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Task overload

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NTSB finding · Personnel issues › Task performance › Workload management

All 18 cases14 in the probable cause
Cases
18
In the probable cause
14 (78%)
Fatal cases
10
NTSB code
02064025

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\", '02064025') 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\", '02064025'))
  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\", '02064025') 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 · 18

NTSB ANC25LA117Accident · No injuriesClass 4 · LimitedFinal reportPiper PA-31 · Kotlik, AKThe pilot’s failure to extend the landing gear before landing.Oct 1, 2025 · N16SC · Substantial damageNTSB DCA25MA108Accident · 67 fatalClass 1 · MajorFinal reportBombardier CL-600-2C10 · Washington, DCThe Federal Aviation Administration’s (FAA) placement of a helicopter route in close proximity to a runway approach path; their failure to regularly review and evaluate helicopter routes and available data, and their failure to act on recommendations to…Jan 30, 2025 · N709PS · 2 aircraft · DestroyedNTSB WPR24FA238Accident · 1 fatalClass 3 · FieldFinal reportAir Tractor AT-802A · Helena, MTThe pilot’s loss of situational awareness during the water scoop due to task overload while operating in a multi-airplane tactical firefighting environment, which resulted in the pilot’s failure to maintain directional control and the airplane’s collision…Jul 10, 2024 · N10122 · Substantial damageNTSB WPR24FA124Accident · 1 fatalClass 3 · FieldFinal reportGulfstream 695A · San Bernardino, CAThe pilot’s continued use of the airplane’s autopilot after flight into moderate to severe icing conditions, which resulted in an exceedance of the airplane’s critical angle of attack and an aerodynamic stall.Apr 14, 2024 · N965BC · DestroyedNTSB DCA24FA143Accident · Serious injuriesClass 3 · FieldFinal reportBoeing 737-7CT · Gulf of America (Gulf of Mexico)The pilot’s inadvertent encounter with convectively induced turbulence from a broken line of embedded thunderstorms moving across the region. Contributing to the accident was the failure of the air traffic controller to issue pertinent weather information…Apr 3, 2024 · N567WN · No damageNTSB OPS24LA004IncidentClass 4 · LimitedFinal reportAirbus A321-271N · Long Beach, CAThe local controller’s poor judgment in prioritization of their ground traffic ahead of their airborne traffic, that became a distraction and led to a loss of situational awareness resulting in a near midair collision. Contributing to the incident was the…Oct 27, 2023 · N216HA · 2 aircraft · No damageNTSB WPR23FA172Accident · 1 fatalClass 3 · FieldFinal reportCessna 172S · Los Angeles, CAThe pilot’s failure to maintain clearance with the hilly terrain resulting from his loss of situational awareness due to the deteriorating weather conditions as he descended to approach his destination airport.Apr 30, 2023 · N575ND · Substantial damageNTSB WPR23FA092Accident · 1 fatalClass 3 · FieldFinal reportCessna 414 · Modesto, CAThe pilot’s exceedance of the airplane’s critical angle of attack and failure to maintain proper airspeed during a turn to final, resulting in an aerodynamic stall and subsequent impact with terrain. Contributing to the accident was the pilot’s distraction…Jan 18, 2023 · N4765G · Substantial damageNTSB 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 · DestroyedNTSB CEN19LA039Accident · Minor injuriesLimited investigationFinal reportCessna 550 · Fargo, NDThe pilot's failure to lower the flaps during the approach and maintain sufficient airspeed while flying in instrument meteorological and icing conditions and the accumulation of ice on the wings’ leading edges, which resulted in the exceedance of the…Nov 30, 2018 · N941JM · Substantial damage
See all 18 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\", '02064025'))
  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.