# 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.

## Latest cases

- [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 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 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 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 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 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 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 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 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 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 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 DCA09MA021](https://openairdocs.org/ntsb/DCA09MA021.md): Boeing 737-524 · Denver, CO · Accident · Serious injuries · Class 1 · Major · Final report · Dec 21, 2008 · N18611 · Substantial damage
  > The 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…
- [NTSB DCA09FA009](https://openairdocs.org/ntsb/DCA09FA009.md): General Atomics MQ-9 · Sierra Vista, AZ · Accident · No injuries · Field investigation · Final report · Nov 7, 2008 · CBP113 · Substantial damage
  > the 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…
- [NTSB OPS08IA015](https://openairdocs.org/ntsb/OPS08IA015.md): Bombardier CL-600-2C1 · Allentown, PA · Incident · No injuries · Incident investigation · Final report · Sep 19, 2008 · N506MJ · 2 aircraft · No damage
  > The 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.
- [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 ANC08MA038](https://openairdocs.org/ntsb/ANC08MA038.md): Piper PA-31-350 · Kodiak, AK · Accident · 6 fatal · Major investigation · Final report · Jan 5, 2008 · N509FN · Substantial damage
  > The 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…

## 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 f."inProbableCause" AND 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?cause=1

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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.
