Use of manual

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

Cases
15
In the probable cause
15 (100%)
Fatal cases
1
NTSB code
02063020

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
Cases with Use of manual per year: 15 cases
20081
20092
20101
20114
20131
20143
20171
20221
20241
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\", '02063020') 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

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\", '02063020'))
  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\", '02063020') 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 · 15

NTSB CEN24LA272Accident · No injuriesClass 3 · LimitedFinal reportAir Tractor AT-602 · Oakland, NEThe pilot’s failure to maintain coordinated flight during aerial-application operations, which resulted in fuel migration between the interconnected wing fuel tanks, and his failure to adequately monitor fuel levels during the flight which resulted in a loss…Jul 17, 2024 · N622AW · Substantial damageNTSB ERA23LA058Accident · No injuriesClass 3 · LimitedFinal reportAntonov AN2 · Opa-Locka, FLThe pilot's failure to properly configure the cowl flaps and oil cooler shutters, which resulted in a total loss of engine power due to overheating of the engine. Contributing to the accident was the pilot's decision to operate the airplane in with an…Nov 14, 2022 · CU-A1885 · Substantial damageNTSB ERA17FA106Accident · 2 fatalField investigationFinal reportBeech C23 · Winder, GAThe flight instructor's inadequate preflight planning and operation of the airplane outside its center of gravity envelope, which resulted in a loss of control while maneuvering.Feb 16, 2017 · N24695 · Substantial damageNTSB ERA14LA257Accident · Serious injuriesLimited investigationFinal reportP&M Quikr · Gulf Shores, ALThe pilot’s failure to maintain aircraft control during engine startup, which resulted in a collision with a parked airplane. Contributing to the accident was the pilot’s failure to follow engine startup procedures and a sudden surge of engine power for…May 22, 2014 · N428PM · Minor damageNTSB ERA14LA086Accident · Minor injuriesLimited investigationFinal reportCirrus Design SR22 · Buckhannon, WVThe pilot’s improper in-flight fuel mixture management and failure to use the appropriate checklist or manuals during approach to landing, which resulted in a loss of engine power.Jan 4, 2014 · N450TX · Substantial damageNTSB WPR14LA084Accident · No injuriesLimited investigationFinal reportEurocopter EC 130 B4 · Boulder City, NVA loss of engine power due to fuel starvation as a result of the noncertificated maintenance technician’s failure to properly tighten and safety wire a B-nut fitting. Contributing to the accident was the maintenance technician’s failure to follow the…Jan 1, 2014 · N133GC · Substantial damageNTSB ERA13LA252Accident · No injuriesLimited investigationFinal reportBeech A36 · Atlanta, GAThe pilot's inadequate preflight planning, which resulted in the airplane being loaded in excess of its maximum gross weight at an aft center of gravity for a takeoff with a quartering tailwind and high-density altitude conditions, all of which degraded the…May 23, 2013 · N8225T · Substantial damageNTSB CEN12FA043Accident · Serious injuriesField investigationFinal reportHawker Beechcraft 76 · Fort Worth, TXThe flight instructor's failure to maintain airspeed above the air minimum control airspeed (Vmca), which resulted in a loss of control and impact with terrain. Contributing to the accident was the instructor's failure to follow published procedures to…Oct 26, 2011 · N6018U · Substantial damageNTSB WPR12CA014Accident · No injuriesData collectionFinal reportCzech Aircraft Works Spol Sro Sportcruiser · Las Vegas, NVThe inadvertent opening of the airplane’s canopy during takeoff, which distracted the pilot and resulted in his failure to maintain control of the airplane. Contributing to the accident was the pilot's failure to comply with the manufacturer's recommended…Oct 16, 2011 · N999VS · Substantial damageNTSB WPR11CA365Accident · No injuriesData collectionFinal reportCessna 162 · Rawlings, WYThe pilot's decision to attempt a takeoff at a density altitude that was outside the performance envelope of the airplane. Also causal was the flight's likely encounter with a sudden tailwind gust.Aug 1, 2011 · N7024V · Substantial damage
See all 15 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\", '02063020'))
  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.