# Oversight, general - Type: NTSB finding subsection - Path: [Organizational issues](https://openairdocs.org/ntsb-findings/04) › [Support/oversight/monitoring](https://openairdocs.org/ntsb-findings/0403) › [Oversight](https://openairdocs.org/ntsb-findings/040320) › Oversight, general - NTSB code: 04032000 - Cases: 7 - In the probable cause: 5 - Fatal cases: 4 - All cases: https://openairdocs.org/ntsb-findings/04032000/cases.md - Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/04032000/cases.md?cause=1 - Page: https://openairdocs.org/ntsb-findings/04032000 ## Cases per year (in the probable cause / all) - 2008: 1 / 1 - 2010: 1 / 2 - 2011: 1 / 1 - 2013: 2 / 2 - 2023: 0 / 1 ## Defining events in these cases - [Collision during takeoff/land](https://openairdocs.org/ntsb-events/490): 3 cases - [Loss of control in flight](https://openairdocs.org/ntsb-events/240): 2 cases - [Low altitude operation/event](https://openairdocs.org/ntsb-events/220): 1 cases - [Fire/smoke (non-impact)](https://openairdocs.org/ntsb-events/150): 1 cases ## Aircraft models (registry) - [Rockwell International S-2R](https://openairdocs.org/model/rockwell-international-s-2r): 1 cases - [Eurocopter Deutschland MBB-BK 117 C-2](https://openairdocs.org/model/eurocopter-deutschland-mbb-bk-117-c-2): 1 cases - [Beech 65](https://openairdocs.org/model/beech-65): 1 cases - [Beech 58](https://openairdocs.org/model/beech-58): 1 cases - [Beech A36](https://openairdocs.org/model/beech-a36): 1 cases ## Other findings in the same cases - [Airspeed](https://openairdocs.org/ntsb-findings/01062010) (Aircraft): 3 cases - [Aircraft control](https://openairdocs.org/ntsb-findings/02063040) (Personnel issues): 2 cases - [Decision making/judgment](https://openairdocs.org/ntsb-findings/02041520) (Personnel issues): 2 cases - [Oversight of operation](https://openairdocs.org/ntsb-findings/04032015) (Organizational issues): 1 cases - [Equipment design](https://openairdocs.org/ntsb-findings/04011010) (Organizational issues): 1 cases - [Glare](https://openairdocs.org/ntsb-findings/03036030) (Environmental issues): 1 cases - [Runway/land/takeoff/taxi surface, general](https://openairdocs.org/ntsb-findings/03023000) (Environmental issues): 1 cases - [Ground equipment](https://openairdocs.org/ntsb-findings/03022050) (Environmental issues): 1 cases - [Tower/antenna (incl guy wires)](https://openairdocs.org/ntsb-findings/03022017) (Environmental issues): 1 cases - [Mountainous/hilly terrain](https://openairdocs.org/ntsb-findings/03021010) (Environmental issues): 1 cases ## Newest cases - [NTSB WPR24FA018](https://openairdocs.org/ntsb/WPR24FA018), Oct 21, 2023: Beech A36 (N8248K), Covelo, CA, destroyed, 2 fatal. Probable cause: The 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. - [NTSB ERA13LA134](https://openairdocs.org/ntsb/ERA13LA134), Feb 14, 2013: Eurocopter Deutschland MBB-BK 117 C-2 (N481LF), Danville, PA, substantial damage. Probable cause: The pilot’s decision to conduct a straight-in approach to the helipad, which resulted in the main rotor blade impacting a construction crane flag marker. Contributing to the accident was the… - [NTSB DCA13IA037](https://openairdocs.org/ntsb/DCA13IA037), Jan 7, 2013: Boeing 787 (JA829J), Boston, MA, incident, minor damage. Probable cause: an internal short circuit within a cell of the auxiliary power unit (APU) lithium-ion battery, which led to thermal runaway that cascaded to adjacent cells, resulting in the release of smoke and… - [NTSB WPR11LA094](https://openairdocs.org/ntsb/WPR11LA094), Jan 10, 2011: Rockwell International S-2R (N4977X), Oakley, CA, substantial damage, 1 fatal. Probable cause: An in-flight collision with an unmarked meteorological evaluation tower (MET) during an aerial application flight due to the pilot's failure to see and avoid the obstacle. Contributing to the… - [NTSB WPR10FA448](https://openairdocs.org/ntsb/WPR10FA448), Sep 2, 2010: Beech 65 (N832B), Redwood City, CA, substantial damage, 3 fatal. Probable cause: A loss of power in the right engine for undetermined reasons and the pilot’s subsequent failure to maintain adequate airspeed, which resulted in a loss of control. Contributing to the loss of control… - [NTSB ERA10FA404](https://openairdocs.org/ntsb/ERA10FA404), Aug 7, 2010: Beech 58 (N28MR), Saltsburg, PA, substantial damage, 2 fatal. Probable cause: The pilot’s loss of control of the airplane during low-airspeed airwork and his failure to promptly recover the airplane from the aerodynamic stall, which resulted in a spin. Contributing to the… - [NTSB ERA09LA020](https://openairdocs.org/ntsb/ERA09LA020), Oct 16, 2008: Sikorsky S-76C (N552J), New York, NY, substantial damage. Probable cause: The failure of the flightcrew to stabilize the helicopter over its confined landing area during a hovering left-pedal turn, resulting in tail rotor blade contact with a perimeter fence component and… 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.