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NTSB finding · Organizational issues › Support/oversight/monitoring › Training

All 15 cases9 in the probable cause
Cases
15
In the probable cause
9 (60%)
Fatal cases
2
NTSB code
04031010

NTSB has coded findings and defining events since 2008. Earlier cases used its older occurrence and cause codes, so they aren’t counted here.

When and where

In green, cases where NTSB made it part of the probable cause; in gray, a factor or other finding. Findings are coded with the final report, often a year or more after the event, so the latest years are incomplete.

Cases per year

2008In the probable causeFactor only2026

Where

Open the map
Query with SQL
duckdb -csv -c "SELECT year(c.\"eventDate\") AS year, count(DISTINCT f.case_mkey) AS cases,
    count(DISTINCT f.case_mkey) FILTER (WHERE f.\"inProbableCause\") AS in_probable_cause
  FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' f JOIN 'https://openairdocs.org/data/latest/ntsb_case_detail.parquet' c ON c.\"mKey\" = f.case_mkey
  WHERE starts_with(f.\"findingCode\", '04031010') AND c.\"eventDate\" >= DATE '2000-01-01'
  GROUP BY 1
  ORDER BY 1"

Prints the counts as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.

In the same cases

Defining events
Aircraft models

Aircraft matched to the registry by N-number and date.

Other findings
Query with SQL
duckdb -csv -c "WITH matched AS (SELECT DISTINCT case_mkey, aircrafts_position FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' WHERE starts_with(\"findingCode\", '04031010'))
  SELECT * FROM (
  SELECT 'Defining event' AS kind, e.\"tier2Number\" AS code, max(e.\"eventTier2Name\") AS name, count(DISTINCT f.case_mkey) AS cases
  FROM matched f JOIN 'https://openairdocs.org/data/latest/ntsb_events.parquet' e ON e.case_mkey = f.case_mkey AND e.aircrafts_position = f.aircrafts_position AND e.\"isDefiningEvent\"
  WHERE e.\"tier2Number\" <> ''
  GROUP BY ALL
  UNION ALL
  SELECT 'Aircraft model', a.aircraft_model_code, any_value(concat_ws(' ', m.manufacturer, m.model)), count(DISTINCT f.case_mkey)
  FROM matched f JOIN 'https://openairdocs.org/data/latest/ntsb_aircrafts.parquet' a ON a.case_mkey = f.case_mkey AND a.position = f.aircrafts_position
  LEFT JOIN 'https://openairdocs.org/data/latest/faa_aircraft_model.parquet' m ON m.code = a.aircraft_model_code
  WHERE a.aircraft_model_code IS NOT NULL
  GROUP BY ALL
  UNION ALL
  SELECT 'Other finding', left(g.\"findingCode\", 8), max(g.\"tier4Name\"), count(DISTINCT g.case_mkey)
  FROM 'https://openairdocs.org/data/latest/ntsb_findings.parquet' g
  WHERE g.case_mkey IN (SELECT case_mkey FROM matched) AND NOT starts_with(g.\"findingCode\", '04031010') AND g.\"findingCode\" GLOB '[0-9][0-9]*'
  GROUP BY ALL
  )
  QUALIFY row_number() OVER (PARTITION BY kind ORDER BY cases DESC) <= 10
  ORDER BY kind, cases DESC"

Prints the counts as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.

Newest cases · 15

NTSB ANC25LA008Accident · Serious injuriesClass 3 · LimitedFinal reportCub Crafters CC18-180 · Anchorage, AKThe 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.Nov 2, 2024 · N55PK · Substantial damageNTSB DCA23LA384Accident · No injuriesClass 3 · LimitedFinal reportBoeing 767-322 · Houston, TXThe 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.Jul 29, 2023 · N641UA · Substantial damageNTSB WPR21FA143Accident · 5 fatalClass 3 · FieldFinal reportAirbus Helicopters AS350-B3 · Palmer, AKThe 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,…Mar 28, 2021 · N351SH · Substantial damageNTSB WPR19MA177Accident · 11 fatalClass 2 · MajorFinal reportBeech 65-A90 · Mokuleia, HIThe 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…Jun 22, 2019 · N256TA · DestroyedNTSB DCA18IA269Incident · Minor injuriesIncident investigationFinal reportDJI Phantom · Blacksburg, VAthe 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…Aug 14, 2018 · FA3HCWCR4X · Minor damageNTSB DCA18IA092Incident · No injuriesIncident investigationFinal reportBoeing 777 222 · Honolulu, HIthe 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…Feb 13, 2018 · N773UA · Minor damageNTSB DCA18CA001Accident · No injuriesData collectionFinal reportBoeing 737 7H4 · Chicago, ILthe 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.Oct 2, 2017 · N930WN · Substantial damageNTSB CEN17LA176Accident · No injuriesLimited investigationFinal reportThrush S2R-H80 · Gypsum, KSA 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…May 5, 2017 · N3045R · Substantial damageNTSB CEN17LA029Accident · No injuriesLimited investigationFinal reportBeech 100 · Jeffersonville, INThe 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…Oct 30, 2016 · N411HA · Substantial damageNTSB GAA16CA512Accident · No injuriesData collectionFinal reportAir Tractor AT802 · Wilson, ARThe 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.Sep 6, 2016 · N519EP · Substantial damage
See all 15 cases
Query with SQL
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\", '04031010'))
  ORDER BY c.\"eventDate\" DESC, c.\"ntsbNumber\" DESC"

Prints the whole list as CSV. It reads the release’s Parquet files over HTTPS, so there’s nothing to download first. Install DuckDB to run it.