# NTSB investigations: Use of policy/procedure

NTSB aviation accident and incident investigations since 1962: the probable cause, findings, aircraft, crew, weather and docket of each, linked to the FAA registry and the FAA’s own reports.

Page 1 of 4 · 191 cases

## Latest cases

- [NTSB CEN26LA260](https://openairdocs.org/ntsb/CEN26LA260.md): Robinson Helicopter R44 · Emerson, IA · Accident · No injuries · Class 4 · Limited · Final report · Jul 20, 2026 · N224RH · Substantial damage
  > The failure of the pilot to verify the loading hose had been disconnected before taking off and the failure of the loader to disconnect the fuel hose from the helicopter.
- [NTSB CEN26LA081](https://openairdocs.org/ntsb/CEN26LA081.md): Ela ELA10 · Morris, IL · Accident · No injuries · Class 4 · Limited · Final report · Dec 23, 2025 · N396S · Substantial damage
  > The pilot’s failure obtain the proper rotor rpm before applying power for the takeoff roll which resulted in a loss of control.
- [NTSB CEN25LA290](https://openairdocs.org/ntsb/CEN25LA290.md): Cessna R182 · Lansing, IL · Accident · No injuries · Class 4 · Limited · Final report · Jul 22, 2025 · N737HN · Substantial damage
  > The pilot's failure to extend the landing gear before landing due to his distraction of other traffic and failure to follow his landing procedures.
- [NTSB CEN25LA132](https://openairdocs.org/ntsb/CEN25LA132.md): Taylorcraft BC12 · Russellville, AR · Accident · No injuries · Class 4 · Limited · Final report · Mar 22, 2025 · N39158 · Substantial damage
  > The failure of the U.S. Army helicopter pilots to yield the right-of-way to the landing airplane, which resulted in the airplane encountering wake turbulence emitted from the three departing U.S. Army helicopters, a subsequent loss of directional control, and…
- [NTSB CEN25LA101](https://openairdocs.org/ntsb/CEN25LA101.md): Cessna 177A · Farlinville, KS · Accident · No injuries · Class 4 · Limited · Final report · Feb 20, 2025 · N30413 · Substantial damage
  > A loss of engine power that resulted from fuel contamination when it was treated with a 70% isopropyl alcohol solution (antiseptic) that contained water. Contributing to the accident were vague fuel treatment instructions provided by the operator.
- [NTSB DCA25LA120](https://openairdocs.org/ntsb/DCA25LA120.md): Bombardier CL-600-2B19 · Chicago, IL · Accident · Serious injuries · Class 4 · Limited · Final report · Feb 2, 2025 · N420AW · Substantial damage
  > The tug driver’s failure to ensure the taxiway was clear of aircraft prior to crossing, resulting in a collision with the left wing of the taxiing aircraft. Contributing to the accident was the limited visibility of the aircraft due to ambient lighting…
- [NTSB CEN25LA082](https://openairdocs.org/ntsb/CEN25LA082.md): Beech N35 · Plainview, TX · Accident · No injuries · Class 4 · Limited · Final report · Jan 17, 2025 · N1206Z · Substantial damage
  > Fuel starvation due to fuel migration during the pilot induced slipping maneuver.
- [NTSB WPR25LA029](https://openairdocs.org/ntsb/WPR25LA029.md): Daher TBM700 · Pinedale, WY · Accident · Serious injuries · Class 3 · Limited · Final report · Oct 29, 2024 · N885CA · Substantial damage
  > The pilot’s failure to ensure that the airplane was free of snow contamination before takeoff and to follow the manufacturer’s anti-icing procedure during continued snowfall, which resulted in an aerodynamic stall and loss of control shortly after liftoff.…
- [NTSB WPR24LA241](https://openairdocs.org/ntsb/WPR24LA241.md): Robinson Helicopter R44 II · Herriman, UT · Accident · No injuries · Class 3 · Limited · Final report · Jul 13, 2024 · N6960 · Substantial damage
  > A hard landing following a total loss of engine power due to fuel starvation as a result of the improper idle setting of the helicopter’s engine. Contributing to the loss of engine power was the instructor’s reduction of engine power past that recommended by…
- [NTSB ANC24FA063](https://openairdocs.org/ntsb/ANC24FA063.md): Robinson Helicopter R44 · Kekaha, HI · Accident · 3 fatal · Class 3 · Field · Final report · Jul 11, 2024 · N144KW · Substantial damage
  > An encounter with turbulence due to downdraft winds that resulted in mast bumping and an in-flight breakup.
- [NTSB CEN24FA164](https://openairdocs.org/ntsb/CEN24FA164.md): Lancair Legacy FG · Spicewood, TX · Accident · 1 fatal · Class 3 · Field · Final report · Apr 22, 2024 · N550NL · Destroyed
  > The pilot’s failure to properly configure the airplane during a go-around in gusting wind conditions, and his subsequent exceedance of the airplane’s critical angle of attack, which resulted in an aerodynamic stall at an altitude too low for recovery.
- [NTSB WPR24FA083](https://openairdocs.org/ntsb/WPR24FA083.md): Hawker Beechcraft Hawker 900XP · Westwater, UT · Accident · 2 fatal · Class 2 · Field · Final report · Feb 7, 2024 · N900VA · Destroyed
  > The flight crew’s decision to conduct a post-maintenance stall test in an area of icing conditions, which resulted in wing contamination that significantly decreased the airplane’s critical angle of attack. Also causal was the airplane manufacturer’s lack of…
- [NTSB DCA24LA034](https://openairdocs.org/ntsb/DCA24LA034.md): Boeing 717 · Kahului, HI · Incident · Minor injuries · Class 3 · Limited · Final report · Nov 30, 2023 · N494HA · Minor damage
  > The captain did not verify that the tow tractor had exited the area in front of the airplane before taxiing for departure. Contributing factors were the dark conditions and the absence of an illuminated hazard beacon on the tow tractor, which reduced its…
- [NTSB CEN24FA024](https://openairdocs.org/ntsb/CEN24FA024.md): Lancair 320 · Manitowoc, WI · Accident · 1 fatal · Class 3 · Field · Final report · Oct 25, 2023 · N320P · Substantial damage
  > The pilot’s decision to continue the visual flight rules flight into instrument meteorological conditions and failure to maintain clearance from trees and terrain during an unapproved instrument approach. Contributing to the accident was the pilot’s…
- [NTSB ANC23LA085](https://openairdocs.org/ntsb/ANC23LA085.md): Eurocopter AS 350 B3 · Johnson River, AK · Accident · Serious injuries · Class 4 · Limited · Final report · Sep 16, 2023 · N297SH · No damage
  > The ground crew’s failure to remain clear of a tag line during sling load operations, resulting in his entanglement.
- [NTSB ANC23FA045](https://openairdocs.org/ntsb/ANC23FA045.md): Piper PA-32-300 · Old Harbor, AK · Accident · 2 fatal · Class 3 · Field · Final report · Jul 2, 2023 · N1132Q · Substantial damage
  > The pilot’s failure to maintain clearance from rising terrain. Contributing to the accident was the pilot’s delayed decision to turn away from the terrain.
- [NTSB CEN23FA258](https://openairdocs.org/ntsb/CEN23FA258.md): Cessna 177 · Hot Springs, AR · Accident · 1 fatal · Class 3 · Field · Final report · Jun 26, 2023 · N3138T · Substantial damage
  > The pilot’s improper preflight fuel planning and inflight fuel mismanagement, which resulted in a total loss of engine power due to fuel exhaustion, and his subsequent failure to maintain adequate airspeed during the forced landing, which resulted in the…
- [NTSB ANC23LA023](https://openairdocs.org/ntsb/ANC23LA023.md): Cessna P337H · Kona, HI · Accident · Minor injuries · Class 3 · Limited · Final report · Feb 14, 2023 · N5KR · Substantial damage
  > The failure of the pilot to recognize that the rear engine was not operating during takeoff, which resulted in an attempted single-engine takeoff and the airplane’s subsequent descent and impact with terrain. Contributing to the accident was a loss of rear…
- [NTSB CEN23FA071](https://openairdocs.org/ntsb/CEN23FA071.md): Bell 407 · Galliano, LA · Accident · 4 fatal · Class 3 · Field · Final report · Dec 29, 2022 · N595RL · Substantial damage
  > The pilot’s failure to ensure the helicopter was clear of obstacles before takeoff from the helideck, which resulted in the helicopter’s right landing skid pivoting about a helideck perimeter light during takeoff and a dynamic rollover. Additionally, the…
- [NTSB WPR23LA074](https://openairdocs.org/ntsb/WPR23LA074.md): Royse Ralph L Glasair · Cottonwood, CA · Accident · Minor injuries · Class 4 · Limited · Final report · Dec 17, 2022 · N9YA · Substantial damage
  > The pilot’s fuel mismanagement which resulted in fuel starvation and a total loss of engine power.
- [NTSB ANC23FA008](https://openairdocs.org/ntsb/ANC23FA008.md): Raytheon C90A · Kaupo, HI · Accident · 3 fatal · Class 3 · Field · Final report · Dec 15, 2022 · N13GZ · Substantial damage
  > Guardian Flight’s inadequate pilot training and performance tracking, which failed to identify and correct the pilot’s consistent lack of skill, and which resulted in the pilot’s inability to maintain his position inflight using secondary instruments to…
- [NTSB ANC23LA006](https://openairdocs.org/ntsb/ANC23LA006.md): Cessna 207 · Bethel, AK · Accident · No injuries · Class 3 · Limited · Final report · Nov 20, 2022 · N23CF · Substantial damage
  > The total loss of engine power during cruise flight due to fuel starvation and the pilot’s mismanagement of the available fuel.
- [NTSB WPR21LA320](https://openairdocs.org/ntsb/WPR21LA320.md): Robinson Helicopter R22 Beta · West Jordan, UT · Accident · Serious injuries · Class 3 · Limited · Final report · Aug 14, 2021 · N226WM · Substantial damage
  > The pilot receiving instruction’s improper application of forward cyclic in a low rotor rpm condition and the instructor’s delayed remediation, which resulted in an impact with terrain.
- [NTSB WPR21FA288](https://openairdocs.org/ntsb/WPR21FA288.md): Borom Long-EZ · Tucson, AZ · Accident · 1 fatal · Class 3 · Field · Final report · Jul 27, 2021 · N966EZ · Substantial damage
  > The pilot's failure to maintain adequate airspeed and to retract the speed brake during the approach, which resulted in a hard landing short of the runway. Contributing to the accident was the flight instructor’s decision to conduct a flight review in an…
- [NTSB ERA21FA258](https://openairdocs.org/ntsb/ERA21FA258.md): Cessna 150 · Yulee, FL · Accident · 2 fatal · Class 3 · Field · Final report · Jun 18, 2021 · N1300Q · Destroyed
  > The flight instructor’s decision to conduct slow flight training at an altitude below the flight school’s minimum recovery altitude and his delayed remedial action when an aerodynamic stall occurred.
- [NTSB ERA21LA252](https://openairdocs.org/ntsb/ERA21LA252.md): Robinson Helicopter R44 II · Sylva, NC · Accident · No injuries · Class 4 · Limited · Final report · Jun 14, 2021 · N443SH · Substantial damage
  > The pilot’s intentional departure from the procedures published in the manufacturer’s flight training guide, and his subsequent loss of engine rpm, rotor rpm, and aircraft control.
- [NTSB CEN20LA440](https://openairdocs.org/ntsb/CEN20LA440.md): Swearingen SA227 · San Antonio, TX · Accident · No injuries · Class 3 · Limited · Final report · Sep 5, 2020 · N362AE · Substantial damage
  > The pilot’s failure to fly a stabilized approach which resulted in a hard landing and loss of control.
- [NTSB WPR20LA278](https://openairdocs.org/ntsb/WPR20LA278.md): Piper PA28 · Harlowton, MT · Accident · Minor injuries · Class 3 · Limited · Final report · Aug 14, 2020 · N317LB · Substantial damage
  > The pilot’s failure to follow the appropriate takeoff procedures, which resulted in a collision with terrain.
- [NTSB WPR20LA246](https://openairdocs.org/ntsb/WPR20LA246.md): Air Tractor AT802 · Elgin, NV · Accident · 2 fatal · Class 3 · Limited · Final report · Jul 30, 2020 · N8510M · 2 aircraft · Destroyed
  > The trailing pilot’s failure to maintain separation from the lead airplane during a fire retardant deployment flight, which resulted in the trailing airplane flying through a plume of retardant and the trailing pilot’s subsequent loss of visibility that led…
- [NTSB WPR20LA223](https://openairdocs.org/ntsb/WPR20LA223.md): Piper PA 30 · Vaughn, NM · Accident · No injuries · Class 3 · Limited · Final report · Jul 15, 2020 · N8488Y · Substantial damage
  > The total loss of power in the right engine due to fuel starvation. Contributing to the accident was the pilot’s failure to follow the manufacturer-recommended procedure after the loss of power in the right engine.
- [NTSB ERA20LA127](https://openairdocs.org/ntsb/ERA20LA127.md): Piper PA23 · Albemarle, NC · Accident · No injuries · Class 3 · Limited · Final report · Mar 5, 2020 · N335W · Substantial damage
  > The pilots' failure to ensure that the electric fuel pumps were on before takeoff, which resulted in a partial loss of power on both engines during initial climb.
- [NTSB ANC20FA017](https://openairdocs.org/ntsb/ANC20FA017.md): Piper PA32R · Tuntutuliak, AK · Accident · 5 fatal · Class 3 · Field · Final report · Feb 6, 2020 · N7632C · Substantial damage
  > The pilot's continued visual flight rules flight into reduced visibility, including likely flat light and/or white out conditions, which resulted in a controlled flight into terrain. Contributing to the accident were the operator’s inadequate operational…
- [NTSB WPR20CA060](https://openairdocs.org/ntsb/WPR20CA060.md): Cessna 150 · Twentynine Palms, CA · Accident · No injuries · Data collection · Final report · Jan 4, 2020 · N45069 · Substantial damage
  > The pilot's poor preflight planning, during which he failed to verify the proper procedure to activate the runway lights; his inability to locate the airport without lighting; and the airplane’s subsequent low-fuel state as he circled looking for the airport,…
- [NTSB GAA20CA062](https://openairdocs.org/ntsb/GAA20CA062.md): Bell 47G · Groveland, FL · Accident · No injuries · Data collection · Final report · Nov 7, 2019 · N6746D · Substantial damage
  > The student pilot's improper cyclic input after a reported hydraulic failure, the reason for which could not be determined, and his failure to follow the emergency procedures, which resulted in a hard landing.
- [NTSB WPR19LA253](https://openairdocs.org/ntsb/WPR19LA253.md): Ercoupe 415 · Maricopa, AZ · Accident · Serious injuries · Class 3 · Limited · Final report · Sep 10, 2019 · N3816H · Substantial damage
  > The flight instructor’s failure to prevent the student pilot from exceeding the airplane’s critical angle of attack, which resulted in an aerodynamic stall and subsequent spin. Contributing to the accident was the student pilot’s failure to make a positive…
- [NTSB WPR19LA218](https://openairdocs.org/ntsb/WPR19LA218.md): Extra EA300 · Mesa, AZ · Accident · No injuries · Class 3 · Limited · Final report · Aug 14, 2019 · N19AM · Substantial damage
  > The flight instructor’s operation of the airplane outside of the manufacturer’s limitations, which resulted in fuel starvation and a partial loss of engine power. Contributing to the accident was an inoperative electric fuel boost pump.
- [NTSB ERA19FA188](https://openairdocs.org/ntsb/ERA19FA188.md): Piper PA46 · Castalia, NC · Accident · 4 fatal · Class 3 · Field · Final report · Jun 7, 2019 · N709CH · Destroyed
  > The pilot’s failure to navigate around hazardous weather, resulting in the penetration of a thunderstorm, a loss of airplane control, and an inflight breakup. The air traffic controller’s failure to provide the pilot with adequate and timely weather…
- [NTSB GAA19CA312](https://openairdocs.org/ntsb/GAA19CA312.md): Cessna 172 · Nogalas, AZ · Accident · No injuries · Data collection · Final report · May 23, 2019 · N273EB · Substantial damage
  > The student pilot's failure to maintain adequate clearance from a parked fuel truck. Contributing to the accident were the student’s failure to follow company policy and the flight instructor’s delayed remedial action.
- [NTSB GAA19CA176](https://openairdocs.org/ntsb/GAA19CA176.md): Piper PA28 · Savannah, GA · Accident · No injuries · Data collection · Final report · Mar 20, 2019 · N2667Q · Substantial damage
  > The pilot's failure to conduct the engine starting procedures in accordance with the Pilot’s Operating Handbook, which resulted in an engine fire.
- [NTSB GAA19CA050](https://openairdocs.org/ntsb/GAA19CA050.md): Piper PA28 · East Moriches, NY · Accident · No injuries · Data collection · Final report · Oct 20, 2018 · N8275V · Substantial damage
  > The pilot’s delayed initiation of a go-around and his subsequent use of the improper go-around procedure, which resulted in a landing area overshoot.
- [NTSB ERA18FA264](https://openairdocs.org/ntsb/ERA18FA264.md): Dassault Falcon 50 · Greenville, SC · Accident · 2 fatal · Field investigation · Final report · Sep 27, 2018 · N114TD · Substantial damage
  > The operator's decision to allow a flight in an airplane with known, unresolved maintenance discrepancies, and the flight crew's failure to properly configure the airplane in a way that would have allowed the emergency or parking brake systems to stop the…
- [NTSB CEN18FA387](https://openairdocs.org/ntsb/CEN18FA387.md): Beech 200 · Oscoda, MI · Accident · 1 fatal · Field investigation · Final report · Sep 25, 2018 · N241CK · Destroyed
  > The pilot's descent below minimum descent altitude during the nonprecision instrument approach for reasons that could not be determined based on the available information.
- [NTSB GAA18CA559](https://openairdocs.org/ntsb/GAA18CA559.md): Piper PA34 · Miami, FL · Accident · No injuries · Data collection · Final report · Sep 11, 2018 · N88AG · Substantial damage
  > The pilot under instruction’s failure to maintain the twin-engine airplane’s minimum control airspeed with one engine inoperative and the flight instructor’s distraction when reconfiguring the airplane following the simulated engine failure, which resulted in…
- [NTSB ERA18LA211](https://openairdocs.org/ntsb/ERA18LA211.md): Schweizer SGS233 · Churchville, MD · Accident · No injuries · Limited investigation · Final report · Aug 5, 2018 · N2832H · Substantial damage
  > The pilots' decision to take off from a wet, upsloping turf runway with a quartering tailwind and elevated density altitude conditions, which degraded takeoff and climb performance and resulted in the glider flight instructor's decision to discontinue the…
- [NTSB CEN18LA257](https://openairdocs.org/ntsb/CEN18LA257.md): Piper PA46 · Springhill, LA · Accident · No injuries · Class 3 · Limited · Final report · Jul 3, 2018 · N689KC · Substantial damage
  > The pilot’s exceedance of the airplane's critical angle of attack during an improper go-around procedure which resulted in an aerodynamic stall.
- [NTSB CEN18CA294](https://openairdocs.org/ntsb/CEN18CA294.md): Robinson R22 · Sterling City, TX · Accident · No injuries · Data collection · Final report · Jun 17, 2018 · N410MM · Substantial damage
  > The pilot’s improper decision to exit the helicopter without shutting down the engine, which allowed the collective/throttle to increase and resulted in a loss of control of the unattended helicopter.
- [NTSB CEN18FA217](https://openairdocs.org/ntsb/CEN18FA217.md): Let L 23 Super Blanik · Moose, WY · Accident · 2 fatal · Field investigation · Final report · Jun 9, 2018 · N317BA · Destroyed
  > The pilot's encounter with atmospheric conditions that resulted in a loss of lift and a subsequent loss of control near terrain that precluded recovery. Contributing to the accident was the pilot's failure to follow the operator's published tour flight…
- [NTSB GAA18CA295](https://openairdocs.org/ntsb/GAA18CA295.md): Luscombe 8 · Batavia, OH · Accident · Minor injuries · Data collection · Final report · May 24, 2018 · N77922 · Substantial damage
  > The student pilot’s use of an improper engine hand-propping procedure, which resulted in the airplane’s unexpected movement.
- [NTSB GAA18CA277](https://openairdocs.org/ntsb/GAA18CA277.md): Cessna 162 · Waterloo, IN · Accident · No injuries · Data collection · Final report · May 5, 2018 · N263VX · Substantial damage
  > The pilot’s improper landing flare during a soft-field landing and his use of an improper soft-field landing procedure, which resulted in a bounced landing.
- [NTSB ERA18FA122](https://openairdocs.org/ntsb/ERA18FA122.md): MD Helicopter 600 · Smethport, PA · Accident · 2 fatal · Field investigation · Final report · Apr 8, 2018 · N602BP · Destroyed
  > The helicopter pilot's failure to maintain adequate clearance during power line construction work, which resulted in the helicopter's main rotor striking and becoming entangled with a wire and a subsequent dynamic rollover and collision with terrain.…

Next page: https://openairdocs.org/ntsb-findings/02063032/cases.md?page=2

## The whole list in SQL

Runs in DuckDB 1.2 or later on the release's Parquet files over HTTPS:

```sql
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", '02063032'))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-findings/02063032/cases

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OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.
