NTSB finding · Organizational issues › Support/oversight/monitoring › Documentation/record keeping

Cases
16
In the probable cause
9 (56%)
Fatal cases
4
NTSB code
04033025

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 Maintenance records per year: 16 cases
20082
20101
20125
20131
20153
20182
20221
20231
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\", '04033025') 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.

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\", '04033025'))
  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\", '04033025') 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 · 16

NTSB 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 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 ANC18LA018Accident · No injuriesClass 2 · LimitedFinal reportCostruzioni Aeronautiche Tecna P2006 · Lynchburg, VAThe failure of the left main landing gear assembly due to a fatigue fracture along the inside circumferential weld on the trailing arm’s attachment flange, which resulted from the manufacturer’s inadequate welding of the trailing arm connecting the lower arm…Jan 1, 2018 · N594MA · Substantial damageNTSB CEN15LA345Accident · No injuriesLimited investigationFinal reportAir Tractor AT 401 · Nekoosa, WIThe pilot’s inadequate preflight planning, which resulted in his attempt to take off for the agricultural application flight with the airplane over its maximum gross weight in high-density altitude conditions and led to the airplane’s degraded climb…Aug 5, 2015 · N1539U · Substantial damageNTSB WPR15FA121Accident · Serious injuriesField investigationFinal reportRyan Aeronautical ST3KR · Santa Monica, CAA total loss of engine power during initial climb when the carburetor main metering jet became unseated, which led to an extremely rich fuel-to-air ratio. Contributing to the accident was the lack of adequate carburetor maintenance instructions. Contributing…Mar 5, 2015 · N53178 · Substantial damageNTSB CEN15LA156Accident · No injuriesLimited investigationFinal reportAgusta Aerospace AW119 Mkii · Gulf of MexicoThe fracture of the tail rotor pitch change link due to excessive bearing rotational friction, which resulted from the bearings being installed in exceedance of the maximum allowable torque during the last overhaul of the pitch change link.Feb 20, 2015 · N802SM · Substantial damageNTSB ERA13LA188Accident · No injuriesLimited investigationFinal reportCessna 402C · Fort Lauderdale, FLThe disconnection of the nose landing gear actuator, which resulted in the subsequent collapse of the nose landing gear. Contributing to the accident was the repair station’s inadequate maintenance, postmaintenance inspection process, and oversight of the…Apr 1, 2013 · VQ-TIN · Substantial damageNTSB CEN12LA525Accident · No injuriesLimited investigationFinal reportBell 214ST · Avalon, TXMaintenance personnel’s failure to properly torque the retaining nut and install the cotter pin that secured the helicopter’s tail rotor counterweight bellcrank. Contributing to the accident was the lack of detailed maintenance records that documented…Aug 7, 2012 · N409SB · Substantial damageNTSB CEN12LA343Accident · No injuriesLimited investigationFinal reportSchweizer 269C · Denver, COThe 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…Jun 2, 2012 · N2196F · Substantial damage
See all 16 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\", '04033025'))
  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.