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Use of automation

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NTSB finding · Personnel issues › Task performance › Use of equip/info

All 17 cases14 in the probable cause
Cases
17
In the probable cause
14 (82%)
Fatal cases
7
NTSB code
02063010

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\", '02063010') 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\", '02063010'))
  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\", '02063010') 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 · 17

NTSB DCA23LA060Accident · Serious injuriesClass 4 · LimitedFinal reportAirbus A319 · New Orleans, LAThe captain’s pitch up input to avoid an overspeed condition, which resulted in a flight attendant falling and fracturing her ankle. Contributing was the airplane’s excessive airspeed during the transition to the automation-managed descent profile.Nov 3, 2022 · N519NK · No damageNTSB DCA22LA133Incident · No injuriesClass 3 · LimitedFinal reportBoeing 737-9 · Pittsburgh, PAThe flightcrew’s misidentification of the intended landing runway, which resulted in approach to and landing on the wrong runway. Contributing to the incident was the distraction caused by the dual reset of the flight management computer displays.Jun 21, 2022 · N37513 · No damageNTSB ANC21LA073Accident · No injuriesClass 3 · LimitedFinal reportCessna 208 · Fairbanks, AKThe pilot’s unexpected encounter with supercooled liquid droplets (SLD), which resulted in a loss of control due to ice accumulation. Contributing to the accident were: (1) the pilot’s failure to maintain the minimum airspeed for flight in icing conditions,…Aug 16, 2021 · N97HA · Substantial damageNTSB CEN19FA088Accident · 2 fatalField investigationFinal reportPiper PA46 · Shreveport, LAThe pilot's conduct of a departure into instrument meteorological conditions (IMC), which resulted in spatial disorientation and subsequent loss of airplane control. Contributing to the accident was the pilot's poor instrument flying skills and his decision…Feb 28, 2019 · N428CD · Substantial damageNTSB DCA19MA086Accident · 3 fatalClass 1 · MajorFinal reportBoeing 767 · Trinity Bay, TXThe inappropriate response by the first officer as the pilot flying to an inadvertent activation of the go-around mode, which led to his spatial disorientation and nose-down control inputs that placed the airplane in a steep descent from which the crew did…Feb 23, 2019 · N1217A · DestroyedNTSB ERA18FA092Accident · 2 fatalField investigationFinal reportQuest Kodiac 100 · Georgetown, FLThe pilots' spatial disorientation while maneuvering for landing in night conditions over unlighted terrain, which resulted in an uncontrolled descent and impact with water.Feb 28, 2018 · N969TB · Substantial damageNTSB ERA17FA135Accident · 1 fatalField investigationFinal reportCessna 500 · Marietta, GAThe pilot's failure to maintain adequate airspeed while manually flying the airplane, which resulted in the airplane exceeding its critical angle of attack and experiencing an aerodynamic stall. Contributing to the accident was the pilot's inability control…Mar 24, 2017 · N8DX · DestroyedNTSB OPS17IA014IncidentClass 3 · IncidentFinal reportEmbraer S A ERJ 170-200 LR · San Francisco, CAThe local controller's issuance of a landing clearance for runway 28L to the ERJ170, and the subsequent issuance of line up and wait instructions to the A320 for runway 28L, resulting in a runway incursion.Feb 16, 2017 · N214NN · 2 aircraft · No damageNTSB CEN17LA078Accident · Serious injuriesLimited investigationFinal reportTextron 525C · Howell, MIThe pilot's attempted landing on the ice-covered runway, which resulted in a runway excursion and impact with terrain. Contributing to the accident was airport personnel's lack of training regarding issuance of NOTAMsJan 16, 2017 · N525PZ · Substantial damageNTSB DCA16CA113Accident · No injuriesData collectionFinal reportBoeing 767 34AF · Albuquerque, NMthe pilot flying's failure to maintain airspeed and correct pitch attitude. Contributing to the accident was the pilot's failure to maintain appropriate thrust after disconnecting the autothrottles. Also contributing was the first officer's failure to monitor…Mar 5, 2016 · N305UP · Substantial damage
See all 17 cases
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\", '02063010'))
  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.