest/ntsb_events.parquet' e ON e.case_mkey = f.case_mkey AND e.aircrafts_position = f.aircrafts_position AND e.\"isDefiningEvent\"
  WHERE e.\"tier2Number\" <> ''
  GROUP BY ALL
  UNION ALL
  SELECT 'Aircraft model', a.aircraft_model_code, any_value(concat_ws(' ', m.manufacturer, m.model)), count(DISTINCT f.case_mkey)
  FROM matched f JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = f.case_mkey AND a.position = f.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
  UNION ALL
  SELECT 'Other finding', left(g.\"findingCode\", 8), max(g.\"tier4Name\"), count(DISTINCT g.case_mkey)
  FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' g
  WHERE g.case_mkey IN (SELECT case_mkey FROM matched) AND NOT starts_with(g.\"findingCode\", '02021530') AND g.\"findingCode\" GLOB '[0-9][0-9]*'
  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 · 8

NTSB ANC20LA085Accident · 2 fatalClass 3 · LimitedFinal reportCessna A185 · Fairbanks, AKThe PA-18 pilot’s failure to see and avoid the Cessna 185 as it was landing. Contributing to the accident was the PA-18 pilot’s failure to hear the traffic advisory provided by the air traffic control tower.Aug 27, 2020 · N714KH · 2 aircraft · DestroyedNTSB WPR19FA095Accident · 1 fatalClass 3 · FieldFinal reportNorth American T28 · Compton, CAThe failure of the T-28 pilot to see and avoid the Cessna while landing with reduced visibility due to sun glare, which resulted in a collision on the runway. Contributing to the accident was his failure to use the airport's common traffic advisory frequency…Mar 14, 2019 · N5440F · 2 aircraft · Minor damageNTSB CEN16FA341Accident · 1 fatalField investigationFinal reportBeech A36 · Bentonville, ARThe pilot's failure to monitor and/or transmit his position over the uncontrolled airport's common traffic advisory frequency, and his decision to continue the takeoff when he observed conflicting traffic on the runway.Aug 31, 2016 · N8283D · DestroyedNTSB WPR15LA233Accident · 1 fatalLimited investigationFinal reportRyan Aeronautical ST3KR · Hollister, CAThe pilot's failure to observe the runway environment while operating in the traffic pattern and his subsequent failure to maintain clearance from a lawnmower on the runway during the landing roll. Contributing to the accident was the lawnmower operator's…Aug 6, 2015 · N48701 · Substantial damageNTSB DCA14CA093Accident · No injuriesData collectionFinal reportMcdonnell Douglas MD90 - 30 · Boston, MAthe captain's failure to verify the communications between himself and the tug operator, which resulted in him applying of brakes while the airplane was being pushed back from the gate by the tug with tow bar attached.May 12, 2014 · N933DN · Substantial damageNTSB WPR13FA296Accident · 1 fatalField investigationFinal reportPiper PA-22-135 · Yellow Pine, IDThe pilot's failure to see and avoid the airplane ahead of his position in the airport traffic pattern, which resulted in a midair collision while both airplanes were on approach to land. Contributing to the accident was both pilots’ failure to adequately…Jun 28, 2013 · N1540P · 2 aircraft · Substantial damageNTSB DCA10IA001Incident · No injuriesIncident investigationFinal reportAirbus A320 · Minneapolis, MNThe flight crew's failure to monitor the airplane’s radio and instruments and the progress of the flight after becoming distracted by conversations and activities unrelated to the operation of the flight.Oct 21, 2009 · N374NW · No damageNTSB ERA09LA067Accident · No injuriesLimited investigationFinal reportBeech V35 · Winter Haven, FLBoth pilots’ failure to see and avoid the other airplane. Contributing to the accident was the Beech pilot’s failure to monitor or utilize the common traffic advisory frequency.Nov 23, 2008 · N4396W · 2 aircraft · 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 f.case_mkey FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' f WHERE starts_with(f.\"findingCode\", '02021530'))
  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.