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NTSB finding · Personnel issues › Task performance › Communication (personnel)

All 26 cases23 in the probable cause
Cases
26
In the probable cause
23 (88%)
Fatal cases
7
NTSB code
02063540

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\", '02063540') 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\", '02063540'))
  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\", '02063540') 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 · 26

NTSB ERA26LA187Accident · No injuriesClass 4 · LimitedFinal reportCessna 172 · Quakertown, PAThe pilot receiving instruction’s failure to maintain aircraft directional control during the takeoff roll. Contributing was the flight crew’s failure to ensure a positive exchange of flight controls during the takeoff roll.Apr 24, 2026 · N99467 · Substantial damageNTSB ERA24LA351Accident · Minor injuriesClass 4 · LimitedFinal reportCessna 680 · Washington, NCThe flight crew’s failure to properly configure the airplane before landing and the captain’s subsequent failure to recognize the landing gear aural warning, which resulted in a gear-up landing. Contributing to the accident was the flight crew’s inadequate…Aug 18, 2024 · N680SA · Substantial damageNTSB ANC24LA035Accident · No injuriesClass 4 · LimitedFinal reportPiper PA-22-150 · Afton, WYThe commercial pilot’s failure to maintain directional control of the airplane during takeoff. Contributing was the student pilot’s application of brakes during the takeoff roll and the failure of both pilots to maintain a positive transfer of controls.May 17, 2024 · N9998D · Substantial damageNTSB CEN23LA385Accident · No injuriesClass 4 · LimitedFinal reportBell Helicopter Textron Canada 206 · Hibbing, MNThe ground crew’s failure to secure the backpack at the landing zone (LZ), that resulted in the tail rotor impacting the backpack during the landing. Contributing to the accident was the pilot’s inadequate selection of an area at the LZ, the lack of awareness…Aug 27, 2023 · N19BH · Substantial damageNTSB CEN23LA148Accident · No injuriesClass 4 · LimitedFinal reportCessna 550 · Oklahoma City, OKThe pilot’s improper landing flare, which resulted in a hard, bounced landing, runway excursion, and subsequent collision with a runway sign. Contributing to the accident was the pilot’s lack of experience in the airplane, the unstabilized approach, and…Mar 27, 2023 · N550DW · Substantial damageNTSB ANC23FA008Accident · 3 fatalClass 3 · FieldFinal reportRaytheon C90A · Kaupo, HIGuardian 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…Dec 15, 2022 · N13GZ · Substantial damageNTSB WPR22LA341Accident · No injuriesClass 3 · LimitedFinal reportCessna 750 · Mesa, AZThe pilot’s improper decision to depart on the accident flight with a known hydraulic leak, resulting in an in-flight hydraulic system failure, and the pilot’s attempt to land during an unstabilized approach, which resulted in a loss of control during the…Sep 7, 2022 · N15TZ · Substantial damageNTSB DCA22LA126Incident · No injuriesClass 3 · LimitedFinal reportBoeing 757-236 · Tulsa, OKThe flight crew’s misidentification of the intended landing runway. Contributing to the incident were (1) the flight crew’s failure to perceive and correctly interpret visual and auditory indicators – including electronic guidance – that they were approaching…Jun 8, 2022 · N949FD · No damageNTSB WPR21FA286Accident · 6 fatalClass 3 · FieldFinal reportBombardier CL-600-2B16 · Truckee, CAThe first officer’s (FO’s) improper decision to attempt to salvage an unstabilized approach by executing a steep left turn to realign the airplane with the runway centerline, and the captain’s failure to intervene after recognizing the FO’s erroneous action,…Jul 26, 2021 · N605TR · DestroyedNTSB DCA21FA174Accident · Serious injuriesClass 2 · FieldFinal reportBoeing 737-275C · Honolulu, HIThe flight crewmembers’ misidentification of the damaged engine (after leveling off the airplane and reducing thrust) and their use of only the damaged engine for thrust during the remainder of the flight, resulting in an unintentional descent and forced…Jul 2, 2021 · N810TA · Destroyed
See all 26 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\", '02063540'))
  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.