NTSB finding · Organizational issues › Management › Policy/procedure

Cases
106
In the probable cause
84 (79%)
Fatal cases
42
NTSB code
04021015

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 Adequacy of policy/proc per year: 106 cases
20088
20098
20107
20115
20129
20138
201412
20157
20164
20177
20184
20195
20201
20214
20225
20232
20246
20252
20262
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\", '04021015') 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\", '04021015'))
  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\", '04021015') 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 · 106

NTSB CEN26LA304Accident · No injuriesClass 4 · LimitedFinal reportPiper PA-28-161 · Hudson Oaks, TXThe 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 airplane had accelerated above its normal rotation speed. Also…Sep 1, 2026 · N47899 · Substantial damageNTSB WPR26LA122Accident · Minor injuriesClass 4 · LimitedFinal reportCessna 182M · Flagstaff, AZMaintenance 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 during taxi due to an encounter with a jet blast.Mar 6, 2026 · N71518 · Substantial damageNTSB ANC25MA018Accident · 10 fatalClass 1 · MajorFinal reportTextron 208B · Nome, AKThe 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 improper inputs leading up to and during the aerodynamic…Feb 6, 2025 · N321BA · DestroyedNTSB 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 DCA25LA061Accident · No injuriesClass 3 · LimitedFinal reportLockheed 382G-44K-30 · St. Mary's, AKThe 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 to identify the fatigue cracks.Dec 18, 2024 · N403LC · Substantial damageNTSB 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 WPR24FA201Accident · 1 fatalClass 3 · FieldFinal reportAir Tractor AT-802 · Arco, IDA 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 other. Contributing to the accident was the operator and both…Jun 20, 2024 · N802TP · 2 aircraft · DestroyedNTSB ERA24FA110Accident · 2 fatalClass 3 · FieldFinal reportBombardier CL-600-2B16 · Naples, FLCorrosion of both engines’ variable geometry (VG) system components, which led to their operation in an off-schedule position and resulted in near-simultaneous sub-idle rotating compressor stalls on approach, subsequent loss of thrust in both engines, and an…Feb 9, 2024 · N823KD · DestroyedNTSB WPR24FA083Accident · 2 fatalClass 2 · FieldFinal reportHawker Beechcraft Hawker 900XP · Westwater, UTThe flight crew’s decision to conduct a post-maintenance stall test in an area of icing conditions, which resulted in wing contamination that significantly decreased the airplane’s critical angle of attack. Also causal was the airplane manufacturer’s lack of…Feb 7, 2024 · N900VA · DestroyedNTSB ERA24LA094Incident · No injuriesClass 3 · LimitedFinal reportCessna 208 · Dulles, VAThe pilot-in-command’s approach to the critical angle of attack during initial climb, which resulted in a vibration the flight crew improperly identified as an engine issue and resulted in the subsequent off-airport landing. Contributing to the accident was…Jan 19, 2024 · N1983X · Minor damage
See all 106 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\", '04021015'))
  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.