# NTSB DCA17IA148: Airbus A320-211, San Francisco, CA, July 8, 2017

- Type: NTSB incident investigation
- Classification: Incident · No injuries · Class 1 · Incident · Final report
- Date: July 7, 2017, 23:56 local (Jul 8, 2017, 06:56 UTC)
- Place: San Francisco, CA
- Coordinates: 37.615276, -122.358055
- Nearby events: https://openairdocs.org/map.md?lat=37.6153&lon=-122.3581&mi=10
- Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping)
- Defining event: [Approach: Wrong surface or wrong airport](https://openairdocs.org/ntsb-events/284)
- Highest injury: No injuries
- Status: Completed, report October 26, 2018
- Report: Board-adopted at Board Meeting
- Investigation class: Class 1
- NTSB office: Major Investigations Division
- Safety recommendations: Yes
- NTSB case key (mKey): 95528
- NTSB case page: https://www.ntsb.gov/investigations/Pages/DCA17IA148.aspx
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/95528/pdf
- Board report AIR1801 (PDF): https://www.ntsb.gov/investigations/AccidentReports/Reports/AIR1801.pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=95528
- Page: https://openairdocs.org/ntsb/DCA17IA148

## Probable cause

The flight crew's misidentification of taxiway C as the intended landing runway, which resulted from the crewmembers' lack of awareness of the parallel runway closure due to their ineffective review of notice to airmen (NOTAM) information before the flight and during the approach briefing. Contributing to the incident were (1) the flight crew's failure to tune the instrument landing system frequency for backup lateral guidance, expectation bias, fatigue due to circadian disruption and length of continued wakefulness, and breakdowns in crew resource management and (2) Air Canada's ineffective presentation of approach procedure and NOTAM information.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Info processing/decision: identification/recognition](https://openairdocs.org/ntsb-findings/02041510): Personnel issues › Action/decision · Flight crew (probable cause); cases with it: [All aircraft, 559 cases](https://openairdocs.org/ntsb-findings/02041510/cases.md)
- [Airport facilities/design: runway/landing area condition](https://openairdocs.org/ntsb-findings/03017035): Environmental issues › Operating environment · Awareness of condition (probable cause); cases with it: [All aircraft, 61 cases](https://openairdocs.org/ntsb-findings/03017035/cases.md)
- [Use of equip/info: use of available resources](https://openairdocs.org/ntsb-findings/02063035): Personnel issues › Task performance · Flight crew (probable cause); cases with it: [All aircraft, 41 cases](https://openairdocs.org/ntsb-findings/02063035/cases.md)
- [Use of equip/info: use of equip/system](https://openairdocs.org/ntsb-findings/02063015): Personnel issues › Task performance · Flight crew (probable cause); cases with it: [All aircraft, 1,391 cases](https://openairdocs.org/ntsb-findings/02063015/cases.md)
- [Info processing/decision: expectation/assumption](https://openairdocs.org/ntsb-findings/02041525): Personnel issues › Action/decision · Flight crew (probable cause); cases with it: [All aircraft, 51 cases](https://openairdocs.org/ntsb-findings/02041525/cases.md)
- [Alertness/Fatigue: circadian rhythms or jetlag](https://openairdocs.org/ntsb-findings/02013515): Personnel issues › Physical · Flight crew (probable cause); cases with it: [All aircraft, 9 cases](https://openairdocs.org/ntsb-findings/02013515/cases.md)
- [Alertness/Fatigue: lack of sleep](https://openairdocs.org/ntsb-findings/02013510): Personnel issues › Physical · Flight crew (probable cause); cases with it: [All aircraft, 26 cases](https://openairdocs.org/ntsb-findings/02013510/cases.md)
- [Communication (personnel): cRM/MRM techniques](https://openairdocs.org/ntsb-findings/02063540): Personnel issues › Task performance · Flight crew (probable cause); cases with it: [All aircraft, 26 cases](https://openairdocs.org/ntsb-findings/02063540/cases.md)
- [Policy/procedure: adequacy of policy/proc](https://openairdocs.org/ntsb-findings/04021015): Organizational issues › Management · Operator (probable cause); cases with it: [All aircraft, 106 cases](https://openairdocs.org/ntsb-findings/04021015/cases.md)
- [Navigation system](https://openairdocs.org/ntsb-findings/01023400): Aircraft › Aircraft systems · Design; cases with it: [All aircraft, 13 cases](https://openairdocs.org/ntsb-findings/01023400/cases.md)
- [Indicating/recording systems: data recorders (flight/maint)](https://openairdocs.org/ntsb-findings/01023130): Aircraft › Aircraft systems · Capability exceeded; cases with it: [All aircraft, 17 cases](https://openairdocs.org/ntsb-findings/01023130/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Approach: Wrong surface or wrong airport](https://openairdocs.org/ntsb-events/284) (defining event); cases with it: [All aircraft, 56 cases](https://openairdocs.org/ntsb-events/284/sequence.md)

## Analysis

NTSB investigators traveled in support of this investigation and used data obtained from various sources to prepare this aircraft incident report. The NTSB's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/AccidentReports.aspx. The Aircraft Incident Report number is NTSB/AIR-18/01. On July 7, 2017, about 2356 Pacific daylight time, Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes (a Boeing 787, an Airbus A340, another Boeing 787, and a Boeing 737) were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground level and overflew the first airplane on the taxiway. The incident flight crew initiated a go-around, and the airplane reached a minimum altitude of about 60 ft and overflew the second airplane on the taxiway before starting to climb. None of the 5 flight crewmembers and 135 passengers aboard the incident airplane were injured, and the incident airplane was not damaged. The incident flight was operated by Air Canada under Title 14 Code of Federal Regulations Part 129 as an international scheduled passenger flight from Toronto/Lester B. Pearson International Airport, Toronto, Canada. An instrument flight rules flight plan had been filed. Night visual meteorological conditions prevailed at the time of the incident.

## Factual narrative

The NTSB's full report is available at http://www.ntsb.gov/investigations/AccidentReports/Pages/AccidentReports.aspx. The Aircraft Incident Report number is NTSB/AIR-18/01. On July 7, 2017, about 2356 Pacific daylight time, Air Canada flight 759, an Airbus A320-211, Canadian registration C-FKCK, was cleared to land on runway 28R at San Francisco International Airport, San Francisco, California, but instead lined up with parallel taxiway C. Four air carrier airplanes (a Boeing 787, an Airbus A340, another Boeing 787, and a Boeing 737) were on taxiway C awaiting clearance to take off from runway 28R. The incident airplane descended to an altitude of 100 ft above ground level and overflew the first airplane on the taxiway. The incident flight crew initiated a go-around, and the airplane reached a minimum altitude of about 60 ft and overflew the second airplane on the taxiway before starting to climb. None of the 5 flight crewmembers and 135 passengers aboard the incident airplane were injured, and the incident airplane was not damaged. The incident flight was operated by Air Canada under Title 14 Code of Federal Regulations Part 129 as an international scheduled passenger flight from Toronto/Lester B. Pearson International Airport, Toronto, Canada. An instrument flight rules flight plan had been filed. Night visual meteorological conditions prevailed at the time of the incident.

## Aircraft

- Registration: C-FKCK (not matched to a registry record)
- Reported make and model: Airbus A320-211 (211)
- Category: Airplane
- Serial number: 265
- Year built: 1992
- Airframe hours: 82427
- Engines: CFM CFM56-5A1 25000 lbs thrust turbo fan; CFM CFM56-5A! 25000 lbs thrust turbo fan
- Damage: No damage
- Flight: Part 129
- Operator: Air Canada
- Registered owner: Air Canada
- Airworthiness certificate: Standard, Transport
- Last inspection: AAIP, June 25, 2017
- Departed: YYZ, Toronto, OF
- Destination: SFO, San Francisco, CA
- Flight plan: IFR
- Airport: SFO, San Francisco International, runway 28R, 11,870 × 200 ft, asphalt
- Equipment: Electronic multifunction display, Data recorder, Auto-pilot, Stall warning system, Onboard weather, Electronic primary flight display

## Weather

- Conditions: Visual (VMC), Night/dark
- Wind: 290° at 9 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 61 °F, dew point 48 °F
- Altimeter: 29.92 inHg

## Docket (53 files)

The files NTSB released with the investigation on May 2, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=95528. 116 MB in all.

- Security Camera Video File (item 1, .PDF, 35 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462836&FileExtension=.PDF&FileName=Security%20Camera%20Video%20File-Master.PDF
- Operational Factors/Human Performance Factual Report (item 2, .PDF, 10.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462837&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Factual%20Report-Master.PDF
- Operational Factors/Human Performance Group - Attachment 1 - Flight Crew Interview Summaries (item 3, .PDF, 565 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462838&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%201%20-%20Flight%20Crew%20Interview%20Summaries-Master.PDF
- Operational Factors/Human Performance Group - Attachment 2 - Air Canada Personnel Interviews (item 4, .PDF, 613 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462839&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%202%20-%20Air%20Canada%20Personnel%20Interviews-Master.PDF
- Operational Factors/Human Performance Group - Attachment 3 - Airplanes on Taxiway C Crew Statements (item 5, .PDF, 470 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462840&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%203%20-%20Airplanes%20on%20Taxiway%20C%20Crew%20Statements-Master.PDF
- Operational Factors/Human Performance - Attachment 4 - Preceding Flight Crew Statement (item 6, .PDF, 219 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462841&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20-%20Attachment%204%20-%20Preceding%20Flight%20Crew%20Statement-Master.PDF
- Operational Factors/Human Performance Group - Attachment 5 - Dispatch Release (item 7, .PDF, 272 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462842&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%205%20-%20Dispatch%20Release-Master.PDF
- Operational Factors/Human Performance Group - Attachment 6 - ACARS Traffic Log (item 8, .PDF, 278 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462843&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%206%20-%20ACARS%20Traffic%20Log-Master.PDF
- Operational Factors/Human Performance Group - Attachment 7 - FAA NOTAMS for SFO (item 9, .PDF, 98 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462868&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%207%20-%20FAA%20NOTAMS%20for%20SFO-Master.PDF
- Operational Factors/Human Performance Group - Attachment 8 - Ramp Reconciliation Report (item 10, .PDF, 120 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462869&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%208%20-%20Ramp%20Reconciliation%20Report-Master.PDF
- Operational Factors/Human Performance Group - Attachment 9 - Canadian ATP Requirements (item 11, .PDF, 212 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462870&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%209%20-%20Canadian%20ATP%20Requirements-Master.PDF
- Operational Factors/Human Performance Group - Attachment 10 - Air Canada Pilots Contractual Pairing and Reserve Rules (item 12, .PDF, 247 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462871&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2010%20-%20Air%20Canada%20Pilots%20Contractual%20Pairing%20and%20Reserve%20Rules-Master.PDF
- Operational Factors/Human Performance Group - Attachment 11 - SFO Runway 28R Approach Charts (item 13, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462872&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2011%20-%20SFO%20Runway%2028R%20Approach%20Charts-Master.PDF
- Operational Factors/Human Performance Group - Attachment 12 - Route Briefing - The Americas [Excerpt] (item 14, .PDF, 420 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462873&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2012%20-%20Route%20Briefing%20-%20The%20Americas%20%5BExcerpt%5D-Master.PDF
- Operational Factors/Human Performance Group - Attachment 13 - Air Canada Threat Briefing Reference Card (item 15, .PDF, 349 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462874&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2013%20-%20Air%20Canada%20Threat%20Briefing%20Reference%20Card-Master.PDF
- Operational Factors/Human Performance Group - Attachment 14 - Air Canada Nav Tuning Guidance (item 16, .PDF, 231 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462875&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2014%20-%20Air%20Canada%20Nav%20Tuning%20Guidance-Master.PDF
- Operational Factors/Human Performance Group - Attachment 15 - Air Canada Non-Precision Approach Procedure (item 17, .PDF, 3.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462876&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2015%20-%20Air%20Canada%20Non-Precision%20Approach%20Procedure-Master.PDF
- Operational Factors/Human Performance Group - Attachment 16 - Air Canada's Simulator Evaluation (item 18, .PDF, 873 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462879&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2016%20-%20Air%20Canada%27s%20Simulator%20Evaluation-Master.PDF
- Operational Factors/Human Performance Group - Attachment 17 - QRH Normal - Controlled Rest on the Flight Deck (item 19, .PDF, 112 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462877&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2017%20-%20QRH%20Normal%20-%20Controlled%20Rest%20on%20the%20Flight%20Deck-Master.PDF
- Operational Factors/Human Performance Group - Attachment 18 - Canadian Aviation Regulations Advisory Council on Flight Crew Fatigue Management (item 20, .PDF, 755 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462878&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2018%20-%20Canadian%20Aviation%20Regulations%20Advisory%20Council%20on%20Flight%20Crew%20Fatigue%20Management-Master.PDF
- Operational Factors/Human Performance Group - Attachment 19 - Incidient Crew Schedule Preceding 90 Days (item 21, .PDF, 374 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462880&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2019%20-%20Incidient%20Crew%20Schedule%20Preceding%2090%20Days-Master.PDF
- Operational Factors/Human Performance Group - Attachment 20 - Incident Crew Training Records (item 22, .PDF, 3.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462881&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2020%20-%20Incident%20Crew%20Training%20Records-Master.PDF
- Operational Factors/Human Performance Group - Attachment 21 - NTSB Email Correspondence with Air Canada Regarding ACARS, CRM Training, and Fatigue Policies (item 23, .PDF, 904 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462882&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2021%20-%20NTSB%20Email%20Correspondence%20with%20Air%20Canada%20Regarding%20ACARS,%20CRM%20Training,%20and%20Fatigue%20Policies-Master.PDF
- Operational Factors/Human Performance Group - Attachment 22 - Previous Captain and Duty Pilot Interview Summaries (item 24, .PDF, 102 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466876&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2022%20-%20Previous%20Captain%20and%20Duty%20Pilot%20Interview%20Summaries-Master.PDF
- Operational Factors/Human Performance Group - Attachment 23 - North Platte Neberaska Weather Radar Data (item 25, .PDF, 129 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466873&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2023%20-%20North%20Platte%20Neberaska%20Weather%20Radar%20Data-Master.PDF
- Operational Factors/Human Performance Group - Attachment 24 - Air Canada Autopilot Limitation (item 26, .PDF, 141 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466879&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2024%20-%20Air%20Canada%20Autopilot%20Limitation-Master.PDF
- Operational Factors/Human Performance Group - Attachment 25 - Air Canada Email on Captains Reserver Duty Day (item 27, .PDF, 314 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466882&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2025%20-%20Air%20Canada%20Email%20on%20Captains%20Reserver%20Duty%20Day-Master.PDF
- Operational Factors/Human Performance Group - Attachment 26 - Email from Honeywell (item 28, .PDF, 415 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466885&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2026%20-%20Email%20from%20Honeywell%20-Master.PDF
- Operational Factors/Human Performance Group - Attachment 27 - Only Manual Tuned Approach for A320 (item 29, .PDF, 175 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466887&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20Group%20-%20Attachment%2027%20-%20Only%20Manual%20Tuned%20Approach%20for%20A320-Master.PDF
- Operational Factors/Human Performance - Errata 1 (item 30, .PDF, 24 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466889&FileExtension=.PDF&FileName=Operational%20Factors%2FHuman%20Performance%20-%20Errata%201-Master.PDF
- Air Traffic Control Factual Report (item 31, .PDF, 912 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462883&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20Factual%20Report-Master.PDF
- Air Traffic Control Factual Report - Erratum and Addendum (item 32, .PDF, 48 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466890&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20Factual%20Report%20-%20Erratum%20and%20Addendum%20-Master.PDF
- Air Traffic Control Factual Report - Attachment 1 Interview Summaries (item 33, .PDF, 142 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462884&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20Factual%20Report%20-%20Attachment%201%20Interview%20Summaries-Master.PDF
- Air Traffic Control Factual Report - Attachment 2 Previous Safety Recommendations (item 34, .PDF, 344 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462885&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20Factual%20Report%20-%20Attachment%202%20Previous%20Safety%20Recommendations-Master.PDF
- Air Traffic Control - Attachment 3 - Mandatory Occurence Report (item 35, .PDF, 887 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466891&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20%20Attachment%203%20-%20Mandatory%20Occurence%20Report-Master.PDF
- Air Traffic Control - Attachment 4 - Daily Record of Facility Operations (item 36, .PDF, 720 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466892&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20Attachment%204%20-%20Daily%20Record%20of%20Facility%20Operations-Master.PDF
- Air Traffic Control - Attachment 5 - Radar Data (item 37, .PDF, 684 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466893&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20Attachment%205%20-%20Radar%20Data-Master.PDF
- Air Traffic Control - Attachment 6 - Position Logs (item 38, .PDF, 720 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466895&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20Attachment%206%20-%20Position%20Logs-Master.PDF
- Air Traffic Control - Attachment 7 - Memorandum For Combining Positions (item 39, .PDF, 111 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466898&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20Attachment%207%20-%20Memorandum%20For%20Combining%20Positions%20-Master.PDF
- Air Traffic Control - Attachment 8 - Memorandum For The Record ASDE-X Testing At SEA (item 40, .PDF, 755 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466900&FileExtension=.PDF&FileName=Air%20Traffic%20Control%20-%20Attachment%208%20-%20Memorandum%20For%20The%20Record%20ASDE-X%20Testing%20At%20SEA-Master.PDF
- Flight Data Recorder Specialist's Factual Report Attachment 1 (item 41, .CSV, 66.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462886&FileExtension=.csv&FileName=Flight%20Data%20Recorder%20Specialist%27s%20Factual%20Report%20Attachment%201-Master.csv
- Aircraft Performance (item 42, .PDF, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462887&FileExtension=.PDF&FileName=Aircraft%20Performance-Master.PDF
- Flight Data Recorder Specialist's Factual Report (item 43, .PDF, 2.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462888&FileExtension=.PDF&FileName=Flight%20Data%20Recorder%20Specialist%27s%20Factual%20Report-Master.PDF
- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 44, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462889&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF
- Airports Specialist Report (item 45, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462890&FileExtension=.PDF&FileName=Airports%20Specialist%20Report-Master.PDF
- Airports - Attachment 1 - SFO Airport Inspection Logs (item 46, .PDF, 213 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462891&FileExtension=.PDF&FileName=Airports%20-%20Attachment%201%20-%20SFO%20Airport%20Inspection%20Logs-Master.PDF
- Airports - Attachemnt 2 - SFO Airport Lighting Logs (item 47, .PDF, 4.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40462892&FileExtension=.PDF&FileName=Airports%20-%20Attachemnt%202%20-%20SFO%20Airport%20Lighting%20Logs-Master.PDF
- Aircraft Performance Erratum (item 48, .PDF, 20 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466901&FileExtension=.PDF&FileName=Aircraft%20Performance%20Erratum-Master.PDF
- Aircraft Performance Erratum 2 (item 49, .PDF, 69 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466902&FileExtension=.PDF&FileName=Aircraft%20Performance%20Erratum%202-Master.PDF
- Party Submission (item 50, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466903&FileExtension=.PDF&FileName=Party%20Submission-Master.PDF
- Honeywell EGPWS Smart Landing Simulation Report (item 51, .PDF, 297 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466904&FileExtension=.PDF&FileName=Honeywell%20EGPWS%20Smart%20Landing%20Simulation%20Report-Master.PDF
- Correspondence (item 52, .PDF, 178 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40466905&FileExtension=.PDF&FileName=Correspondence-Master.PDF
- NTSB - Adopted Board Report, AIR-18/01 (item 53, .PDF, 3.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40467361&FileExtension=.PDF&FileName=NTSB%20-%20Adopted%20Board%20Report,%20AIR-18%2F01-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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