# Policy/procedure

- Type: NTSB finding section
- Path: [Organizational issues](https://openairdocs.org/ntsb-findings/04) › [Management](https://openairdocs.org/ntsb-findings/0402) › Policy/procedure
- NTSB code: 040210
- Cases: 145
- In the probable cause: 111
- Fatal cases: 56
- All cases: https://openairdocs.org/ntsb-findings/040210/cases.md
- Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/040210/cases.md?cause=1
- Page: https://openairdocs.org/ntsb-findings/040210

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

- 2008: 8 / 14
- 2009: 8 / 11
- 2010: 9 / 10
- 2011: 7 / 7
- 2012: 13 / 13
- 2013: 6 / 8
- 2014: 15 / 16
- 2015: 7 / 8
- 2016: 5 / 5
- 2017: 7 / 8
- 2018: 5 / 9
- 2019: 5 / 7
- 2020: 1 / 2
- 2021: 3 / 5
- 2022: 3 / 6
- 2023: 1 / 3
- 2024: 5 / 8
- 2025: 2 / 3
- 2026: 1 / 2

## Findings

- [Adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015): 106 cases, 84 in the probable cause
- [Availability of policy/proc](https://openairdocs.org/ntsb-findings/04021010): 28 cases, 22 in the probable cause
- [Policy/procedure, general](https://openairdocs.org/ntsb-findings/04021000): 15 cases, 7 in the probable cause

## Defining events in these cases

- [Loss of control in flight](https://openairdocs.org/ntsb-events/240): 14 cases
- [Sys/Comp malf/fail (non-power)](https://openairdocs.org/ntsb-events/330): 8 cases
- [Midair collision](https://openairdocs.org/ntsb-events/250): 8 cases
- [VFR encounter with IMC](https://openairdocs.org/ntsb-events/401): 6 cases
- [Part(s) separation from AC](https://openairdocs.org/ntsb-events/338): 6 cases
- [Runway excursion](https://openairdocs.org/ntsb-events/300): 6 cases
- [Miscellaneous/other](https://openairdocs.org/ntsb-events/900): 5 cases
- [Collision during takeoff/land](https://openairdocs.org/ntsb-events/490): 5 cases
- [Loss of engine power (total)](https://openairdocs.org/ntsb-events/341): 5 cases
- [Powerplant sys/comp malf/fail](https://openairdocs.org/ntsb-events/340): 5 cases

## Aircraft models (registry)

- [Cessna 208B](https://openairdocs.org/model/cessna-208b): 6 cases
- [Beech 1900D](https://openairdocs.org/model/beech-1900d): 4 cases
- [Hughes Helicopters HUGHES 369D](https://openairdocs.org/model/hughes-helicopters-hughes-369d): 3 cases
- [Dehavilland DHC-3](https://openairdocs.org/model/dehavilland-dhc-3): 3 cases
- [Bombardier CL-600-2C10](https://openairdocs.org/model/bombardier-cl-600-2c10): 3 cases
- [Bell 407](https://openairdocs.org/model/bell-407): 3 cases
- [Piper PA-31-350](https://openairdocs.org/model/piper-pa-31-350): 2 cases
- [Piper PA-28-161](https://openairdocs.org/model/piper-pa-28-161): 2 cases
- [Airbus Industrie A320-214](https://openairdocs.org/model/airbus-industrie-a320-214): 2 cases
- [Mcdonnell Douglas MD-88](https://openairdocs.org/model/mcdonnell-douglas-md-88): 2 cases

## Other findings in the same cases

- [Decision making/judgment](https://openairdocs.org/ntsb-findings/02041520) (Personnel issues): 33 cases
- [Aircraft control](https://openairdocs.org/ntsb-findings/02063040) (Personnel issues): 22 cases
- [Oversight of operation](https://openairdocs.org/ntsb-findings/04032015) (Organizational issues): 20 cases
- [Airspeed](https://openairdocs.org/ntsb-findings/01062010) (Aircraft): 12 cases
- [Performance/control parameters, general](https://openairdocs.org/ntsb-findings/01062000) (Aircraft): 12 cases
- [Use of equip/system](https://openairdocs.org/ntsb-findings/02063015) (Personnel issues): 11 cases
- [Identification/recognition](https://openairdocs.org/ntsb-findings/02041510) (Personnel issues): 11 cases
- [Incorrect action performance](https://openairdocs.org/ntsb-findings/02041015) (Personnel issues): 9 cases
- [Fuel](https://openairdocs.org/ntsb-findings/01071010) (Aircraft): 8 cases
- [Adequacy of safety program](https://openairdocs.org/ntsb-findings/04035015) (Organizational issues): 7 cases

## Newest cases

- [NTSB CEN26LA304](https://openairdocs.org/ntsb/CEN26LA304), Sep 1, 2026: Piper PA-28-161 (N47899), Hudson Oaks, TX, substantial damage. Probable cause: The pilot’s loss of directional control during the rejected takeoff, which resulted in a runway excursion. Contributing to the accident was the pilot’s decision to abort the takeoff after the…
- [NTSB WPR26LA122](https://openairdocs.org/ntsb/WPR26LA122), Mar 6, 2026: Cessna 182M (N71518), Flagstaff, AZ, substantial damage. Probable cause: Maintenance personnel’s decision to conduct an engine run at takeoff power in front of an active taxiway, and their failure to notify ATC, which resulted in the accident pilot’s loss of control…
- [NTSB ANC25MA018](https://openairdocs.org/ntsb/ANC25MA018), Feb 6, 2025: Textron 208B (N321BA), Nome, AK, destroyed, 10 fatal. Probable cause: The National Transportation Safety Board determines that the probable cause of this accident was the pilot’s inadequate airspeed management due to workload and degraded situation awareness and his…
- [NTSB DCA25MA108](https://openairdocs.org/ntsb/DCA25MA108), Jan 30, 2025: Bombardier CL-600-2C10 (N709PS), Washington, DC, destroyed, 67 fatal. Probable cause: The 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…
- [NTSB ANC25LA016](https://openairdocs.org/ntsb/ANC25LA016), Jan 10, 2025: Piper PA-31-350 (N59826), Fairbanks, AK, substantial damage. Probable cause: The pilot’s failure to recognize that an automated taxiway gate was closing, and the pilot’s failure stop for the closing gate.
- [NTSB DCA25LA065](https://openairdocs.org/ntsb/DCA25LA065), Dec 21, 2024: Uvify IFO (UNREG), Orlando, FL, substantial damage. Probable cause: The remote pilot-in-command’s (RPIC’s) failure to locate the drone show center position over the physical location of the sUA, which resulted in multiple sUA colliding during the initial lift and…
- [NTSB DCA25LA061](https://openairdocs.org/ntsb/DCA25LA061), Dec 18, 2024: Lockheed 382G-44K-30 (N403LC), St. Mary's, AK, substantial damage. Probable cause: The fatigue failure of the forward pressure bulkhead canted web that originated from stress corrosion cracking areas. Contributing to the failure were inspection procedures and intervals inadequate…
- [NTSB ANC25LA008](https://openairdocs.org/ntsb/ANC25LA008), Nov 2, 2024: Cub Crafters CC18-180 (N55PK), Anchorage, AK, substantial damage. Probable cause: The 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…
- [NTSB ANC24FA102](https://openairdocs.org/ntsb/ANC24FA102), Sep 24, 2024: Cessna 206 (N8255Q), Chalkyitsik, AK, substantial damage, 1 fatal. Probable cause: A loss of engine power due to water-contaminated fuel as a result of the pilot’s inadequate preflight inspection. Contributing to the accident was the operator’s failure to ensure replacement filters…
- [NTSB WPR24FA201](https://openairdocs.org/ntsb/WPR24FA201), Jun 20, 2024: Air Tractor AT-802 (N802TP), Arco, ID, destroyed, 1 fatal. Probable cause: A midair collision between two airplanes during aerial application operations due to both pilots’ insufficient awareness of their proximity to each other and their failure to see and avoid each…

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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