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Availability of policy/proc

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NTSB finding · Organizational issues › Management › Policy/procedure

All 28 cases22 in the probable cause
Cases
28
In the probable cause
22 (79%)
Fatal cases
12
NTSB code
04021010

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\", '04021010') 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\", '04021010'))
  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\", '04021010') 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 · 28

NTSB 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 ANC25LA016Accident · No injuriesClass 4 · LimitedFinal reportPiper PA-31-350 · Fairbanks, AKThe pilot’s failure to recognize that an automated taxiway gate was closing, and the pilot’s failure stop for the closing gate.Jan 10, 2025 · N59826 · Substantial damageNTSB DCA25LA065Accident · Serious injuriesClass 3 · LimitedFinal reportUvify IFO · Orlando, FLThe 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 subsequent loss of control. Contributing to the accident was…Dec 21, 2024 · UNREG · Substantial damageNTSB ANC24FA102Accident · 1 fatalClass 3 · FieldFinal reportCessna 206 · Chalkyitsik, AKA 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 were available for use during refueling operations.Sep 24, 2024 · N8255Q · 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 ERA22LA379Accident · Minor injuriesClass 4 · LimitedFinal reportBoeing A75N1 · Bealeton, VAThe pilot of the departing airplane’s failure to see and avoid the landing airplane before takeoff, resulting in a collision with the landing airplane. Contributing was the airport’s failure to encourage pilots to use radios for traffic deconfliction when…Aug 20, 2022 · N55267 · 2 aircraft · Substantial damageNTSB ERA21LA193Accident · No injuriesClass 4 · LimitedFinal reportTextron 208B · Laceyville, PAThe pilot’s improper decision to conduct a low altitude flight and his failure to see and avoid powerlines. Contributing was the operator’s lack of safety guidance or a safety policy for low-altitude operations.Apr 26, 2021 · N143CA · Substantial damageNTSB ANC19FA019Accident · 2 fatalClass 2 · FieldFinal reportDe Havilland DHC 2 · Metlakatla, AKThe pilot’s inadequate compensation for a quartering tailwind during a water landing, which resulted in a loss of control and subsequent nose-over. Contributing to the accident was the company’s inadequate operational control of the flight release process,…May 20, 2019 · N67667 · Substantial damageNTSB ERA18LA199Accident · 1 fatalLimited investigationFinal reportCessna 182 · Cleveland, TNThe undetected wear of the ignition switch and key, which allowed removal of the key from an intermediate position and subsequently led to an unintended engine start-up. Contributing to the undetected wear of the 42-year-old ignition switch was the lack of…Jul 26, 2018 · N1311S · No damageNTSB ANC18FA053Accident · Serious injuriesField investigationFinal reportDe Havilland DHC 3 · Hydaburg, AKThe pilot's decision to continue the visual flight rules flight into instrument meteorological conditions, which resulted in controlled flight into terrain.Jul 10, 2018 · N3952B · Substantial damage
See all 28 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\", '04021010'))
  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.