NTSB finding · Organizational issues › Development › Design

Cases
35
In the probable cause
32 (91%)
Fatal cases
13
NTSB code
04011010

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 Equipment design per year: 35 cases
20084
20095
20101
20115
20123
20133
20142
20152
20163
20171
20191
20211
20221
20231
20242
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\", '04011010') 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\", '04011010'))
  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\", '04011010') 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 · 35

NTSB ANC25LA008Accident · Serious injuriesClass 3 · LimitedFinal reportCub Crafters CC18-180 · Anchorage, AKThe incorrect installation of the rear flight control stick, resulting in the pilot’s inability to control the pitch attitude, coupled with the pilot’s inadequate control system check before departure, all which resulted in an aerodynamic stall during takeoff.Nov 2, 2024 · N55PK · Substantial damageNTSB CEN24LA318Accident · No injuriesClass 3 · LimitedFinal reportAyres S2R · Stanwood, MIThe pilot’s failure to maintain terrain clearance during a low-level aerial application flight, which resulted in impact with terrain and a subsequent forced landing. Contributing to the accident was the location of the spray boom pressure gauge, which…Jun 20, 2024 · N4004K · Substantial damageNTSB WPR24FA053Accident · 1 fatalClass 3 · FieldFinal reportBeauchamp Norm Kitfox · Eloy, AZThe separation of a propeller blade during the initial climb due to insufficient blade retention forces. Contributing to the accident was the propeller blade retention design, manufacturing defects that prevented the propeller from achieving adequate grip…Dec 8, 2023 · N66180 · DestroyedNTSB ERA23FA007Accident · 1 fatalClass 3 · FieldFinal reportSeamax M-22 · East Hampton, NYAn inflight separation of the right wing as a result of the manufacturer’s application of a bolt and nut in the upper wing strut attachment point that was inconsistent with the nut design intent and usage limitations.Oct 6, 2022 · N46PD · Substantial damageNTSB DCA21FA085Incident · No injuriesClass 3 · FieldFinal reportBoeing 777-222 · Broomfield, COThe fatigue failure of the right engine fan blade. Contributing to the fan blade failure was the inadequate inspection of the blades, which failed to identify low-level indications of cracking, and the insufficient frequency of the manufacturer’s inspection…Feb 20, 2021 · N772UA · Minor damageNTSB DCA20MA002Accident · 1 fatalClass 1 · MajorFinal reportSaab 2000 · Unalaska, AKThe landing gear manufacturer’s incorrect wiring of the wheel speed transducer harnesses on the left main landing gear during overhaul. The incorrect wiring caused the antiskid system not to function as intended, resulting in the failure of the left outboard…Oct 18, 2019 · N686PA · Substantial damageNTSB ERA17LA263Accident · Minor injuriesLimited investigationFinal reportSikorsky S-97A · Jupiter, FLA design change in the helicopter's fly-by-wire control system that resulted in an increase in the sensitivity of the cyclic stick while transitioning from ground to flight mode, magnifying the pilot's control inputs, which resulted in unintentional over…Aug 2, 2017 · N971SK · Substantial damageNTSB ERA16LA274Accident · Minor injuriesLimited investigationFinal reportAlisport Silent 2 Targa · London, KYThe pilot's failure to properly secure the right side of the canopy before takeoff, and an in-flight collision with trees while maneuvering with an open canopy. Contributing to the pilot's failure to properly secure the canopy was the lack of a visual…Jul 24, 2016 · N602SL · Substantial damageNTSB DCA16FA199Accident · 2 fatalClass 2 · FieldFinal reportBell 525 · Italy, TXA severe vibration of the helicopter that led to the crew's inability to maintain sufficient rotor rotation speed (Nr), leading to excessive main rotor blade flapping, subsequent main rotor blade contact with the tail boom, and the resultant in-flight…Jul 6, 2016 · N525TA · DestroyedNTSB ERA16FA194Accident · 2 fatalField investigationFinal reportJihlavan Airplanes Sro KP 5 ASA · Rhoadesville, VAThe pilots' loss of control that necessitated the activation of the parachute system and the airplane manufacturer's inadequate design of the front parachute anchor attachment structure, which resulted in a failure of the parachute after it was deployed in…May 24, 2016 · N440JM · Destroyed
See all 35 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\", '04011010'))
  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.