# NTSB investigations: Culture

NTSB aviation accident and incident investigations since 1962: the probable cause, findings, aircraft, crew, weather and docket of each, linked to the FAA registry and the FAA’s own reports.

## Latest cases

- [NTSB CEN24FA221](https://openairdocs.org/ntsb/CEN24FA221.md): Air Tractor AT502 · Whiteface, TX · Accident · 1 fatal · Class 3 · Field · Final report · Jun 14, 2024 · N2032K · 2 aircraft · Substantial damage
  > Both pilot’s failure to see and avoid the other airplane during simultaneous aerial application operations over the same area. Contributing to the accident was the operator’s poor decision to assign the pilots to conduct separate aerial application operations…
- [NTSB ERA23LA064](https://openairdocs.org/ntsb/ERA23LA064.md): Beech 95-B55 (T42A) · Athens, GA · Accident · No injuries · Class 3 · Limited · Final report · Nov 3, 2022 · N101DC · Substantial damage
  > The operator’s and the pilot’s continued operation of the airplane with a known electrical problem, resulting in a loss of electrical power and a gear-up landing.
- [NTSB WPR19MA177](https://openairdocs.org/ntsb/WPR19MA177.md): Beech 65-A90 · Mokuleia, HI · Accident · 11 fatal · Class 2 · Major · Final report · Jun 22, 2019 · N256TA · Destroyed
  > The pilot’s aggressive takeoff maneuver, which resulted in an accelerated stall and subsequent loss of control at an altitude that was too low for recovery. Contributing to the accident were (1) the operation of the airplane near its aft center of gravity…
- [NTSB CEN19FA072](https://openairdocs.org/ntsb/CEN19FA072.md): Bell 407 · Zaleski, OH · Accident · 3 fatal · Class 1 · Field · Final report · Jan 29, 2019 · N191SF · Destroyed
  > The NTSB determines that the probable cause of this accident was Survival Flight's inadequate management of safety, which normalized pilots' and operations control specialists' noncompliance with risk analysis procedures and resulted in the initiation of the…
- [NTSB ERA18MA099](https://openairdocs.org/ntsb/ERA18MA099.md): American Eurocopter AS350B2 · New York, NY · Accident · 5 fatal · Class 1 · Major · Final report · Mar 11, 2018 · N350LH · Substantial damage
  > Liberty Helicopters Inc.'s use of a NYONair-provided passenger harness/tether system, which caught on and activated the floor-mounted engine fuel shutoff lever and resulted in the in-flight loss of engine power and the subsequent ditching. Contributing to…
- [NTSB CEN18LA119](https://openairdocs.org/ntsb/CEN18LA119.md): Czech Sport Piper Sport · Addison, TX · Accident · Serious injuries · Class 2 · Limited · Final report · Mar 10, 2018 · N422PS · Substantial damage
  > The operator’s use of improper fuel, which resulted in partial loss of engine power due to vapor lock.
- [NTSB ANC17LA051](https://openairdocs.org/ntsb/ANC17LA051.md): Leonardo AW139 · Tujunga, CA · Accident · No injuries · Class 3 · Limited · Final report · Sep 2, 2017 · N304FD · Substantial damage
  > A yaw excursion and uncontrolled descent due to loss of tail rotor effectiveness during aerial firefighting operations resulting in an impact with trees. A contributing factor was the pilot’s failure to maintain sufficient airspeed, coupled with a quartering…
- [NTSB ANC17FA039](https://openairdocs.org/ntsb/ANC17FA039.md): Cessna U206 · Port Alsworth, AK · Accident · 1 fatal · Class 2 · Field · Final report · Jul 27, 2017 · N1749R · Destroyed
  > The pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in a loss of visual reference and subsequent controlled flight into terrain. Contributing to the accident was (1) the inadequate preflight…
- [NTSB ANC15MA041](https://openairdocs.org/ntsb/ANC15MA041.md): Dehavilland DHC-3 · Ketchikan, AK · Accident · 9 fatal · Class 1 · Major · Final report · Jun 25, 2015 · N270PA · Substantial damage
  > (1) the pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in his geographic disorientation and controlled flight into terrain; and (2) Promech's company culture, which tacitly endorsed flying in…
- [NTSB OPS14IA007](https://openairdocs.org/ntsb/OPS14IA007.md): Boeing 757 · Powhatan, VA · Incident · Minor injuries · Incident investigation · Final report · Apr 29, 2014 · UNK · Minor damage
  > The air traffic controller’s failure to provide required advisories about significant radar-observed convective precipitation along both airplanes’ flight routes and the air route traffic control center’s lack of a program to ensure that air traffic…
- [NTSB CEN14GA135](https://openairdocs.org/ntsb/CEN14GA135.md): Cessna 210E · Oden, AR · Accident · 1 fatal · Final report · Jan 31, 2014 · N4957U · Substantial damage
  > The pilot’s improper decision to fly into an area with reported marginal meteorological conditions in an airplane not maintained for instrument flight and his subsequent failure to maintain clearance from trees and terrain.
- [NTSB OPS13IA071](https://openairdocs.org/ntsb/OPS13IA071.md): Gulfstream GIV - Undesignat · Las Vegas, NV · Incident · No injuries · Incident investigation · Final report · Jul 5, 2013 · N0 · No damage
  > The Federal Aviation Administration's (FAA) inadequate procedures, which did not require specific separation between aircraft operating on nonintersecting runways where flightpaths may intersect and led to an airborne conflict between two aircraft.…
- [NTSB ANC13GA036](https://openairdocs.org/ntsb/ANC13GA036.md): Eurocopter AS350 · Talkeetna, AK · Accident · 3 fatal · Class 1 · Final report · Mar 31, 2013 · N911AA · Destroyed
  > The pilot's decision to continue flight under visual flight rules into deteriorating weather conditions, which resulted in the pilot's spatial disorientation and loss of control. Also causal was the Alaska Department of Public Safety's punitive culture and…
- [NTSB ERA13LA042](https://openairdocs.org/ntsb/ERA13LA042.md): Piper PA-32R-300 · Sevierville, TN · Accident · Minor injuries · Limited investigation · Final report · Oct 28, 2012 · N4478F · Substantial damage
  > The air traffic controller’s failure to comply with the required vectoring and safety alert procedures, which resulted in the airplane’s flight into rising terrain. Contributing to the accident was the Federal Aviation Administration’s continued practice of…
- [NTSB WPR12FA420](https://openairdocs.org/ntsb/WPR12FA420.md): Piper PA-28-181 · Strawberry, AZ · Accident · 3 fatal · Field investigation · Final report · Sep 13, 2012 · N4188E · Substantial damage
  > The flight instructor's and the evaluator's failure to divert at an appropriate time during cruise flight, which resulted in the airplane's inability to maintain a sufficient altitude to clear rising terrain. Contributing to the accident was the flight…
- [NTSB OPS12IA849](https://openairdocs.org/ntsb/OPS12IA849.md): Arlington, VA · Incident · No injuries · Incident investigation · Final report · Jul 31, 2012 · No damage
  > A hearback/readback error on the part of the tower traffic management coordinator, who did not understand the request being made by the approach control area supervisor and then communicated that misunderstanding to the local controllers. Contributing to the…
- [NTSB DCA12FA076](https://openairdocs.org/ntsb/DCA12FA076.md): Hawker Hawker Hunter MK.58A · Point Mugu, CA · Accident · 1 fatal · Field investigation · Final report · May 18, 2012 · N329AX · Destroyed
  > the pilot's decision to continue the flight with a known fuel imbalance condition that resulted in a loss of lateral control when the imbalance exceeded the known capabilities of the airplane. The fuel imbalance was due to incomplete refueling and an…
- [NTSB CEN09LA525](https://openairdocs.org/ntsb/CEN09LA525.md): Cessna 182 · Caddo Mills, TX · Accident · Serious injuries · Limited investigation · Final report · Aug 15, 2009 · N2364G · Minor damage
  > The failure of the operator to ensure that the airplane engine was shutdown during passenger unloading and the lack of adequate supervision of the passenger by the pilot and ground crewmember.
- [NTSB CEN09PA348](https://openairdocs.org/ntsb/CEN09PA348.md): Agusta A109E · Santa Fe, NM · Accident · 2 fatal · Class 1 · Final report · Jun 10, 2009 · N606SP · Destroyed
  > The pilot's decision to take off from a remote, mountainous landing site in dark (moonless) night, windy, instrument meteorological conditions. Contributing to the accident were an organizational culture that prioritized mission execution over aviation safety…
- [NTSB CHI08FA282](https://openairdocs.org/ntsb/CHI08FA282.md): Cirrus Design SR22 · Woodruff, WI · Accident · 3 fatal · Field investigation · Final report · Sep 12, 2008 · N193BS · Substantial damage
  > The pilot’s failure to maintain airspeed during a missed approach leading to the inadvertent stall. Contributing to the accident were the pilot’s lack of experience in the type of operation conducted, the certificate holder’s loss of operational control, and…
- [NTSB LAX08PA259](https://openairdocs.org/ntsb/LAX08PA259.md): Sikorsky S-61N · Weaverville, CA · Accident · 9 fatal · Class 1 · Final report · Aug 6, 2008 · N612AZ · Destroyed
  > The following actions by Carson Helicopters: 1) the intentional understatement of the helicopter's empty weight, 2) the alteration of the power available chart to exaggerate the helicopter's lift capability, and 3) the practice of using unapproved…
- [NTSB SEA08IA096](https://openairdocs.org/ntsb/SEA08IA096.md): Raytheon 1900D · Page, AZ · Incident · No injuries · Incident investigation · Final report · Mar 26, 2008 · N261GL · Minor damage
  > The flight crew’s unprofessional behavior and deviation from standard operating procedures which resulted in an in-flight emergency.

## The whole list in SQL

Runs in DuckDB 1.2 or later on the release's Parquet files over HTTPS:

```sql
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", '040240'))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-findings/040240/cases

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OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.