Oversight

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

Cases
135
In the probable cause
96 (71%)
Fatal cases
71
NTSB code
040320

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
Cases with Oversight per year: 135 cases
20088
20097
201011
201110
20129
201314
20148
201515
20167
20179
20184
20195
20202
20214
20228
20236
20245
20253
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\", '040320') 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.

Subsections · 8

Query with SQL
duckdb -csv -c "SELECT left(f.\"findingCode\", 8) AS code, max(f.\"tier4Name\") AS name,
    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
  WHERE starts_with(f.\"findingCode\", '040320') AND f.\"findingCode\" GLOB '[0-9][0-9]*'
  GROUP BY 1
  ORDER BY cases DESC, code"

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

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\", '040320'))
  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\", '040320') 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 · 135

NTSB ANC25MA018Accident · 10 fatalClass 1 · MajorFinal reportTextron 208B · Nome, AKThe National Transportation Safety Board determines that the probable cause of this accident was the pilot’s inadequate airspeed management due to workload and degraded situation awareness and his improper inputs leading up to and during the aerodynamic…Feb 6, 2025 · N321BA · DestroyedNTSB WPR25LA089Accident · Serious injuriesClass 4 · LimitedFinal reportLockheed C-130A · Daggett, CAAn inflight upset due to an improperly secured load that resulted in serious injuries.Feb 1, 2025 · N466TM · No damageNTSB DCA25MA108Accident · 67 fatalClass 1 · MajorFinal reportBombardier CL-600-2C10 · Washington, DCThe Federal Aviation Administration’s (FAA) placement of a helicopter route in close proximity to a runway approach path; their failure to regularly review and evaluate helicopter routes and available data, and their failure to act on recommendations to…Jan 30, 2025 · N709PS · 2 aircraft · DestroyedNTSB ANC24FA102Accident · 1 fatalClass 3 · FieldFinal reportCessna 206 · Chalkyitsik, AKA loss of engine power due to water-contaminated fuel as a result of the pilot’s inadequate preflight inspection. Contributing to the accident was the operator’s failure to ensure replacement filters were available for use during refueling operations.Sep 24, 2024 · N8255Q · Substantial damageNTSB WPR24LA241Accident · No injuriesClass 3 · LimitedFinal reportRobinson Helicopter R44 II · Herriman, UTA hard landing following a total loss of engine power due to fuel starvation as a result of the improper idle setting of the helicopter’s engine. Contributing to the loss of engine power was the instructor’s reduction of engine power past that recommended by…Jul 13, 2024 · N6960 · Substantial damageNTSB CEN24LA144Accident · 1 fatalClass 3 · LimitedFinal reportPiper PA28 · Muncie, INThe pilot’s spatial disorientation and subsequent loss of control while maneuvering outside established instrument approach procedures in instrument meteorological conditions, which resulted in an impact with terrain. Contributing to the accident was the…Apr 1, 2024 · N8438B · DestroyedNTSB WPR24FA080Accident · 1 fatalClass 3 · FieldFinal reportSwanson R/Swanson S RV-6 · Concord, CAA total loss of engine power during takeoff due to a separated fuel line and the pilot’s subsequent failure to maintain control of the airplane. Contributing to the accident were the pilot's medical condition and the effects of multiple impairing substances.Jan 30, 2024 · N30AK · Substantial damageNTSB DCA24MA063Accident · Minor injuriesClass 1 · MajorFinal reportBoeing 737-9 · Portland, ORthe 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…Jan 6, 2024 · N704AL · Substantial damageNTSB WPR24LA069Accident · No injuriesClass 4 · LimitedFinal reportTaylorcraft BC12-D · Whitefish, MTThe failure of the airport authorities to renew the airport closure NOTAM for the airport. Contributing to the accident, was the pilot’s inability to see the runway closure sign.Dec 23, 2023 · N43415 · Substantial damageNTSB WPR24FA018Accident · 2 fatalClass 3 · FieldFinal reportBeech A36 · Covelo, CAThe pilot’s failure to maintain clearance from trees after entering a steep banked turn for unknown reasons. Contributing to the accident was the pilot’s decision to take off toward rising terrain.Oct 21, 2023 · N8248K · Destroyed
See all 135 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\", '040320'))
  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.