# Enforcement - Type: NTSB finding section - Path: [Organizational issues](https://openairdocs.org/ntsb-findings/04) › [Support/oversight/monitoring](https://openairdocs.org/ntsb-findings/0403) › Enforcement - NTSB code: 040340 - Cases: 13 - In the probable cause: 11 - Fatal cases: 8 - All cases: https://openairdocs.org/ntsb-findings/040340/cases.md - Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/040340/cases.md?cause=1 - Page: https://openairdocs.org/ntsb-findings/040340 ## Cases per year (in the probable cause / all) - 2008: 2 / 2 - 2009: 1 / 1 - 2016: 0 / 1 - 2018: 1 / 1 - 2019: 1 / 1 - 2022: 1 / 1 - 2023: 1 / 2 - 2024: 3 / 3 - 2025: 1 / 1 ## Findings - [Regulatory requirements](https://openairdocs.org/ntsb-findings/04034020): 5 cases, 5 in the probable cause - [Company/organization policy](https://openairdocs.org/ntsb-findings/04034035): 4 cases, 3 in the probable cause - [Operational procedures](https://openairdocs.org/ntsb-findings/04034015): 2 cases, 1 in the probable cause - [Equipment requirements](https://openairdocs.org/ntsb-findings/04034025): 1 cases, 1 in the probable cause - [Information design specs](https://openairdocs.org/ntsb-findings/04034030): 1 cases, 1 in the probable cause ## Defining events in these cases - [Collision during takeoff/land](https://openairdocs.org/ntsb-events/490): 2 cases - [Unknown or undetermined](https://openairdocs.org/ntsb-events/000): 2 cases - [Birdstrike](https://openairdocs.org/ntsb-events/901): 1 cases - [Miscellaneous/other](https://openairdocs.org/ntsb-events/900): 1 cases - [Windshear or thunderstorm](https://openairdocs.org/ntsb-events/390): 1 cases - [Turbulence encounter](https://openairdocs.org/ntsb-events/360): 1 cases - [Part(s) separation from AC](https://openairdocs.org/ntsb-events/338): 1 cases - [Runway incursion veh/AC/person](https://openairdocs.org/ntsb-events/320): 1 cases - [Near midair/TCAS alert/loss of separation](https://openairdocs.org/ntsb-events/260): 1 cases - [Midair collision](https://openairdocs.org/ntsb-events/250): 1 cases ## Aircraft models (registry) - [Sikorsky S-76C](https://openairdocs.org/model/sikorsky-s-76c): 1 cases - [Robinson Helicopter R44 II](https://openairdocs.org/model/robinson-helicopter-r44-ii): 1 cases - [Raytheon Corporate Jets BAE 125-800A](https://openairdocs.org/model/raytheon-corporate-jets-bae-125-800a): 1 cases - [Piper PA-34-200T](https://openairdocs.org/model/piper-pa-34-200t): 1 cases - [Cessna 182P](https://openairdocs.org/model/cessna-182p): 1 cases - [Cessna 208B](https://openairdocs.org/model/cessna-208b): 1 cases - [Cessna U206F](https://openairdocs.org/model/cessna-u206f): 1 cases - [Bombardier CL-600-2C10](https://openairdocs.org/model/bombardier-cl-600-2c10): 1 cases - [Boeing 787-8](https://openairdocs.org/model/boeing-787-8): 1 cases - [Boeing 767-32LF](https://openairdocs.org/model/boeing-767-32lf): 1 cases ## Other findings in the same cases - [Aircraft control](https://openairdocs.org/ntsb-findings/02063040) (Personnel issues): 5 cases - [Oversight of operation](https://openairdocs.org/ntsb-findings/04032015) (Organizational issues): 4 cases - [Adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015) (Organizational issues): 4 cases - [Task monitoring/vigilance](https://openairdocs.org/ntsb-findings/02021520) (Personnel issues): 4 cases - [Adequacy of safety program](https://openairdocs.org/ntsb-findings/04035015) (Organizational issues): 3 cases - [Adherence to safety program](https://openairdocs.org/ntsb-findings/04035020) (Organizational issues): 2 cases - [Oversight of personnel](https://openairdocs.org/ntsb-findings/04032010) (Organizational issues): 2 cases - [Safety](https://openairdocs.org/ntsb-findings/04024010) (Organizational issues): 2 cases - [Availability of policy/proc](https://openairdocs.org/ntsb-findings/04021010) (Organizational issues): 2 cases - [Dark](https://openairdocs.org/ntsb-findings/03036020) (Environmental issues): 2 cases ## Newest cases - [NTSB DCA25MA108](https://openairdocs.org/ntsb/DCA25MA108), Jan 30, 2025: Bombardier CL-600-2C10 (N709PS), Washington, DC, destroyed, 67 fatal. Probable cause: 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… - [NTSB ANC24FA102](https://openairdocs.org/ntsb/ANC24FA102), Sep 24, 2024: Cessna 206 (N8255Q), Chalkyitsik, AK, substantial damage, 1 fatal. Probable cause: 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… - [NTSB ANC24LA079](https://openairdocs.org/ntsb/ANC24LA079), Aug 18, 2024: Robinson Helicopter R44 II (N783AK), Palmer, AK, substantial damage. Probable cause: The pilot's failure to follow the operator’s procedure manual and attempted to land at a remote landing zone in high wind conditions. Contributing factor was the pilot’s decision to not conduct a fly… - [NTSB DCA24MA063](https://openairdocs.org/ntsb/DCA24MA063), Jan 6, 2024: Boeing 737-9 (N704AL), Portland, OR, substantial damage. Probable cause: 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… - [NTSB DCA23LA465](https://openairdocs.org/ntsb/DCA23LA465), Sep 28, 2023: Boeing 787-8 (N804AN), Lake Erie Beach, NY, no damage. Probable cause: Malfunctioning brakes on a service cart. - [NTSB DCA23FA149](https://openairdocs.org/ntsb/DCA23FA149), Feb 4, 2023: Boeing 737-79P (N7827A), Austin, TX, incident, no damage. Probable cause: the local controller’s incorrect assumption that the Southwest Airlines (SWA) airplane would depart from the runway before the Federal Express airplane arrived on the same runway, which resulted in a… - [NTSB WPR22FA151](https://openairdocs.org/ntsb/WPR22FA151), Apr 13, 2022: Cessna 208B (N928JP), Heyburn, ID, substantial damage, 1 fatal. Probable cause: The pilot’s failure to maintain altitude during an instrument approach, which resulted in a descent below the approach path and impact with a vent stack. Also causal was the failure of the processing… - [NTSB CEN19FA072](https://openairdocs.org/ntsb/CEN19FA072), Jan 29, 2019: Bell 407 (N191SF), Zaleski, OH, destroyed, 3 fatal. Probable cause: 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… - [NTSB ERA18MA099](https://openairdocs.org/ntsb/ERA18MA099), Mar 11, 2018: American Eurocopter AS350B2 (N350LH), New York, NY, substantial damage, 5 fatal. Probable cause: 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… - [NTSB WPR16FA158](https://openairdocs.org/ntsb/WPR16FA158), Aug 3, 2016: Piper PA 34-200T (N82806), Flagstaff, AZ, destroyed, 1 fatal. Probable cause: A departure flight path that consisted of several unexplained turns during the initial climbout, and terminated in a high-speed descent and ground impact. The reason(s) for the turns and descent… 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.