NTSB investigations

243 cases where NTSB found Support/oversight/monitoring.

Cases, newest first

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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\", '0403'))
  ORDER BY c.\"eventDate\" DESC, c.\"ntsbNumber\" DESC"

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NTSB ERA10FA404Accident · 2 fatalField investigationFinal reportBeech 58 · Saltsburg, PAThe pilot’s loss of control of the airplane during low-airspeed airwork and his failure to promptly recover the airplane from the aerodynamic stall, which resulted in a spin. Contributing to the accident were the pilot and certified flight instructor’s…Aug 7, 2010 · N28MR · Substantial damageNTSB WPR10FA371Accident · 3 fatalField investigationFinal reportAmerican Eurocopter AS 350 B3 · Tucson, AZThe repair station technician did not properly install the fuel inlet union during reassembly of the engine; the operator’s maintenance personnel did not adequately inspect the technician's work; and the pilot who performed the post maintenance check flight…Jul 28, 2010 · N509AM · Substantial damageNTSB ANC10FA038Accident · 1 fatalField investigationFinal reportPiper PA-18-135 · Willow, AKThe pilot's failure to maintain clearance from a tree due to the effects of impairment from alcohol consumption.May 14, 2010 · N1123 · Substantial damageNTSB ERA10TA261Accident · No injuriesFinal reportBell 407 · Abingdon, VAThe improper repair of an engine component by a repair facility, which resulted in a complete loss of engine power. Contributing to the accident was the failure of the repair facility to recognize that an improper repair had been accomplished, which allowed…May 11, 2010 · N31VA · Substantial damageNTSB OPS10IA155Incident · No injuriesIncident investigationFinal reportEmbraer EMB-135KL · Chicago, ILThe air traffic controller's issuance of an improper takeoff clearance to the pilot of the Embraer. Contributing to the incident was the instructor’s inadequate monitoring of the trainee local controller.Apr 22, 2010 · N806AE · 2 aircraft · No damageNTSB OPS10IA014Incident · No injuriesIncident investigationFinal reportBoeing 737 · Worton, MDThe R10/12 controller issued an improper vector and descent clearance to the GII that put the airplane on a coverging flight path with the B737. Contributing to the incident was the failure of the FAA's training program to correct ongoing controller…Mar 25, 2010 · N27239 · 2 aircraft · No damageNTSB CEN10LA142Accident · No injuriesLimited investigationFinal reportBombardier BD-100-1A10 · Wheeling, ILThe deicing vehicle operator's not adhering to company procedures and not maintaining clearance between the vehicle's boom and the airplane's empennage during the airplane's deicing operation.Feb 24, 2010 · N515FX · Substantial damageNTSB ERA10FA148Accident · 1 fatalField investigationFinal reportPiper PA-28-180 · Springfield, KYThe pilot's inadequate preflight planning, which resulted in a total loss of engine power due to fuel exhaustion, and the pilot's impairment due to alcohol. Contributing to the accident was the Federal Aviation Administration's failure to adequately oversee…Feb 23, 2010 · N7778W · Substantial damageNTSB ERA10LA041Accident · Serious injuriesLimited investigationFinal reportBoeing 717-200 · Pleasant Grove, NCThe captain's excessive maneuver in response to a traffic alert and collision avoidance system (TCAS) alert, which resulted in a serious injury to a flight attendant. Contributing to the accident was the operator's inadequate TCAS training and guidance.Oct 26, 2009 · N935AT · No damageNTSB ERA09FA537Accident · 3 fatalField investigationFinal reportEurocopter AS-350 · Georgetown, SCThe pilot’s decision to continue the visual flight rules flight into an area of instrument meteorological conditions, which resulted in the pilot’s spatial disorientation and a loss of control of the helicopter. Contributing to the accident was the inadequate…Sep 26, 2009 · N417AE · DestroyedNTSB ENG09IA017Incident · Minor injuriesIncident investigationFinal reportEmbraer ERJ 190-100 IGW · Nassau, Bahamasfailure of the engine high pressure turbine active clearance control valve fuel rod supply tube coupling seal due to a cross-threaded B-nut as installed during original manufacture.Sep 3, 2009 · N258JB · Minor damageNTSB ERA09FA497Accident · 1 fatalField investigationFinal reportRobinson R44 · Jackson, MSThe pilot's failure to maintain adequate main rotor rpm, for undetermined reasons.Sep 1, 2009 · N33PX · Substantial damageNTSB ERA09LA477Accident · Serious injuriesLimited investigationFinal reportVollenweider R/Hurst R F Vans RV-9A · Marianna, FLFailure of the propeller speed reduction gearbox for undetermined reasons. Contributing to the accident was the pilot’s decision to disregard the manufacturer's mandate to replace the gearbox, the manufacturer's failure to provide owners with technical…Aug 23, 2009 · N362TS · Substantial damageNTSB CEN09CA469Accident · Serious injuriesData collectionFinal reportPiper PA-25-235 · Miller, MOThe failure of the operator to shut down aircraft while conducting servicing which resulted in a ground person being struck by the rotating aircraft propeller.Jul 23, 2009 · N6689Z · No damageNTSB CEN09LA403Accident · Serious injuriesLimited investigationFinal reportAyres S2R-G6 · Ainsworth, IAA component failure of the fuel control unit, which resulted in a loss of engine power.Jul 1, 2009 · N60015 · Substantial damageNTSB DCA09FA048Accident · Serious injuriesField investigationFinal reportBoeing DC-10 · Baltimore, MDthe captain’s inappropriate control inputs following a firm landing, resulting in two hard nose-gear impacts before executing a go-around. Contributing to the inappropriate control inputs was the captain’s fatigue and physical discomfort; and a possible lack…May 6, 2009 · N139WA · Substantial damageNTSB CEN09IA234Incident · No injuriesIncident investigationFinal reportBell 206L-3 · Abilene, TXThe formation and propagation of a fatigue crack in the trailing edge of the main rotor blade due to interconnected porosity and resultant corrosion. The area of interconnected porosity was due to a manufacturing defect which was not detected during the…Mar 29, 2009 · N708M · Minor damageNTSB DCA09MA027Accident · 50 fatalClass 1 · MajorFinal reportBombardier DHC-8-402 · Clarence Center, NYThe captain’s inappropriate response to the activation of the stick shaker, which led to an aerodynamic stall from which the airplane did not recover. Contributing to the accident were (1) the flight crew's failure to monitor airspeed in relation to the…Feb 13, 2009 · N200WQ · DestroyedNTSB CEN09MA117Accident · 8 fatalMajor investigationFinal reportSikorsky S-76C · Morgan City, LA(1) the sudden loss of power to both engines that resulted from impact with a bird (red-tailed hawk), which fractured the windshield and interfered with engine fuel controls, and (2) the subsequent disorientation of the flight crewmembers, which left them…Jan 4, 2009 · N748P · DestroyedNTSB ENG09IA002Incident · No injuriesIncident investigationFinal reportBoeing 777 · Atlanta, GAThe fan blade fractured due to a fatigue crack that was the result of the combination of the breakdown of the fan blade lubrication system and residual fatigue life usage following the last overhaul of the fan blade. Contributing to the fracture was the…Jan 2, 2009 · N864DA · Minor damageNTSB DCA09MA021Accident · Serious injuriesClass 1 · MajorFinal reportBoeing 737-524 · Denver, COThe captain’s cessation of right rudder input, which was needed to maintain directional control of the airplane, about 4 seconds before the excursion, when the airplane encountered a strong and gusty crosswind that exceeded the captain’s training and…Dec 21, 2008 · N18611 · Substantial damageNTSB CEN09FA086Accident · 5 fatalField investigationFinal reportBell 206L-4 · Sabine Pass, TXThe pilot’s failure to maintain clearance from the water. Contributing to the accident was the inadvertent encounter with instrument meteorological conditions.Dec 11, 2008 · N180AL · DestroyedNTSB DCA09FA009Accident · No injuriesField investigationFinal reportGeneral Atomics MQ-9 · Sierra Vista, AZthe failure of the pilot to timely flare the aircraft to the appropriate attitude, likely associated with the different sight picture after switching cameras, resulting in a bounced landing; and the evaluator pilot’s lack of timely recognition and…Nov 7, 2008 · CBP113 · Substantial damageNTSB ERA09LA020Accident · No injuriesLimited investigationFinal reportSikorsky S-76C · New York, NYThe failure of the flightcrew to stabilize the helicopter over its confined landing area during a hovering left-pedal turn, resulting in tail rotor blade contact with a perimeter fence component and a subsequent loss of directional control. Contributing to…Oct 16, 2008 · N552J · Substantial damageNTSB MIA08MA203Accident · 4 fatalClass 1 · MajorFinal reportAerospatiale SA365N-1 D · District Heights, MDThe pilot's attempt to regain visual conditions by performing a rapid descent and his failure to arrest the descent at the minimum descent altitude during a nonprecision approach. Contributing to the accident were (1) the pilot’s limited recent instrument…Sep 28, 2008 · N92MD · Substantial damageNTSB DCA08MA098Accident · 4 fatalClass 1 · MajorFinal reportLearjet LR60 · Columbia, SCThe operator’s inadequate maintenance of the airplane’s tires, which resulted in multiple tire failures during takeoff roll due to severe underinflation, and the captain’s execution of a rejected takeoff (RTO) after V1, which was inconsistent with her…Sep 20, 2008 · N999LJ · DestroyedNTSB OPS08IA015Incident · No injuriesIncident investigationFinal reportBombardier CL-600-2C1 · Allentown, PAThe failure of both tower controllers to maintain awareness of the position of N736GV and ensure that the aircraft was clear of the runway before issuing a takeoff clearance to ASH7138.Sep 19, 2008 · N506MJ · 2 aircraft · No damageNTSB CHI08FA282Accident · 3 fatalField investigationFinal reportCirrus Design SR22 · Woodruff, WIThe 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…Sep 12, 2008 · N193BS · Substantial damageNTSB CHI08LA272Accident · 1 fatalLimited investigationFinal reportSocata TB-20 Trinidad · Cassville, WIThe left seat pilot's failure to maintain control of the airplane during a go-around and the inadvertent in-flight opening of the cabin door for undetermined reasons. Contributing to the accident was the distraction of the door opening.Sep 3, 2008 · N597TB · Substantial damageNTSB LAX08PA259Accident · 9 fatalClass 1Final reportSikorsky S-61N · Weaverville, CAThe 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…Aug 6, 2008 · N612AZ · DestroyedNTSB NYC08FA265Accident · No injuriesField investigationFinal reportCessna 550 · Reading, PAThe air traffic controller’s failure to properly monitor the runway environment. Contributing to the accident was the tractor operator’s failure to scan the active runway prior to crossing, and the Federal Aviation Administration’s inadequate emphasis on…Aug 3, 2008 · N827DP · Substantial damageNTSB DCA08MA085Accident · 8 fatalClass 1 · MajorFinal reportRaytheon Corporate Jets BAE 125-800A · Owatonna, MNThe captain’s decision to attempt a go-around late in the landing roll with insufficient runway remaining. Contributing to the accident were (1) the pilots’ poor crew coordination and lack of cockpit discipline; (2) fatigue, which likely impaired both pilots’…Jul 31, 2008 · N818MV · DestroyedNTSB NYC08LA201Accident · Minor injuriesLimited investigationFinal reportPiper PA-18-135 · Myrtle Beach, SCA loss of engine power due to thermally-induced failure of a piston. Contributing to the accident was the sustained engine exposure to abnormally high operating temperatures and detonation, and the exceedance of the engine manufacturer's recommended overhaul…May 31, 2008 · N802DA · Substantial damageNTSB DFW08FA153Accident · 2 fatalField investigationFinal reportCessna 310Q · Steamboat, COThe pilot's failure to maintain clearance from mountainous terrain in day visual conditions. Contributing to the accident was the pilot's impairment due to marijuana and inadequate medical oversight of the pilot by the Federal Aviation Administration.May 25, 2008 · N8187Q · DestroyedNTSB LAX08LA140Accident · No injuriesLimited investigationFinal reportCessna 182P · Santa Maria, CAThe pilot's impairment from alcohol and his improper flare, which resulted in a bounced landing. Contributing to the accident was the FAA's failure to obtain additional information about the pilot's alcohol use history to verify that he met the requirements…May 15, 2008 · N4660K · Substantial damageNTSB DFW08LA121Accident · 1 fatalLimited investigationFinal reportTromsness Enterprises Turbine LE · Miami, OKThe pilot's failure to maintain control of the airplane for undetermined reasons. Contributing to the accident included his extensive use of medications and/or his multiple medical conditions and the failure of the FAA to follow up on his reported medication…Apr 28, 2008 · N747CT · DestroyedNTSB DFW08LA118Accident · No injuriesLimited investigationFinal reportVickers Spitfire · Galveston, TXThe Hurricane pilot's failure to maintain directional control during roll-out. Contributing factors were the restricted forward visibility of the tail-wheel equipped Spitfire, the lack of communication to the other aircraft following the Hurricane, and the…Apr 26, 2008 · N308WK · 2 aircraft · Substantial damageNTSB ANC08FA053Accident · 4 fatalField investigationFinal reportEurocopter AS 350 B2 · Chickaloon, AKAn in-flight overtorque of the engine-to-transmission driveshaft resulting in disconnection of the main transmission from the engine. The overtorque likely occurred due to an in-flight main rotor blade contact with snow-covered terrain, precluding significant…Apr 15, 2008 · N213EH · Substantial damageNTSB DFW08MA076Accident · 5 fatalClass 1 · MajorFinal reportCessna 500 · Oklahoma City, OKAirplane wing-structure damage sustained during impact with one or more large birds (American white pelicans), which resulted in a loss of control of the airplane.Mar 4, 2008 · N113SH · DestroyedNTSB LAX08IA065Incident · Minor injuriesIncident investigationFinal reportBoeing 737-300 · Las Vegas, NVAn inadvertent encounter with severe turbulence during descent and the failure of two passenger seat belt attach fittings. Contributing to the incident was the failure of the operator to comply with the SAIB.Feb 24, 2008 · N648SW · No damageNTSB OPS08IA006Incident · No injuriesIncident investigationFinal reportPiper PA-28-161 · St. Augustine, FLThe pilot's failure to adhere to the controller's takeoff instruction. Contributing to the incident was the controller's failure to properly monitor the flight, and the controller's decision to perform lesser duty priorities during the takeoff roll.Feb 7, 2008 · N140FT · Minor damageNTSB LAX08FA047Accident · 1 fatalField investigationFinal reportBeechcraft V35B · Selma, CAThe pilot's failure to maintain control resulting in the in-flight break-up of the airplane due to aerodynamic overload. Contributing factors included the pilot's impairment due to multiple medical conditions and due to recent use of alcohol.Jan 18, 2008 · N4662M · Substantial damageNTSB ANC08MA038Accident · 6 fatalMajor investigationFinal reportPiper PA-31-350 · Kodiak, AKThe failure of company maintenance personnel to ensure that the airplane's nose baggage door latching mechanism was properly configured and maintained, resulting in an inadvertent opening of the nose baggage door in flight. Contributing to the accident were…Jan 5, 2008 · N509FN · Substantial damage