# Safety programs, general - Type: NTSB finding subsection - Path: [Organizational issues](https://openairdocs.org/ntsb-findings/04) › [Support/oversight/monitoring](https://openairdocs.org/ntsb-findings/0403) › [Safety programs](https://openairdocs.org/ntsb-findings/040350) › Safety programs, general - NTSB code: 04035000 - Cases: 7 - In the probable cause: 1 - Fatal cases: 6 - All cases: https://openairdocs.org/ntsb-findings/04035000/cases.md - Cases with it in the probable cause: https://openairdocs.org/ntsb-findings/04035000/cases.md?cause=1 - Page: https://openairdocs.org/ntsb-findings/04035000 ## Cases per year (in the probable cause / all) - 2008: 0 / 1 - 2009: 0 / 1 - 2013: 0 / 1 - 2016: 1 / 1 - 2017: 0 / 1 - 2019: 0 / 1 - 2021: 0 / 1 ## Defining events in these cases - [Loss of control in flight](https://openairdocs.org/ntsb-events/240): 2 cases - [Miscellaneous/other](https://openairdocs.org/ntsb-events/900): 1 cases - [VFR encounter with IMC](https://openairdocs.org/ntsb-events/401): 1 cases - [Midair collision](https://openairdocs.org/ntsb-events/250): 1 cases - [Fuel contamination](https://openairdocs.org/ntsb-events/193): 1 cases - [Controlled flight into terr/obj (CFIT)](https://openairdocs.org/ntsb-events/120): 1 cases ## Aircraft models (registry) - [Eurocopter AS 350 B3](https://openairdocs.org/model/eurocopter-as-350-b3): 1 cases - [Aerospatiale SA365N-1 DAUPHIN](https://openairdocs.org/model/aerospatiale-sa365n-1-dauphin): 1 cases - [Hughes 369A](https://openairdocs.org/model/hughes-369a): 1 cases - [Dehavilland DHC-3](https://openairdocs.org/model/dehavilland-dhc-3): 1 cases - [Dassault/Sud FAN JET FALCON](https://openairdocs.org/model/dassault-sud-fan-jet-falcon): 1 cases - [Cessna 208B](https://openairdocs.org/model/cessna-208b): 1 cases - [Bombardier DHC-8-402](https://openairdocs.org/model/bombardier-dhc-8-402): 1 cases ## Other findings in the same cases - [Adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015) (Organizational issues): 4 cases - [Oversight of operation](https://openairdocs.org/ntsb-findings/04032015) (Organizational issues): 3 cases - [Training, general](https://openairdocs.org/ntsb-findings/04031000) (Organizational issues): 2 cases - [Workload management, general](https://openairdocs.org/ntsb-findings/02064000) (Personnel issues): 2 cases - [Decision making/judgment](https://openairdocs.org/ntsb-findings/02041520) (Personnel issues): 2 cases - [Incorrect action selection](https://openairdocs.org/ntsb-findings/02041010) (Personnel issues): 2 cases - [Descent/approach/glide path](https://openairdocs.org/ntsb-findings/01062040) (Aircraft): 2 cases - [Ground proximity system](https://openairdocs.org/ntsb-findings/01023444) (Aircraft): 2 cases - [Personnel records](https://openairdocs.org/ntsb-findings/04033015) (Organizational issues): 1 cases - [CRM/MRM training](https://openairdocs.org/ntsb-findings/04031025) (Organizational issues): 1 cases ## Newest cases - [NTSB ERA22FA004](https://openairdocs.org/ntsb/ERA22FA004), Oct 5, 2021: Dassault Falcon 20 (N283SA), Thomson, GA, destroyed, 2 fatal. Probable cause: The flight crew’s continuation of an unstable dark night visual approach and the captain’s instruction to use air brakes during the approach contrary to airplane operating limitations, which resulted… - [NTSB CEN19MA141](https://openairdocs.org/ntsb/CEN19MA141), May 13, 2019: De Havilland DHC-2 (N952DB), Ketchikan, AK, destroyed, 6 fatal. Probable cause: The inherent limitations of the see-and-avoid concept, which prevented the two pilots from seeing the other airplane before the collision, and the absence of visual and aural alerts from both… - [NTSB WPR17LA075](https://openairdocs.org/ntsb/WPR17LA075), Feb 22, 2017: Hughes 369A (N805LA), (Pacific Ocean), substantial damage. Probable cause: The pilot's failure to detect the presence of water in the helicopter fuel system before the flight, which resulted in a total loss of engine power during cruise. Contributing to the accident was the… - [NTSB ANC17MA001](https://openairdocs.org/ntsb/ANC17MA001), Oct 2, 2016: Cessna 208B (N208SD), Togiak, AK, destroyed, 3 fatal. Probable cause: The flight crew's decision to continue the visual flight rules flight into deteriorating visibility and their failure to perform an immediate escape maneuver after entry into instrument… - [NTSB ANC13GA036](https://openairdocs.org/ntsb/ANC13GA036), Mar 31, 2013: Eurocopter AS350 (N911AA), Talkeetna, AK, destroyed, 3 fatal. Probable cause: 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… - [NTSB DCA09MA027](https://openairdocs.org/ntsb/DCA09MA027), Feb 13, 2009: Bombardier DHC-8-402 (N200WQ), Clarence Center, NY, destroyed, 50 fatal. Probable cause: The captain’s inappropriate response to the activation of the stick shaker, which led to an aerodynamic stall from which the airplane did not recover. Contributing to the accident were (1) the flight… - [NTSB MIA08MA203](https://openairdocs.org/ntsb/MIA08MA203), Sep 28, 2008: Aerospatiale SA365N-1 D (N92MD), District Heights, MD, substantial damage, 4 fatal. Probable cause: The pilot's attempt to regain visual conditions by performing a rapid descent and his failure to arrest the descent at the minimum descent altitude during a nonprecision approach. Contributing to the… 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.