# Training, general - Type: NTSB finding subsection - Path: [Organizational issues](https://openairdocs.org/ntsb-findings/04) › [Support/oversight/monitoring](https://openairdocs.org/ntsb-findings/0403) › [Training](https://openairdocs.org/ntsb-findings/040310) › Training, general - NTSB code: 04031000 - Cases: 26 - In the probable cause: 19 - Fatal cases: 11 - All cases: https://openairdocs.org/ntsb-findings/04031000/cases.md - Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/04031000/cases.md?cause=1 - Page: https://openairdocs.org/ntsb-findings/04031000 ## Cases per year (in the probable cause / all) - 2008: 3 / 3 - 2009: 1 / 1 - 2011: 2 / 2 - 2012: 1 / 2 - 2013: 2 / 6 - 2014: 1 / 2 - 2015: 1 / 1 - 2016: 1 / 1 - 2017: 2 / 2 - 2018: 2 / 3 - 2021: 1 / 1 - 2022: 1 / 1 - 2024: 1 / 1 ## Defining events in these cases - [Controlled flight into terr/obj (CFIT)](https://openairdocs.org/ntsb-events/120): 5 cases - [Runway excursion](https://openairdocs.org/ntsb-events/300): 3 cases - [Loss of control in flight](https://openairdocs.org/ntsb-events/240): 3 cases - [VFR encounter with IMC](https://openairdocs.org/ntsb-events/401): 2 cases - [Hard landing](https://openairdocs.org/ntsb-events/092): 2 cases - [Miscellaneous/other](https://openairdocs.org/ntsb-events/900): 1 cases - [Medical event](https://openairdocs.org/ntsb-events/850): 1 cases - [Loss of engine power (total)](https://openairdocs.org/ntsb-events/341): 1 cases - [Part(s) separation from AC](https://openairdocs.org/ntsb-events/338): 1 cases - [Flight control sys malf/fail](https://openairdocs.org/ntsb-events/333): 1 cases ## Aircraft models (registry) - [Cessna 208B](https://openairdocs.org/model/cessna-208b): 3 cases - [Eurocopter AS 350 B3](https://openairdocs.org/model/eurocopter-as-350-b3): 2 cases - [Eurocopter Deutschland EC135P1](https://openairdocs.org/model/eurocopter-deutschland-ec135p1): 1 cases - [Eurocopter AS 350 B2](https://openairdocs.org/model/eurocopter-as-350-b2): 1 cases - [Quest KODIAK 100](https://openairdocs.org/model/quest-kodiak-100): 1 cases - [Raytheon C90A](https://openairdocs.org/model/raytheon-c90a): 1 cases - [Airbus A300 F4-622R](https://openairdocs.org/model/airbus-a300-f4-622r): 1 cases - [Mcdonnell Douglas DC-9-87](https://openairdocs.org/model/mcdonnell-douglas-dc-9-87): 1 cases - [Diamond Aircraft Ind DA20-C1](https://openairdocs.org/model/diamond-aircraft-ind-da20-c1): 1 cases - [Cirrus Design SR22](https://openairdocs.org/model/cirrus-design-sr22): 1 cases ## Other findings in the same cases - [Decision making/judgment](https://openairdocs.org/ntsb-findings/02041520) (Personnel issues): 10 cases - [Aircraft control](https://openairdocs.org/ntsb-findings/02063040) (Personnel issues): 8 cases - [Adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015) (Organizational issues): 6 cases - [Oversight of personnel](https://openairdocs.org/ntsb-findings/04032010) (Organizational issues): 5 cases - [Oversight of operation](https://openairdocs.org/ntsb-findings/04032015) (Organizational issues): 4 cases - [Incorrect action performance](https://openairdocs.org/ntsb-findings/02041015) (Personnel issues): 4 cases - [Below VFR minima](https://openairdocs.org/ntsb-findings/03035075) (Environmental issues): 3 cases - [Use of equip/system](https://openairdocs.org/ntsb-findings/02063015) (Personnel issues): 3 cases - [Delayed action](https://openairdocs.org/ntsb-findings/02041025) (Personnel issues): 3 cases - [Total experience w/ equipment](https://openairdocs.org/ntsb-findings/02031025) (Personnel issues): 3 cases ## Newest cases - [NTSB DCA24MA063](https://openairdocs.org/ntsb/DCA24MA063), Jan 6, 2024: Boeing 737-9 (N704AL), Portland, OR, substantial damage. Probable cause: 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… - [NTSB ANC23FA008](https://openairdocs.org/ntsb/ANC23FA008), Dec 15, 2022: Raytheon C90A (N13GZ), Kaupo, HI, substantial damage, 3 fatal. Probable cause: 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… - [NTSB DCA22MA009](https://openairdocs.org/ntsb/DCA22MA009), Oct 19, 2021: Mcdonnell Douglas DC-9-87 (MD-87) (N987AK), Brookshire, TX, destroyed. Probable cause: 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.… - [NTSB DCA19IA036](https://openairdocs.org/ntsb/DCA19IA036), Dec 6, 2018: Boeing 737 (N752SW), Burbank, CA, incident, minor damage. Probable cause: (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… - [NTSB WPR19IA030](https://openairdocs.org/ntsb/WPR19IA030), Nov 24, 2018: Cessna 208 (N781FE), Bakersfield, CA, incident, no damage. Probable cause: 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… - [NTSB CEN18FA259](https://openairdocs.org/ntsb/CEN18FA259), Jul 8, 2018: Eurocopter Deutschland EC135 P1 (N312SA), Chicago, IL, substantial damage. Probable cause: 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… - [NTSB CEN18FA063](https://openairdocs.org/ntsb/CEN18FA063), Dec 31, 2017: Cessna 208 (TI-BEI), Punta Islita, Costa Rica, destroyed, 12 fatal. Probable cause: 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… - [NTSB CEN17LA078](https://openairdocs.org/ntsb/CEN17LA078), Jan 16, 2017: Textron 525C (N525PZ), Howell, MI, substantial damage. Probable cause: 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… - [NTSB ANC17MA001](https://openairdocs.org/ntsb/ANC17MA001), Oct 2, 2016: Cessna 208B (N208SD), Togiak, AK, destroyed, 3 fatal. Probable cause: 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… - [NTSB ANC15FA049](https://openairdocs.org/ntsb/ANC15FA049), Jul 17, 2015: Cessna 207A (N62AK), Juneau, AK, substantial damage, 1 fatal. Probable cause: 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.… NTSB has coded findings and defining events since 2008; earlier cases used its older occurrence and cause codes and aren't counted. Findings: https://openairdocs.org/ntsb-findings.md. Defining events: https://openairdocs.org/ntsb-events.md. Phases of flight: https://openairdocs.org/ntsb-phases.md. Every investigation, filtered by finding, event, phase, state, year or model: https://openairdocs.org/ntsb.md (for example ?state=MI&fatal=1). NTSB's definitions: Accident and incident, 49 CFR 830.2 (https://www.ecfr.gov/current/title-49/subtitle-B/chapter-VIII/part-830/subpart-A/section-830.2), CICTT occurrence categories (PDF) (https://www.ntsb.gov/safety/data/Documents/datafiles/OccurrenceCategoryDefinitions.pdf), CICTT phases of flight (PDF) (https://www.ntsb.gov/safety/data/Documents/datafiles/PhaseofFlightDefinitions.pdf), and NTSB coding manual, before 2008 (PDF) (https://www.ntsb.gov/GILS/Documents/codman.pdf). NTSB publishes no definitions for its findings, only their names. --- 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.