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Cognitive limitation, general

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NTSB finding · Personnel issues › Psychological › Cognitive limitation

All 5 cases4 in the probable cause
Cases
5
In the probable cause
4 (80%)
Fatal cases
5
NTSB code
02023000

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\", '02023000') 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\", '02023000'))
  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\", '02023000') 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 · 5

NTSB WPR24FA001Accident · 1 fatalClass 3 · FieldFinal reportCubcrafters CCK-1865 · Twisp, WAThe pilot’s failure to see and avoid a rock during an aborted landing on a hillside, the collision with which resulted in damage to the aileron system that precluded subsequent control of the airplane.Oct 1, 2023 · N56DV · Substantial damageNTSB ERA14LA057Accident · 1 fatalLimited investigationFinal reportPiper PA-28-161 · Elkmont, ALA stuck exhaust valve, which resulted in a total loss of engine power at low altitude. Contributing to the accident were the pilot’s decision to fly at a low altitude, which reduced his forced landing options when the loss of engine power occurred; and poor…Nov 30, 2013 · N8878E · DestroyedNTSB WPR11FA268Accident · 1 fatalField investigationFinal reportTrusty Thorp T-18 · Tehachapi, CAThe pilot’s failure to maintain clearance from mountainous terrain during cruise flight, which resulted from his impairment or incapacitation due to multiple medical conditions and sedating medication.Jun 20, 2011 · N851LT · Substantial damageNTSB ERA10LA277Accident · 1 fatalLimited investigationFinal reportRutter Herbert G Long EZ · Wakefield, VAThe pilot’s failure to properly align the airplane with the final approach path to the runway and his subsequent loss of control during his attempts to correct the flight path. Contributing to the accident was the pilot’s progressive cognitive decline due to…May 21, 2010 · N91HR · Substantial damageNTSB WPR09LA016Accident · 1 fatalLimited investigationFinal reportHeisler Lancair Legacy · Parowan, UTThe pilot failed to secure the canopy prior to takeoff, resulting in his inability to control the aircraft during the takeoff. Contributing to the accident was the pilot’s impairment from prescription medications and possible obstructive sleep apnea.Oct 18, 2008 · N151HT · 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\", '02023000'))
  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.