# NTSB investigations: Oversight of operation

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.

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## Latest cases

- [NTSB ANC25MA018](https://openairdocs.org/ntsb/ANC25MA018.md): Textron 208B · Nome, AK · Accident · 10 fatal · Class 1 · Major · Final report · Feb 6, 2025 · N321BA · Destroyed
  > The 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…
- [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 ANC24FA102](https://openairdocs.org/ntsb/ANC24FA102.md): Cessna 206 · Chalkyitsik, AK · Accident · 1 fatal · Class 3 · Field · Final report · Sep 24, 2024 · N8255Q · Substantial damage
  > A 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.
- [NTSB WPR24LA241](https://openairdocs.org/ntsb/WPR24LA241.md): Robinson Helicopter R44 II · Herriman, UT · Accident · No injuries · Class 3 · Limited · Final report · Jul 13, 2024 · N6960 · Substantial damage
  > A 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…
- [NTSB CEN24LA144](https://openairdocs.org/ntsb/CEN24LA144.md): Piper PA28 · Muncie, IN · Accident · 1 fatal · Class 3 · Limited · Final report · Apr 1, 2024 · N8438B · Destroyed
  > The 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…
- [NTSB OPS23FA010](https://openairdocs.org/ntsb/OPS23FA010.md): Boeing 737-7BD · San Diego, CA · Incident · Class 4 · Field · Final report · Aug 11, 2023 · N7734H · 2 aircraft · No damage
  > The local control controller’s poor judgment in duty prioritization which distracted them from monitoring arriving and departing traffic and resulted in a runway incursion and loss of same runway separation. Contributing was the operations supervisor’s…
- [NTSB CEN23LA111](https://openairdocs.org/ntsb/CEN23LA111.md): Cessna 172K · Moline, IL · Accident · No injuries · Class 4 · Limited · Final report · Feb 19, 2023 · N84688 · Substantial damage
  > The student pilot’s failure to maintain directional control during the landing roll in gusting crosswind conditions.
- [NTSB CEN23MA034](https://openairdocs.org/ntsb/CEN23MA034.md): Boeing B17 · Dallas, TX · Accident · 6 fatal · Class 1 · Major · Final report · Nov 12, 2022 · N7227C · 2 aircraft · Destroyed
  > the air boss’s and air show event organizer’s lack of an adequate, prebriefed aircraft separation plan for the air show performance, relying instead on the air boss’s real-time deconfliction directives and the see-and-avoid strategy for collision avoidance,…
- [NTSB ERA22FA279](https://openairdocs.org/ntsb/ERA22FA279.md): Bell UH-1B · Amherstdale, WV · Accident · 6 fatal · Class 1 · Field · Final report · Jun 22, 2022 · N98F · Destroyed
  > the operator’s failure to adequately inspect the former military turbine powered helicopter, which allowed an engine issue to progress and result in a loss of engine power and a subsequent loss of control after the helicopter struck powerlines during a forced…
- [NTSB WPR21FA143](https://openairdocs.org/ntsb/WPR21FA143.md): Airbus Helicopters AS350-B3 · Palmer, AK · Accident · 5 fatal · Class 3 · Field · Final report · Mar 28, 2021 · N351SH · Substantial damage
  > The 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,…
- [NTSB ANC20FA017](https://openairdocs.org/ntsb/ANC20FA017.md): Piper PA32R · Tuntutuliak, AK · Accident · 5 fatal · Class 3 · Field · Final report · Feb 6, 2020 · N7632C · Substantial damage
  > The pilot's continued visual flight rules flight into reduced visibility, including likely flat light and/or white out conditions, which resulted in a controlled flight into terrain. Contributing to the accident were the operator’s inadequate operational…
- [NTSB ERA20LA094](https://openairdocs.org/ntsb/ERA20LA094.md): Airborne America AX9-140 · Homestead, FL · Accident · Serious injuries · Class 3 · Limited · Final report · Jan 19, 2020 · N970TC · Minor damage
  > The pilot's decision to operate the balloon at low altitude near obstructions, structures, and powerlines, which resulted in the balloon contacting powerlines. Contributing to the accident was the Federal Aviation Administration's inadequate oversight of…
- [NTSB DCA20MA002](https://openairdocs.org/ntsb/DCA20MA002.md): Saab 2000 · Unalaska, AK · Accident · 1 fatal · Class 1 · Major · Final report · Oct 18, 2019 · N686PA · Substantial damage
  > The landing gear manufacturer’s incorrect wiring of the wheel speed transducer harnesses on the left main landing gear during overhaul. The incorrect wiring caused the antiskid system not to function as intended, resulting in the failure of the left outboard…
- [NTSB ERA20MA001](https://openairdocs.org/ntsb/ERA20MA001.md): Boeing B17 · Windsor Locks, CT · Accident · 7 fatal · Class 2 · Major · Final report · Oct 2, 2019 · N93012 · Destroyed
  > The pilot’s failure to properly manage the airplane’s configuration and airspeed after he shut down the No. 4 engine following its partial loss of power during the initial climb. Contributing to the accident was the pilot/maintenance director’s inadequate…
- [NTSB WPR19MA177](https://openairdocs.org/ntsb/WPR19MA177.md): Beech 65-A90 · Mokuleia, HI · Accident · 11 fatal · Class 2 · Major · Final report · Jun 22, 2019 · N256TA · Destroyed
  > The 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…
- [NTSB CEN19FA072](https://openairdocs.org/ntsb/CEN19FA072.md): Bell 407 · Zaleski, OH · Accident · 3 fatal · Class 1 · Field · Final report · Jan 29, 2019 · N191SF · Destroyed
  > The NTSB determines that the probable cause of this accident was Survival Flight's inadequate management of safety, which normalized pilots' and operations control specialists' noncompliance with risk analysis procedures and resulted in the initiation of the…
- [NTSB ERA18MA099](https://openairdocs.org/ntsb/ERA18MA099.md): American Eurocopter AS350B2 · New York, NY · Accident · 5 fatal · Class 1 · Major · Final report · Mar 11, 2018 · N350LH · Substantial damage
  > Liberty Helicopters Inc.'s use of a NYONair-provided passenger harness/tether system, which caught on and activated the floor-mounted engine fuel shutoff lever and resulted in the in-flight loss of engine power and the subsequent ditching. Contributing to…
- [NTSB CEN17LA350](https://openairdocs.org/ntsb/CEN17LA350.md): Embraer EMB 120ER · Greeley, CO · Accident · No injuries · Limited investigation · Final report · Sep 13, 2017 · N121CZ · Substantial damage
  > The bus driver's failure to maintain clearance from the standing airplane during dark night conditions. Contributing to the accident was the airport's lack of an escort for the bus.
- [NTSB ANC17LA051](https://openairdocs.org/ntsb/ANC17LA051.md): Leonardo AW139 · Tujunga, CA · Accident · No injuries · Class 3 · Limited · Final report · Sep 2, 2017 · N304FD · Substantial damage
  > A yaw excursion and uncontrolled descent due to loss of tail rotor effectiveness during aerial firefighting operations resulting in an impact with trees. A contributing factor was the pilot’s failure to maintain sufficient airspeed, coupled with a quartering…
- [NTSB ANC17FA039](https://openairdocs.org/ntsb/ANC17FA039.md): Cessna U206 · Port Alsworth, AK · Accident · 1 fatal · Class 2 · Field · Final report · Jul 27, 2017 · N1749R · Destroyed
  > The pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in a loss of visual reference and subsequent controlled flight into terrain. Contributing to the accident was (1) the inadequate preflight…
- [NTSB CEN17MA183](https://openairdocs.org/ntsb/CEN17MA183.md): Learjet 35A · Teterboro, NJ · Accident · 2 fatal · Class 1 · Major · Final report · May 15, 2017 · N452DA · Destroyed
  > The pilot-in-command's (PIC) attempt to salvage an unstabilized visual approach, which resulted in an aerodynamic stall at low altitude. Contributing to the accident was the PIC's decision to allow an unapproved second-in-command to act as pilot flying, the…
- [NTSB ERA16LA209](https://openairdocs.org/ntsb/ERA16LA209.md): WSK PZL Mielec M 18A · Brunswick, NC · Accident · 1 fatal · Limited investigation · Final report · Jun 10, 2016 · N2283M · Destroyed
  > The failure of the right wing due to a fatigue fracture of the right outboard wing forward spar lower fitting. Contributing to the accident was the routine operation of the airplane over its certificated maximum gross weight and the operator's improper or…
- [NTSB ANC16FA023](https://openairdocs.org/ntsb/ANC16FA023.md): Airbus AS350 · Skagway, AK · Accident · 1 fatal · Field investigation · Final report · May 7, 2016 · N94TH · Substantial damage
  > The pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in the pilot experiencing a loss of visual reference and subsequent controlled flight into terrain. Contributing to the accident were the…
- [NTSB ERA16FA140](https://openairdocs.org/ntsb/ERA16FA140.md): Eurocopter AS 350 B2 · Enterprise, AL · Accident · 4 fatal · Field investigation · Final report · Mar 26, 2016 · N911GF · Substantial damage
  > The pilot's decision to perform visual flight rules flight into night instrument meteorological conditions, which resulted in loss of control due to spatial disorientation. Contributing to the accident was the pilot's self-induced pressure to complete the…
- [NTSB ERA16FA100](https://openairdocs.org/ntsb/ERA16FA100.md): Cessna 182 · Mobile, AL · Accident · 2 fatal · Field investigation · Final report · Feb 2, 2016 · N784CP · Destroyed
  > The pilot's loss of airplane control during a missed approach in instrument meteorological conditions due to spatial disorientation. Contributing to the accident was the pilot's inadequate preflight and inflight weather planning which resulted the pilot's…
- [NTSB CEN16MA036](https://openairdocs.org/ntsb/CEN16MA036.md): British Aerospace HS 125 700A · Akron, OH · Accident · 9 fatal · Class 1 · Major · Final report · Nov 10, 2015 · N237WR · Destroyed
  > The flight crew's mismanagement of the approach and multiple deviations from company standard operating procedures, which placed the airplane in an unsafe situation and led to an unstabilized approach, a descent below minimum descent altitude without visual…
- [NTSB ERA16FA005](https://openairdocs.org/ntsb/ERA16FA005.md): Piper PA 38-112 · Jasper, GA · Accident · 1 fatal · Field investigation · Final report · Oct 8, 2015 · N4313E · Substantial damage
  > The student pilot's failure to accurately determine the airplane's fuel state, subsequent fuel exhaustion, and a total loss of engine power during initial climb. Contributing to the accident was the flight instructor's inadequate oversight of the student…
- [NTSB CEN15LA399](https://openairdocs.org/ntsb/CEN15LA399.md): Weatherly 620B · Hancock, WI · Accident · 1 fatal · Limited investigation · Final report · Aug 26, 2015 · N2005C · Destroyed
  > The in-flight failure of the left wing lower forward attach point under normal loading conditions due to corrosion and fatigue cracking in the center section hinge brackets. Contributing to the accident was the operator's inadequate maintenance and overweight…
- [NTSB ANC15MA041](https://openairdocs.org/ntsb/ANC15MA041.md): Dehavilland DHC-3 · Ketchikan, AK · Accident · 9 fatal · Class 1 · Major · Final report · Jun 25, 2015 · N270PA · Substantial damage
  > (1) the pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in his geographic disorientation and controlled flight into terrain; and (2) Promech's company culture, which tacitly endorsed flying in…
- [NTSB GAA15CA128](https://openairdocs.org/ntsb/GAA15CA128.md): Beech C23 · Long Beach, CA · Accident · No injuries · Data collection · Final report · Jun 19, 2015 · N24022 · Substantial damage
  > The pilot failed to maintain clearance from trees while maneuvering to land at night, which resulted in a collision with terrain/objects. A factor contributing to the accident was the lack of oversight by ATC; failing to insure that the fully operational VASI…
- [NTSB WPR15FA125](https://openairdocs.org/ntsb/WPR15FA125.md): BAE Systems MK-67 Hawk · Yuma, AZ · Accident · 1 fatal · Field investigation · Final report · Mar 11, 2015 · N506XX · Substantial damage
  > The pilot’s initiation of an early rotation during takeoff, which led to an aerodynamic stall and loss of airplane control. Contributing to the accident were the pilot's use of nose up pitch trim and the operator's policy to use nose-up pitch trim during…
- [NTSB WPR15FA072](https://openairdocs.org/ntsb/WPR15FA072.md): Bell 206 · Benson, AZ · Accident · 2 fatal · Field investigation · Final report · Jan 1, 2015 · N57AW · Destroyed
  > The pilot’s continued visual flight into instrument meteorological conditions which resulted in an inflight collision with terrain. Contributing to the accident was the pilot’s inadequate preflight planning, during which he failed to identify forecasted…
- [NTSB ANC14FA068](https://openairdocs.org/ntsb/ANC14FA068.md): Ryan Navion A · Coldfoot, AK · Accident · Serious injuries · Field investigation · Final report · Aug 24, 2014 · N4827K · Substantial damage
  > The pilot’s improper inflight planning and improper decision to deliberately operate the airplane at low altitude in close proximity to obstructions and rising terrain. Contributing to the accident were the pilot’s improper preflight planning and the Federal…
- [NTSB ERA14LA347](https://openairdocs.org/ntsb/ERA14LA347.md): Colt Balloons 160A · Clinton, MA · Accident · Serious injuries · Limited investigation · Final report · Jul 20, 2014 · N976TC · Minor damage
  > The pilot's inadequate preflight and inflight planning and improper landing site selection and approach path, which resulted in the balloon contacting powerlines during landing. Contributing to the accident was the Federal Aviation Administration's inadequate…
- [NTSB ERA14FA128](https://openairdocs.org/ntsb/ERA14FA128.md): Beech 95-B55 · LaGrange, GA · Accident · 3 fatal · Field investigation · Final report · Feb 22, 2014 · N36638 · Destroyed
  > The pilot's overreaction to a perceived conflict with a tow plane and glider on an intersecting runway, which resulted in a loss of control during an attempted aborted landing. Contributing to the accident was the failure of the glider tow operator to follow…
- [NTSB ANC14MA008](https://openairdocs.org/ntsb/ANC14MA008.md): Cessna 208B · Saint Marys, AK · Accident · 5 fatal · Major investigation · Final report · Nov 30, 2013 · N12373 · Substantial damage
  > The pilot's decision to initiate a visual flight rules approach into an area of instrument meteorological conditions at night and the flight coordinators' release of the flight without discussing the risks with the pilot, which resulted in the pilot…
- [NTSB CEN13IA563](https://openairdocs.org/ntsb/CEN13IA563.md): Pilatus PC-12/47E · Austin, TX · Incident · Minor injuries · Incident investigation · Final report · Sep 12, 2013 · N617BG · Minor damage
  > The pilot’s improper weight and balance calculations, which resulted in the airplane exceeding its weight and center-of-gravity limits and led to a loss of pitch control during takeoff, and the operator’s failure to obtain required weight information and to…
- [NTSB ERA13CA394](https://openairdocs.org/ntsb/ERA13CA394.md): Hoskins Samuel R Quickie Q2 · Zelienople, PA · Accident · No injuries · Data collection · Final report · Aug 30, 2013 · N202SH · Substantial damage
  > The pilot's loss of directional control during takeoff due to right main landing gear contact with a pool of standing water on the runway which resulted in a runway excursion.
- [NTSB DCA13MA133](https://openairdocs.org/ntsb/DCA13MA133.md): Airbus A300 - F4 622R · Birmingham, AL · Accident · 2 fatal · Class 1 · Major · Final report · Aug 14, 2013 · N155UP · Destroyed
  > the flight crew's continuation of an unstabilized approach and their failure to monitor the aircraft's altitude during the approach, which led to an inadvertent descent below the minimum approach altitude and subsequently into terrain. Contributing to the…
- [NTSB CEN13CA292](https://openairdocs.org/ntsb/CEN13CA292.md): Cessna 162 · Erie, CO · Accident · No injuries · Data collection · Final report · May 22, 2013 · N6106 · Substantial damage
  > The pilot’s total lack of experience in aircraft make/model, and his failure to maintain directional control during landing. Contributing to the accident was the operator’s lack of oversight is allowing the airplane to be rented to the pilot.
- [NTSB DCA13MA081](https://openairdocs.org/ntsb/DCA13MA081.md): Boeing 747-400 BCF · Bagram, Afghanistan · Accident · 7 fatal · Class 1 · Major · Final report · Apr 29, 2013 · N949CA · Destroyed
  > National Airlines' inadequate procedures for restraining special cargo loads, which resulted in the loadmaster's improper restraint of the cargo, which moved aft and damaged hydraulic systems Nos. 1 and 2 and horizontal stabilizer drive mechanism components,…
- [NTSB ANC13GA036](https://openairdocs.org/ntsb/ANC13GA036.md): Eurocopter AS350 · Talkeetna, AK · Accident · 3 fatal · Class 1 · Final report · Mar 31, 2013 · N911AA · Destroyed
  > The pilot's decision to continue flight under visual flight rules into deteriorating weather conditions, which resulted in the pilot's spatial disorientation and loss of control. Also causal was the Alaska Department of Public Safety's punitive culture and…
- [NTSB DCA13IA037](https://openairdocs.org/ntsb/DCA13IA037.md): Boeing 787 · Boston, MA · Incident · No injuries · Class 1 · Incident · Final report · Jan 7, 2013 · JA829J · Minor damage
  > 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 fire. The incident resulted from Boeing's failure to incorporate…
- [NTSB ERA13LA075](https://openairdocs.org/ntsb/ERA13LA075.md): Cessna 172F · Albemarle, NC · Accident · Serious injuries · Limited investigation · Final report · Dec 2, 2012 · N8475U · Minor damage
  > The student pilot's failure to remain clear of the airplane’s rotating propeller.
- [NTSB DCA12IA141](https://openairdocs.org/ntsb/DCA12IA141.md): De Havilland DHC8 · Soldotna, AK · Incident · No injuries · Incident investigation · Final report · Sep 5, 2012 · N886EA · No damage
  > an in-flight loss of control due to the flight crew's inattention to airspeed, pitch attitude, and engine power during the climb leading to an aerodynamic stall. Contributing to the incident was the flight crew's failure to recognize and properly recover from…
- [NTSB OPS12IA849](https://openairdocs.org/ntsb/OPS12IA849.md): Arlington, VA · Incident · No injuries · Incident investigation · Final report · Jul 31, 2012 · No damage
  > A hearback/readback error on the part of the tower traffic management coordinator, who did not understand the request being made by the approach control area supervisor and then communicated that misunderstanding to the local controllers. Contributing to the…
- [NTSB DCA12FA076](https://openairdocs.org/ntsb/DCA12FA076.md): Hawker Hawker Hunter MK.58A · Point Mugu, CA · Accident · 1 fatal · Field investigation · Final report · May 18, 2012 · N329AX · Destroyed
  > the pilot's decision to continue the flight with a known fuel imbalance condition that resulted in a loss of lateral control when the imbalance exceeded the known capabilities of the airplane. The fuel imbalance was due to incomplete refueling and an…
- [NTSB DCA12FA051](https://openairdocs.org/ntsb/DCA12FA051.md): Convair 440 - NO Series · San Juan, PR · Accident · 2 fatal · Class 1 · Field · Final report · Mar 15, 2012 · N153JR · Destroyed
  > the flight crew's failure to maintain adequate airspeed after shutting down the right engine due to an in-flight fire in one of the right augmentors. The failure to maintain airspeed resulted in either an aerodynamic stall or a loss of directional control.
- [NTSB CEN11FA599](https://openairdocs.org/ntsb/CEN11FA599.md): Eurocopter AS-350-B2 · Mosby, MO · Accident · 4 fatal · Class 1 · Field · Final report · Aug 26, 2011 · N352LN · Substantial damage
  > The pilot's failure to confirm that the helicopter had adequate fuel on board to complete the mission before making the first departure, his improper decision to continue the mission and make a second departure after he became aware of a critically low fuel…
- [NTSB OPS11IA653](https://openairdocs.org/ntsb/OPS11IA653.md): Beech 1900C · Fairbanks, AK · Incident · No injuries · Incident investigation · Final report · Jun 14, 2011 · N121WV · 2 aircraft · No damage
  > Inadequate air traffic control actions that failed to establish and maintain required separation between the two airplanes. Contributing to the incident was inexperience on the part of the local controller, inadequate oversight by the tower…

Next page: https://openairdocs.org/ntsb-findings/04032015/cases.md?page=2

## 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", '04032015'))
ORDER BY c."eventDate" DESC, c."ntsbNumber" DESC
```

This list as a web page: https://openairdocs.org/ntsb-findings/04032015/cases

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