# Air traffic/operating proc, general

- Type: NTSB finding subsection
- Path: [Environmental issues](https://openairdocs.org/ntsb-findings/03) › [Operating environment](https://openairdocs.org/ntsb-findings/0301) › [Air traffic/operating proc](https://openairdocs.org/ntsb-findings/030140) › Air traffic/operating proc, general
- NTSB code: 03014000
- Cases: 13
- In the probable cause: 6
- Fatal cases: 6
- All cases: https://openairdocs.org/ntsb-findings/03014000/cases.md
- Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/03014000/cases.md?cause=1
- Page: https://openairdocs.org/ntsb-findings/03014000

## Cases per year (in the probable cause / all)

- 2008: 1 / 1
- 2009: 0 / 3
- 2010: 1 / 1
- 2014: 1 / 2
- 2015: 1 / 1
- 2017: 1 / 1
- 2020: 0 / 1
- 2022: 0 / 1
- 2023: 0 / 1
- 2024: 1 / 1

## Defining events in these cases

- [Ground collision](https://openairdocs.org/ntsb-events/200): 2 cases
- [Birdstrike](https://openairdocs.org/ntsb-events/901): 1 cases
- [VFR encounter with IMC](https://openairdocs.org/ntsb-events/401): 1 cases
- [Windshear or thunderstorm](https://openairdocs.org/ntsb-events/390): 1 cases
- [Loss of engine power (total)](https://openairdocs.org/ntsb-events/341): 1 cases
- [Wrong surface or wrong airport](https://openairdocs.org/ntsb-events/284): 1 cases
- [Abrupt maneuver](https://openairdocs.org/ntsb-events/270): 1 cases
- [Midair collision](https://openairdocs.org/ntsb-events/250): 1 cases
- [Loss of control on ground](https://openairdocs.org/ntsb-events/230): 1 cases
- [Low altitude operation/event](https://openairdocs.org/ntsb-events/220): 1 cases

## Aircraft models (registry)

- [Boeing 737-7H4](https://openairdocs.org/model/boeing-737-7h4): 2 cases
- [Beech A36](https://openairdocs.org/model/beech-a36): 2 cases
- [Taylorcraft BL-65](https://openairdocs.org/model/taylorcraft-bl-65): 1 cases
- [Sikorsky S-76B](https://openairdocs.org/model/sikorsky-s-76b): 1 cases
- [Robinson Helicopter R44 II](https://openairdocs.org/model/robinson-helicopter-r44-ii): 1 cases
- [Piper PA 46-350P](https://openairdocs.org/model/piper-pa-46-350p): 1 cases
- [Piper PA-46-310P](https://openairdocs.org/model/piper-pa-46-310p): 1 cases
- [Piper PA-22-150](https://openairdocs.org/model/piper-pa-22-150): 1 cases
- [Airbus Industrie A320-212](https://openairdocs.org/model/airbus-industrie-a320-212): 1 cases
- [Airbus Industrie A320-214](https://openairdocs.org/model/airbus-industrie-a320-214): 1 cases

## Other findings in the same cases

- [Lack of communication](https://openairdocs.org/ntsb-findings/02063510) (Personnel issues): 6 cases
- [Aircraft control](https://openairdocs.org/ntsb-findings/02063040) (Personnel issues): 5 cases
- [Identification/recognition](https://openairdocs.org/ntsb-findings/02041510) (Personnel issues): 3 cases
- [Low visibility](https://openairdocs.org/ntsb-findings/03035015) (Environmental issues): 2 cases
- [Use of equip/system](https://openairdocs.org/ntsb-findings/02063015) (Personnel issues): 2 cases
- [Decision making/judgment](https://openairdocs.org/ntsb-findings/02041520) (Personnel issues): 2 cases
- [Monitoring other aircraft](https://openairdocs.org/ntsb-findings/02021540) (Personnel issues): 2 cases
- [Airspeed](https://openairdocs.org/ntsb-findings/01062010) (Aircraft): 2 cases
- [Adequacy of safety program](https://openairdocs.org/ntsb-findings/04035015) (Organizational issues): 1 cases
- [Adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015) (Organizational issues): 1 cases

## Newest cases

- [NTSB CEN25FA019](https://openairdocs.org/ntsb/CEN25FA019), Oct 21, 2024: Robinson R44 (N881KE), Houston, TX, destroyed, 4 fatal. Probable cause: The pilot’s failure to maintain clearance from a lighted radio tower during a visual night flight. Contributing to the accident was the air traffic controller’s failure to issue a safety alert…
- [NTSB ANC23LA035](https://openairdocs.org/ntsb/ANC23LA035), May 17, 2023: Piper PA22 (N7741D), Anchorage, AK, substantial damage. Probable cause: The pilot's excessive braking during the landing roll, resulting in a nose over.
- [NTSB ERA22FA318](https://openairdocs.org/ntsb/ERA22FA318), Jul 17, 2022: Piper PA-46-350P (N97CX), North Las Vegas, NV, destroyed, 4 fatal. Probable cause: The low-wing airplane pilot’s failure to ensure that the airplane was aligned with the correct runway, which resulted in a collision with the high-wing airplane on final approach. Contributing to the…
- [NTSB DCA20MA059](https://openairdocs.org/ntsb/DCA20MA059), Jan 26, 2020: Sikorsky S76 (N72EX), Calabasas, CA, destroyed, 9 fatal. Probable cause: The pilot’s decision to continue flight under visual flight rules into instrument meteorological conditions, which resulted in the pilot’s spatial disorientation and loss of control. Contributing to…
- [NTSB CEN17FA331](https://openairdocs.org/ntsb/CEN17FA331), Aug 28, 2017: Beech A36 (N87RY), Ellabell, GA, destroyed, 3 fatal. Probable cause: The total loss of engine power due to oil starvation to the No. 1 connecting rod, which resulted from the improper torque of the No. 1 cylinder hold-down bolts and through-studs at the time of the…
- [NTSB CEN16LA067](https://openairdocs.org/ntsb/CEN16LA067), Dec 23, 2015: Hawker 400 (XA-MEX), Telluride, CO, substantial damage. Probable cause: The limitations of the air traffic control equipment that prevented the controller's timely recognition of NOTAM information that was effective immediately and resulted in the issuance of an approach…
- [NTSB CEN14FA300](https://openairdocs.org/ntsb/CEN14FA300), Jun 18, 2014: Piper PA 46-310P (N2428Q), Lehman, TX, substantial damage, 3 fatal. Probable cause: The pilot's improper decision to enter an area of known adverse weather, which resulted in the loss of airplane control. Contributing to the accident was the air traffic controller's failure to…
- [NTSB DCA14IA037](https://openairdocs.org/ntsb/DCA14IA037), Jan 13, 2014: Boeing 737 7H4 (N272WN), Branson, MO, incident, no damage. Probable cause: The Flight crew's failure to properly identify the airport and runway of intended landing. Contributing to the incident was the flight crew's failure to comply with procedures for use of navigation…
- [NTSB WPR10LA134](https://openairdocs.org/ntsb/WPR10LA134), Feb 13, 2010: Boeing 737-7H4 (N221WN), Santa Clarita, CA, no damage. Probable cause: The pilot’s abrupt airplane pitch change maneuver. Contributing to the accident was the flight crew’s failure to maintain the heading specified by the air traffic controller, which would have avoided…
- [NTSB DCA10IA001](https://openairdocs.org/ntsb/DCA10IA001), Oct 21, 2009: Airbus A320 (N374NW), Minneapolis, MN, incident, no damage. Probable cause: The flight crew's failure to monitor the airplane’s radio and instruments and the progress of the flight after becoming distracted by conversations and activities unrelated to the operation of the…

NTSB has coded findings and defining events since 2008; earlier cases used its older occurrence and cause codes and aren't counted.

Findings: https://openairdocs.org/ntsb-findings.md. Defining events: https://openairdocs.org/ntsb-events.md. Phases of flight: https://openairdocs.org/ntsb-phases.md. Every investigation, filtered by finding, event, phase, state, year or model: https://openairdocs.org/ntsb.md (for example ?state=MI&fatal=1).

NTSB's definitions: Accident and incident, 49 CFR 830.2 (https://www.ecfr.gov/current/title-49/subtitle-B/chapter-VIII/part-830/subpart-A/section-830.2), CICTT occurrence categories (PDF) (https://www.ntsb.gov/safety/data/Documents/datafiles/OccurrenceCategoryDefinitions.pdf), CICTT phases of flight (PDF) (https://www.ntsb.gov/safety/data/Documents/datafiles/PhaseofFlightDefinitions.pdf), and NTSB coding manual, before 2008 (PDF) (https://www.ntsb.gov/GILS/Documents/codman.pdf). NTSB publishes no definitions for its findings, only their names.

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