# NTSB investigations: Training 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. Page 1 of 2 · 55 cases ## Latest cases - [NTSB ANC25LA008](https://openairdocs.org/ntsb/ANC25LA008.md): Cub Crafters CC18-180 · Anchorage, AK · Accident · Serious injuries · Class 3 · Limited · Final report · Nov 2, 2024 · N55PK · Substantial damage > 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 departure, all which resulted in an aerodynamic stall during takeoff. - [NTSB DCA24MA063](https://openairdocs.org/ntsb/DCA24MA063.md): Boeing 737-9 · Portland, OR · Accident · Minor injuries · Class 1 · Major · Final report · Jan 6, 2024 · N704AL · Substantial damage > the in-flight separation of the left mid exit door (MED) plug due to Boeing Commercial Airplanes’ failure to provide adequate training, guidance, and oversight necessary to ensure that manufacturing personnel could consistently and correctly comply with its… - [NTSB DCA23LA384](https://openairdocs.org/ntsb/DCA23LA384.md): Boeing 767-322 · Houston, TX · Accident · No injuries · Class 3 · Limited · Final report · Jul 29, 2023 · N641UA · Substantial damage > The first officer’s improper control inputs after the airplane touched down. Contributing to the severity of the damage was the flight crew’s lack of recognition that the speedbrakes were not armed, which led to their delayed deployment. - [NTSB DCA23FA149](https://openairdocs.org/ntsb/DCA23FA149.md): Boeing 737-79P · Austin, TX · Incident · No injuries · Class 1 · Field · Final report · Feb 4, 2023 · N7827A · 2 aircraft · No damage > the local controller’s incorrect assumption that the Southwest Airlines (SWA) airplane would depart from the runway before the Federal Express airplane arrived on the same runway, which resulted in a loss of separation between both airplanes. Contributing to… - [NTSB ANC23FA008](https://openairdocs.org/ntsb/ANC23FA008.md): Raytheon C90A · Kaupo, HI · Accident · 3 fatal · Class 3 · Field · Final report · Dec 15, 2022 · N13GZ · Substantial damage > Guardian Flight’s inadequate pilot training and performance tracking, which failed to identify and correct the pilot’s consistent lack of skill, and which resulted in the pilot’s inability to maintain his position inflight using secondary instruments to… - [NTSB DCA22MA009](https://openairdocs.org/ntsb/DCA22MA009.md): Mcdonnell Douglas DC-9-87 (MD-87) · Brookshire, TX · Accident · Serious injuries · Class 2 · Major · Final report · Oct 19, 2021 · N987AK · Destroyed > The jammed condition of both elevators, which resulted from exposure to localized, dynamic high wind while the airplane was parked and prevented the airplane from rotating during the takeoff roll. Also causal was the failure of Everts Air Cargo, the pilots’… - [NTSB WPR21FA143](https://openairdocs.org/ntsb/WPR21FA143.md): Airbus Helicopters AS350-B3 · Palmer, AK · Accident · 5 fatal · Class 3 · Field · Final report · Mar 28, 2021 · N351SH · Substantial damage > The pilot’s failure to adequately respond to an encounter with whiteout conditions, which resulted in the helicopter’s collision with terrain. Contributing to the accident was the (1) operator’s inadequate pilot training program and pilot competency checks,… - [NTSB ANC20MA010](https://openairdocs.org/ntsb/ANC20MA010.md): Airbus AS350B2 · Kekaha, HI · Accident · 7 fatal · Class 1 · Major · Final report · Dec 27, 2019 · N985SA · Destroyed > The pilot’s decision to continue flight under visual flight rules (VFR) into instrument meteorological conditions (IMC), which resulted in the collision into terrain. Contributing to the accident was Safari Aviation Inc.’s lack of safety management processes… - [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 DCA19IA036](https://openairdocs.org/ntsb/DCA19IA036.md): Boeing 737 · Burbank, CA · Incident · No injuries · Class 3 · Incident · Final report · Dec 6, 2018 · N752SW · Minor damage > (1) The flight crewmembers’ decision, due to plan continuation bias, to continue the approach despite indications of windshear and a higher-than-expected tailwind and (2) the flight crew’s misperception of the airplane’s touchdown point, which was farther… - [NTSB WPR19IA030](https://openairdocs.org/ntsb/WPR19IA030.md): Cessna 208 · Bakersfield, CA · Incident · Minor injuries · Class 3 · Incident · Final report · Nov 24, 2018 · N781FE · No damage > The pilot's loss of consciousness while taxiing due to an accumulation of toxic levels of carbon dioxide gas inside the airplane as a result of dry ice sublimation. Also causal was the pilot's decision to fly the airplane in an unventilated configuration, the… - [NTSB GAA18CA571](https://openairdocs.org/ntsb/GAA18CA571.md): Eurocopter AS350 · Ruidoso, NM · Accident · No injuries · Data collection · Final report · Sep 29, 2018 · N894NA · Substantial damage > The pilot's failure to maintain the proper descent rate during landing. Contributing to the accident were the pilot’s failure to conduct preflight performance calculations, which resulted in his operating the helicopter in high-density altitude conditions,… - [NTSB DCA18IA269](https://openairdocs.org/ntsb/DCA18IA269.md): DJI Phantom · Blacksburg, VA · Incident · Minor injuries · Incident investigation · Final report · Aug 14, 2018 · FA3HCWCR4X · Minor damage > the drone pilot's incorrect control inputs due to insufficient knowledge of the aircraft flight manual procedures. Contributing to the incident was the close proximity of the observers, and the decision to conduct a demonstration near the observers in a… - [NTSB CEN18FA259](https://openairdocs.org/ntsb/CEN18FA259.md): Eurocopter Deutschland EC135 P1 · Chicago, IL · Accident · Serious injuries · Field investigation · Final report · Jul 8, 2018 · N312SA · Substantial damage > The pilot's inadvertent disabling of the No. 1 and No. 2 engines' electronic engine control systems, which resulted in engine and rotor overspeed conditions, a subsequent autorotation, and a hard landing. Contributing to the accident were the pilot's… - [NTSB DCA18IA092](https://openairdocs.org/ntsb/DCA18IA092.md): Boeing 777 222 · Honolulu, HI · Incident · No injuries · Incident investigation · Final report · Feb 13, 2018 · N773UA · Minor damage > the fracture of a fan blade due to P&W's continued classification of the TAI inspection process as a new and emerging technology that permitted them to continue accomplishing the inspection without having to develop a formal, defined initial and recurrent… - [NTSB CEN18FA063](https://openairdocs.org/ntsb/CEN18FA063.md): Cessna 208 · Punta Islita, Costa Rica · Accident · 12 fatal · Field investigation · Final report · Dec 31, 2017 · TI-BEI · Destroyed > The flight crew's failure to maintain airspeed while maneuvering to exit an area of rising terrain, which resulted in an exceedance of the airplane's critical angle of attack and an aerodynamic stall. Contributing to the accident was the flight crew's… - [NTSB DCA18CA001](https://openairdocs.org/ntsb/DCA18CA001.md): Boeing 737 7H4 · Chicago, IL · Accident · No injuries · Data collection · Final report · Oct 2, 2017 · N930WN · Substantial damage > the mechanical failure of the tugs fuel governor, which made it difficult for the ramp agent to stop the tug. Contributing to the accident was the lack of guidance on how ground personnel were to handle vehicle malfunctions. - [NTSB CEN17LA176](https://openairdocs.org/ntsb/CEN17LA176.md): Thrush S2R-H80 · Gypsum, KS · Accident · No injuries · Limited investigation · Final report · May 5, 2017 · N3045R · Substantial damage > A total loss of engine power during a low-altitude agricultural application flight for reasons that could not be determined during detailed examinations. Contributing to the accident was the pilot’s failure to follow the airplane manufacturer's emergency… - [NTSB ANC17FA021](https://openairdocs.org/ntsb/ANC17FA021.md): Cessna 208B · Chignik Lake, AK · Accident · 1 fatal · Field investigation · Final report · May 1, 2017 · N803TH · Substantial damage > The pilot's continued visual flight rules flight into an area of mountainous terrain and instrument meteorological conditions, which resulted in controlled flight into terrain (CFIT). Contributing to the accident was the company's failure to provide the pilot… - [NTSB CEN17LA078](https://openairdocs.org/ntsb/CEN17LA078.md): Textron 525C · Howell, MI · Accident · Serious injuries · Limited investigation · Final report · Jan 16, 2017 · N525PZ · Substantial damage > The pilot's attempted landing on the ice-covered runway, which resulted in a runway excursion and impact with terrain. Contributing to the accident was airport personnel's lack of training regarding issuance of NOTAMs - [NTSB CEN17LA029](https://openairdocs.org/ntsb/CEN17LA029.md): Beech 100 · Jeffersonville, IN · Accident · No injuries · Limited investigation · Final report · Oct 30, 2016 · N411HA · Substantial damage > The pilot’s inadequate preflight planning, his decision to take off knowing the airplane was over its gross takeoff weight, and his failure to abort the takeoff after he realized that the airplane was not accelerating as expected, which resulted in a runway… - [NTSB DCA17FA021](https://openairdocs.org/ntsb/DCA17FA021.md): Boeing 767 · Chicago, IL · Accident · Serious injuries · Class 1 · Field · Final report · Oct 28, 2016 · N345AN · Substantial damage > The failure of the high-pressure turbine (HPT) stage 2 disk, which severed the main engine fuel feed line and breached the right main wing fuel tank, releasing fuel that resulted in a fire on the right side of the airplane during the takeoff roll. The HPT… - [NTSB DCA17IA020](https://openairdocs.org/ntsb/DCA17IA020.md): Boeing 737 7L9 · New York, NY · Incident · No injuries · Incident investigation · Final report · Oct 27, 2016 · N278EA · Minor damage > The first officer's failure to attain the proper touchdown point and the flight crew's failure to call for a go-around, which resulted in the airplane landing more than halfway down the runway. Contributing to the incident were, the first officer's initiation… - [NTSB CEN17FA026](https://openairdocs.org/ntsb/CEN17FA026.md): Roe Cleo Wittman Tailwind W10 · Pearland, TX · Accident · 1 fatal · Field investigation · Final report · Oct 26, 2016 · N557CL · Substantial damage > The pilot's failure to maintain adequate airspeed and his exceedance of the airplane's critical angle of attack during a climbing turn after takeoff, which resulted in an aerodynamic stall/spin. Contributing to the accident was the pilot's inadequate training… - [NTSB ANC17MA001](https://openairdocs.org/ntsb/ANC17MA001.md): Cessna 208B · Togiak, AK · Accident · 3 fatal · Class 1 · Major · Final report · Oct 2, 2016 · N208SD · Destroyed > The flight crew's decision to continue the visual flight rules flight into deteriorating visibility and their failure to perform an immediate escape maneuver after entry into instrument meteorological conditions, which resulted in controlled flight into… - [NTSB GAA16CA512](https://openairdocs.org/ntsb/GAA16CA512.md): Air Tractor AT802 · Wilson, AR · Accident · No injuries · Data collection · Final report · Sep 6, 2016 · N519EP · Substantial damage > The pilot’s failure to adequately survey the area of operation and his subsequent failure to maintain clearance from power lines during an agricultural application flight. - [NTSB ERA15FA340](https://openairdocs.org/ntsb/ERA15FA340.md): Beech A36 · Kernersville, NC · Accident · 3 fatal · Field investigation · Final report · Sep 7, 2015 · N36HT · Destroyed > The pilot's loss of airplane control due to spatial disorientation, which resulted in an aerodynamic stall/spin. Contributing to the accident was deficient Federal Aviation Administration air traffic control training on recognition and handling of… - [NTSB ANC15FA049](https://openairdocs.org/ntsb/ANC15FA049.md): Cessna 207A · Juneau, AK · Accident · 1 fatal · Class 3 · Field · Final report · Jul 17, 2015 · N62AK · Substantial damage > The pilot's decision to initiate and continue visual flight into instrument meteorological conditions, which resulted in a loss of situational awareness and controlled flight into terrain. Contributing to the accident were the company's failure to follow its… - [NTSB ERA15FA099](https://openairdocs.org/ntsb/ERA15FA099.md): Cessna 152 · New Smyrna Beach, FL · Accident · 1 fatal · Field investigation · Final report · Jan 14, 2015 · N757ZM · Substantial damage > The pilot's failure to maintain control of the airplane while operating under visual flight rules (VFR) in night, instrument meteorological conditions, likely due to spatial disorientation. Contributing to the outcome was the radar controller's failure to… - [NTSB WPR14TA357](https://openairdocs.org/ntsb/WPR14TA357.md): Airbus Helicopters AS 350 B3 · Hemet, CA · Accident · Minor injuries · Final report · Aug 28, 2014 · N991SD · Substantial damage > The flight instructor's failure to adequately brief and demonstrate the simulated emergency procedure to the pilot under instruction and his delayed remedial action and inadequate supervision during the maneuver, which resulted in an excessive sink rate and a… - [NTSB CEN14FA110](https://openairdocs.org/ntsb/CEN14FA110.md): Cessna 310R · Waterford, MI · Accident · 1 fatal · Field investigation · Final report · Jan 11, 2014 · N3829G · Destroyed > The pilot's controlled flight into terrain during an instrument landing system approach at night in instrument flight rules conditions. Contributing to the accident were the operator's inadequate training of the pilot, the operator's failure to provide a… - [NTSB CEN14GA109](https://openairdocs.org/ntsb/CEN14GA109.md): American Eurocopter AS350B3 · Encino, TX · Accident · Serious injuries · Final report · Jan 10, 2014 · N3948A · Substantial damage > The pilot’s failure to maintain directional control while maneuvering, which resulted in a loss of tail rotor effectiveness. Contributing to the accident were the pilot’s limited experience in the operating environment and lack of formal mission training. - [NTSB ANC14MA008](https://openairdocs.org/ntsb/ANC14MA008.md): Cessna 208B · Saint Marys, AK · Accident · 5 fatal · Major investigation · Final report · Nov 30, 2013 · N12373 · Substantial damage > The pilot's decision to initiate a visual flight rules approach into an area of instrument meteorological conditions at night and the flight coordinators' release of the flight without discussing the risks with the pilot, which resulted in the pilot… - [NTSB ANC14LA007](https://openairdocs.org/ntsb/ANC14LA007.md): Beech 1900C · Deadhorse, AK · Accident · No injuries · Limited investigation · Final report · Nov 22, 2013 · N575X · Substantial damage > The captain’s decision to initiate a visual flight rules approach and attempted landing into an area of instrument meteorological conditions, which resulted in the airplane touching down short of the runway. Contributing to the accident was the operator’s… - [NTSB CEN14LA036](https://openairdocs.org/ntsb/CEN14LA036.md): Cessna 182L · Superior, WI · Accident · Minor injuries · Limited investigation · Final report · Nov 2, 2013 · N70520 · 2 aircraft · Destroyed > The failure of the pilot who was flying the trail airplane to maintain separation from the lead airplane. Contributing to the accident was the inadequate pilot training for formation skydiving operations. - [NTSB DCA13MA133](https://openairdocs.org/ntsb/DCA13MA133.md): Airbus A300 - F4 622R · Birmingham, AL · Accident · 2 fatal · Class 1 · Major · Final report · Aug 14, 2013 · N155UP · Destroyed > the flight crew's continuation of an unstabilized approach and their failure to monitor the aircraft's altitude during the approach, which led to an inadvertent descent below the minimum approach altitude and subsequently into terrain. Contributing to the… - [NTSB DCA13MA120](https://openairdocs.org/ntsb/DCA13MA120.md): Boeing 777-200ER · San Francisco, CA · Accident · 3 fatal · Class 1 · Major · Final report · Jul 6, 2013 · HL7742 · Destroyed > The flight crew's mismanagement of the airplane's descent during the visual approach, the pilot flying's unintended deactivation of automatic airspeed control, the flight crew's inadequate monitoring of airspeed, and the flight crew's delayed execution of a… - [NTSB CEN13LA380](https://openairdocs.org/ntsb/CEN13LA380.md): Diamond Aicraft Industries DA 20-C1 · Odessa, TX · Accident · Minor injuries · Limited investigation · Final report · Jun 27, 2013 · N322FS · Substantial damage > The pilot's use of an improper flap setting and a subsequent inadequate flare of the airplane, which resulted in a bounced landing, and the pilot's delay in executing a go-around. - [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 ANC13FA017](https://openairdocs.org/ntsb/ANC13FA017.md): Eurocopter AS350 B3 · Beluga, AK · Accident · Serious injuries · Field investigation · Final report · Dec 15, 2012 · C-GYPH · Substantial damage > The pilot's failure to stabilize the external load, which led to the synthetic long-line separating about midspan and the remaining line becoming entangled in the tail rotor gearbox output shaft and resulted in the separation of the tail rotor gearbox and… - [NTSB ANC12GA114](https://openairdocs.org/ntsb/ANC12GA114.md): Quest Kodiak 100 · Anchorage, AK · Accident · No injuries · Final report · Sep 30, 2012 · N745 · Substantial damage > The pilot's failure to maintain directional control while landing, which resulted in a collision with the water. Contributing to the accident were the pilot's lack of experience conducting waterborne operations in the accident make and model airplane and the… - [NTSB DCA12FA058](https://openairdocs.org/ntsb/DCA12FA058.md): Bombardier DHC-8-402 · Houston, TX · Accident · No injuries · Field investigation · Final report · Apr 7, 2012 · N213WQ · Substantial damage > the nose landing gear alternate release handle was not pulled with sufficient enough force or distance to release the uplocks and allow extension of the nose landing gear. Contributing to the accident was the dissimilar pull force and pull length set on the… - [NTSB ERA12TA251](https://openairdocs.org/ntsb/ERA12TA251.md): Bell 407 · Delray Beach, FL · Accident · Minor injuries · Final report · Mar 23, 2012 · N31PB · Substantial damage > The pilot’s improper response to a simulated engine failure and the instructor’s delayed and improper remedial action. - [NTSB OPS12IA122](https://openairdocs.org/ntsb/OPS12IA122.md): Kahului, HI · Incident · No injuries · Incident investigation · Final report · Nov 3, 2011 · No damage > Failure of the Honolulu Control Facility controller to issue control instructions necessary to establish and maintain required separation between all three aircraft. Contributing to the losses of separation was inadequate training provided to controllers… - [NTSB CEN11FA599](https://openairdocs.org/ntsb/CEN11FA599.md): Eurocopter AS-350-B2 · Mosby, MO · Accident · 4 fatal · Class 1 · Field · Final report · Aug 26, 2011 · N352LN · Substantial damage > The pilot's failure to confirm that the helicopter had adequate fuel on board to complete the mission before making the first departure, his improper decision to continue the mission and make a second departure after he became aware of a critically low fuel… - [NTSB WPR10FA371](https://openairdocs.org/ntsb/WPR10FA371.md): American Eurocopter AS 350 B3 · Tucson, AZ · Accident · 3 fatal · Field investigation · Final report · Jul 28, 2010 · N509AM · Substantial damage > The 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… - [NTSB OPS10IA014](https://openairdocs.org/ntsb/OPS10IA014.md): Boeing 737 · Worton, MD · Incident · No injuries · Incident investigation · Final report · Mar 25, 2010 · N27239 · 2 aircraft · No damage > The 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… - [NTSB ERA10LA041](https://openairdocs.org/ntsb/ERA10LA041.md): Boeing 717-200 · Pleasant Grove, NC · Accident · Serious injuries · Limited investigation · Final report · Oct 26, 2009 · N935AT · No damage > The 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. - [NTSB DCA09FA048](https://openairdocs.org/ntsb/DCA09FA048.md): Boeing DC-10 · Baltimore, MD · Accident · Serious injuries · Field investigation · Final report · May 6, 2009 · N139WA · Substantial damage > the 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… - [NTSB DCA09MA027](https://openairdocs.org/ntsb/DCA09MA027.md): Bombardier DHC-8-402 · Clarence Center, NY · Accident · 50 fatal · Class 1 · Major · Final report · Feb 13, 2009 · N200WQ · Destroyed > The 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… Next page: https://openairdocs.org/ntsb-findings/040310/cases.md?page=2 ## 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", '040310')) ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC ``` This list as a web page: https://openairdocs.org/ntsb-findings/040310/cases --- 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.