# NTSB investigations: Oversight of personnel

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 WPR25LA089](https://openairdocs.org/ntsb/WPR25LA089.md): Lockheed C-130A · Daggett, CA · Accident · Serious injuries · Class 4 · Limited · Final report · Feb 1, 2025 · N466TM · No damage
  > An inflight upset due to an improperly secured load that resulted in serious injuries.
- [NTSB DCA25MA108](https://openairdocs.org/ntsb/DCA25MA108.md): Bombardier CL-600-2C10 · Washington, DC · Accident · 67 fatal · Class 1 · Major · Final report · Jan 30, 2025 · N709PS · 2 aircraft · Destroyed
  > The 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…
- [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 DCA23FA339](https://openairdocs.org/ntsb/DCA23FA339.md): Boeing 717-200 · Charlotte, NC · Accident · No injuries · Class 3 · Field · Final report · Jun 28, 2023 · N955AT · Substantial damage
  > A fatigue fracture of the upper lock link that initiated along scratch features on the lower surface at the parting line of the forged aluminum component. Contributing to the accident was the overhaul facilities noncompliance with Service Bulletin 717-32-002.
- [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 ANC18FA053](https://openairdocs.org/ntsb/ANC18FA053.md): De Havilland DHC 3 · Hydaburg, AK · Accident · Serious injuries · Field investigation · Final report · Jul 10, 2018 · N3952B · Substantial damage
  > The pilot's decision to continue the visual flight rules flight into instrument meteorological conditions, which resulted in controlled flight into terrain.
- [NTSB WPR18FA013](https://openairdocs.org/ntsb/WPR18FA013.md): Flugzeugproduktions-und Vertri EA 300/L · Four Corners, CA · Accident · 2 fatal · Field investigation · Final report · Oct 21, 2017 · N414MT · Destroyed
  > Collision with terrain after the pilot was unable to regain airplane control during an aerobatic maneuver. Contributing to the accident was the operator's failure to provide effective internal oversight to identify and prohibit exceedance of the airplanes'…
- [NTSB DCA17FA109](https://openairdocs.org/ntsb/DCA17FA109.md): Short Bros. & Harland SD3 30 · Charleston, WV · Accident · 2 fatal · Field investigation · Final report · May 5, 2017 · N334AC · Substantial damage
  > the flight crew's improper decision to conduct a circling approach contrary to the operator's standard operating procedures (SOP) and the captain's excessive descent rate and maneuvering during the approach, which led to inadvertent, uncontrolled contact with…
- [NTSB DCA16MA204](https://openairdocs.org/ntsb/DCA16MA204.md): Kubicek BB85 · Lockhart, TX · Accident · 16 fatal · Class 1 · Major · Final report · Jul 30, 2016 · N2469L · Destroyed
  > The pilot's pattern of poor decision-making that led to the initial launch, continued flight in fog and above clouds, and descent near or through clouds that decreased the pilot's ability to see and avoid obstacles. Contributing to the accident were (1) the…
- [NTSB GAA15CA202](https://openairdocs.org/ntsb/GAA15CA202.md): Bell 47G · De Queen, AR · Accident · Minor injuries · Data collection · Final report · Jul 25, 2015 · N1420W · Substantial damage
  > The pilot's failure to conduct helicopter performance planning, which resulted in an uncontrolled descent and impact with a truck and terrain during takeoff from an elevated platform.
- [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 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 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 ERA13LA042](https://openairdocs.org/ntsb/ERA13LA042.md): Piper PA-32R-300 · Sevierville, TN · Accident · Minor injuries · Limited investigation · Final report · Oct 28, 2012 · N4478F · Substantial damage
  > The air traffic controller’s failure to comply with the required vectoring and safety alert procedures, which resulted in the airplane’s flight into rising terrain. Contributing to the accident was the Federal Aviation Administration’s continued practice of…
- [NTSB CEN12LA343](https://openairdocs.org/ntsb/CEN12LA343.md): Schweizer 269C · Denver, CO · Accident · No injuries · Limited investigation · Final report · Jun 2, 2012 · N2196F · Substantial damage
  > The inadequately overhauled landing gear dampers that allowed initiation of a ground resonance event from which the pilot was unable to recover. Contributing to the accident was the overhaul facility's failure to identify the overcharged dampers and a lack of…
- [NTSB CEN12LA353](https://openairdocs.org/ntsb/CEN12LA353.md): Schweizer 269C-1 · Chesterfield, MO · Accident · No injuries · Limited investigation · Final report · May 26, 2012 · N345MH · Substantial damage
  > The undercharged and overcharged landing gear dampers, which allowed initiation of the ground resonance event from which the pilot was unable to recover due to his limited experience in helicopters. Contributing to the accident was the ineffective damper…
- [NTSB CEN12IA123](https://openairdocs.org/ntsb/CEN12IA123.md): Boeing 737-7H4 · Denver, CO · Incident · No injuries · Incident investigation · Final report · Dec 22, 2011 · N469WN · Minor damage
  > The snowplow operator’s incapacitation due to fatigue, which resulted in the snowplow contacting a parked airplane. Contributing to the incident was the company’s lack of a policy regarding employee fatigue.
- [NTSB ERA11FA495](https://openairdocs.org/ntsb/ERA11FA495.md): North American T-28C · Martinsburg, WV · Accident · 1 fatal · Field investigation · Final report · Sep 17, 2011 · N688GR · Substantial damage
  > The pilot's impairment or incapacitation that occurred during a low-altitude aerobatic maneuver due to complications from a recent heart attack, resulting in his inability to maintain control of the airplane. Contributing to the accident was the Federal…
- [NTSB OPS11IA476](https://openairdocs.org/ntsb/OPS11IA476.md): Beech 400 · Midland, TX · Incident · No injuries · Incident investigation · Final report · Apr 13, 2011 · Military · 2 aircraft · No damage
  > Inadequate planning and control instructions issued to the pilots involved by the trainee controller operating the local control position and inadequate supervision by the instructor responsible for the position.
- [NTSB ERA11LA106](https://openairdocs.org/ntsb/ERA11LA106.md): Eurocopter MBB-BK · Cherry Point, NC · Accident · No injuries · Limited investigation · Final report · Dec 29, 2010 · N854EC · Substantial damage
  > The pilot's impairment during cruise flight due to a recurring stroke. Contributing to the accident was the Federal Aviation Administration's inadequate oversight of the pilot's known medical condition.
- [NTSB ANC10FA038](https://openairdocs.org/ntsb/ANC10FA038.md): Piper PA-18-135 · Willow, AK · Accident · 1 fatal · Field investigation · Final report · May 14, 2010 · N1123 · Substantial damage
  > The pilot's failure to maintain clearance from a tree due to the effects of impairment from alcohol consumption.
- [NTSB OPS10IA155](https://openairdocs.org/ntsb/OPS10IA155.md): Embraer EMB-135KL · Chicago, IL · Incident · No injuries · Incident investigation · Final report · Apr 22, 2010 · N806AE · 2 aircraft · No damage
  > The air traffic controller's issuance of an improper takeoff clearance to the pilot of the Embraer. Contributing to the incident was the instructor’s inadequate monitoring of the trainee local controller.
- [NTSB ERA10FA148](https://openairdocs.org/ntsb/ERA10FA148.md): Piper PA-28-180 · Springfield, KY · Accident · 1 fatal · Field investigation · Final report · Feb 23, 2010 · N7778W · Substantial damage
  > The pilot's inadequate preflight planning, which resulted in a total loss of engine power due to fuel exhaustion, and the pilot's impairment due to alcohol. Contributing to the accident was the Federal Aviation Administration's failure to adequately oversee…
- [NTSB DFW08FA153](https://openairdocs.org/ntsb/DFW08FA153.md): Cessna 310Q · Steamboat, CO · Accident · 2 fatal · Field investigation · Final report · May 25, 2008 · N8187Q · Destroyed
  > The pilot's failure to maintain clearance from mountainous terrain in day visual conditions. Contributing to the accident was the pilot's impairment due to marijuana and inadequate medical oversight of the pilot by the Federal Aviation Administration.
- [NTSB DFW08LA121](https://openairdocs.org/ntsb/DFW08LA121.md): Tromsness Enterprises Turbine LE · Miami, OK · Accident · 1 fatal · Limited investigation · Final report · Apr 28, 2008 · N747CT · Destroyed
  > The pilot's failure to maintain control of the airplane for undetermined reasons. Contributing to the accident included his extensive use of medications and/or his multiple medical conditions and the failure of the FAA to follow up on his reported medication…
- [NTSB LAX08FA047](https://openairdocs.org/ntsb/LAX08FA047.md): Beechcraft V35B · Selma, CA · Accident · 1 fatal · Field investigation · Final report · Jan 18, 2008 · N4662M · Substantial damage
  > The pilot's failure to maintain control resulting in the in-flight break-up of the airplane due to aerodynamic overload. Contributing factors included the pilot's impairment due to multiple medical conditions and due to recent use of alcohol.

## 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 starts_with(f."findingCode", '04032010'))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-findings/04032010/cases

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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.
