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

All 39 cases21 in the probable cause
Cases
39
In the probable cause
21 (54%)
Fatal cases
16
NTSB code
040330

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\", '040330') 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 · 5

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\", '040330') 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

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\", '040330'))
  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\", '040330') 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 · 39

NTSB CEN25LA101Accident · No injuriesClass 4 · LimitedFinal reportCessna 177A · Farlinville, KSA loss of engine power that resulted from fuel contamination when it was treated with a 70% isopropyl alcohol solution (antiseptic) that contained water. Contributing to the accident were vague fuel treatment instructions provided by the operator.Feb 20, 2025 · N30413 · Substantial damageNTSB 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 ENG24FA003Incident · No injuriesClass 3 · FieldFinal reportBoeing 767-300F · Memphis, TNA high-pressure fuel leak from a gap in the bolted flange interface between the main fuel pump’s fuel crossover supply tube and the hydromechanical unit idler adapter pad, which resulted in the crossover tube flange bolts partially pulling out and allowing…Oct 18, 2023 · N287FE · Minor damageNTSB WPR23LA107Accident · Minor injuriesClass 3 · LimitedFinal reportBell OH-58A · Yuma, AZA total loss of engine power for reasons that could not be determined.Feb 7, 2023 · N36FA · Substantial damageNTSB DCA22MA193Accident · 10 fatalClass 1 · MajorFinal reportDehavilland DHC-3 · Freeland, WAThe in-flight unthreading of the clamp nut from the horizontal stabilizer trim actuator barrel due to a missing lock ring, which resulted in the horizontal stabilizer moving to an extreme trailing-edge-down position rendering the airplane’s pitch…Sep 4, 2022 · N725TH · DestroyedNTSB DCA19CA192Accident · No injuriesClass 4 · Data collectionFinal reportBoeing 737 · SFO International Airport, CAthe ramp controller directing a Boeing 737 to hold in a location that was marked for a regional jet.Aug 6, 2019 · N37437 · 2 aircraft · Minor damageNTSB ANC19FA019Accident · 2 fatalClass 2 · FieldFinal reportDe Havilland DHC 2 · Metlakatla, AKThe pilot’s inadequate compensation for a quartering tailwind during a water landing, which resulted in a loss of control and subsequent nose-over. Contributing to the accident was the company’s inadequate operational control of the flight release process,…May 20, 2019 · N67667 · Substantial damageNTSB DCA19MA086Accident · 3 fatalClass 1 · MajorFinal reportBoeing 767 · Trinity Bay, TXThe inappropriate response by the first officer as the pilot flying to an inadvertent activation of the go-around mode, which led to his spatial disorientation and nose-down control inputs that placed the airplane in a steep descent from which the crew did…Feb 23, 2019 · N1217A · DestroyedNTSB ERA18FA264Accident · 2 fatalField investigationFinal reportDassault Falcon 50 · Greenville, SCThe operator's decision to allow a flight in an airplane with known, unresolved maintenance discrepancies, and the flight crew's failure to properly configure the airplane in a way that would have allowed the emergency or parking brake systems to stop the…Sep 27, 2018 · N114TD · Substantial damageNTSB WPR18FA143Accident · 1 fatalField investigationFinal reportI.C.A.-Brasov IS 29D · Avenal, CAThe pilot's improper installation of the wings onto the glider, which resulted in an in-flight wing separation. Contributing to the accident were the pilot's limited familiarity with the design and a lack of reliable assembly guidance.May 19, 2018 · N38ES · Destroyed
See all 39 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\", '040330'))
  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.