FlarePath
Research

The whole record, reshaped by a question.

Every count below is the Board's own coding across the cases in scope — findings, occurrences, phases, recommendations, the evidence held. Click any bar to make it the filter. No fleet-exposure data exists here, so these are cases, never rates.

Years–clear all filters
59
cases in this slice
6
fatal accidents
88
lives lost
53
with a probable cause
53
with coded findings
107
safety recommendations

The record over time

cases per year by cohort, and the lives lost — click a year to focus on it
Cases per year
030592009 · Major investigation: 72009 · Part 121 airline: 522009
Major investigationPart 121 airlinePart 135 fatal
Fatalities per year
044882009 · Fatalities: 882009
Fatalities

Why accidents happen

53 coded casesthe Board's findings taxonomy — causal findings in the probable cause, contributing factors beside them; occurrences and the phase of flight the defining event sat in
Personnel issues30 cases · 66 causal · 3 contributing
  • Task performance — Communication (personnel), Use of equip/info16
  • Action/decision — Action, Info processing/decision13
  • Psychological — Attention/monitoring, Perception/orientation/illusion9
  • Physical — Alertness/Fatigue, Impairment/incapacitation5
  • Miscellaneous — (general)1
  • Experience/knowledge — Training1
Environmental issues28 cases · 26 causal · 14 contributing
  • Conditions/weather/phenomena — Turbulence, Temp/humidity/pressure20
  • Physical environment — Object/animal/substance6
  • Operating environment — Approach aid coverage/avail, Airport facilities/design4
  • Task environment — Pressures/demands2
Aircraft21 cases · 33 causal · 10 contributing
  • Aircraft systems — Landing gear system, Oxygen system11
  • Aircraft structures — Empennage structure, Fuselage5
  • Aircraft oper/perf/capability — Performance/control parameters5
  • Aircraft power plant — Engine fuel and control, Engine controls4
  • Aircraft handling/service — Parking/securing, Placards and markings3
  • Fluids/misc hardware — Fluids2
Organizational issues10 cases · 13 causal · 8 contributing
  • Support/oversight/monitoring — Training, Documentation/record keeping6
  • Management — Policy/procedure5
  • Development — Design, Selection/certification/testing3
Not determined1 cases · 1 causal · 0 contributing
  • Not determined — (general)1

Solid = cited in the probable cause · outlined = contributing factor · hover a row for the most-cited specifics.

Phase of flight of the defining event
  • Enroute26
  • Landing10
  • Approach7
  • Taxi6
  • Standing4
  • Takeoff4
  • Unknown2
  • Maneuvering1
  • InitialClimb1

Aircraft and operators

by manufacturer family and operating rule — counts of cases, with no fleet-size denominator, so a busy family simply flies more
Aircraft family
Operating rule
Operators with the most cases
  • Delta Air Lines9
  • Continental Airlines4
  • Southwest Airlines3
  • Airtran Airways2
  • Atlantic Southeast Airlines2
  • Jetblue Airways2
  • Northwest Airlines2
  • Pinnacle Airlines2
  • United Airlines2
  • Us Airways2
  • Air Tran Airways1
  • American Airlines1

What changed because of them

107 recommendations · 3 opensafety recommendations issued from these cases, by the NTSB's status of the response
  • Closed · acceptable 42
  • Closed · unacceptable 59
  • Closed · superseded or reconsidered 3
  • Open · acceptable response 2
  • Open · unacceptable response 1
Issued per year
038762009 · Recommendations: 120092010 · Recommendations: 7620102011 · Recommendations: 2620112012 · Recommendations: 42012
Recommendations
Reiterated most often
  • A-10-013reiterated ×1Closed - Acceptable Alternate Action

    TO THE FEDERAL AVIATION ADMINISTRATION: Issue an advisory circular with guidance on leadership training for upgrading captains at 14 Code of Federal Regulations Part 121, 135, and 91K operators, including methods and tec…

  • A-10-014reiterated ×1Closed - Unacceptable Action

    TO THE FEDERAL AVIATION ADMINISTRATION: Require all 14 Code of Federal Regulations Part 121, 135, and 91K operators to provide a specific course on leadership training to their upgrading captains that is consistent with …

  • A-10-017reiterated ×1Closed - Exceeds Recommended Action

    TO THE FEDERAL AVIATION ADMINISTRATION: Require 14 Code of Federal Regulations Part 121, 135, and 91K operators to document and retain electronic and/or paper records of pilot training and checking events in sufficient d…

  • A-10-019reiterated ×1Closed - Exceeds Recommended Action

    TO THE FEDERAL AVIATION ADMINISTRATION: Require 14 Code of Federal Regulations Part 121, 135, and 91K operators to provide the training records requested in Safety Recommendation A-10-17 to hiring employers to fulfill th…

  • A-10-020reiterated ×1Closed - Unacceptable Action

    TO THE FEDERAL AVIATION ADMINISTRATION: Develop a process for verifying, validating, auditing, and amending pilot training records at 14 Code of Federal Regulations Part 121, 135, and 91K operators to guarantee the accur…

Evidence held

what the corpus can show for this slice, year by year — a docket, decoded flight data, a transcript, photographs, controller audio
Public docket2009 · Public docket: 42 of 59 casesFlight-data tables2009 · Flight-data tables: 12 of 59 casesCVR transcript2009 · CVR transcript: 5 of 59 casesPhotographs2009 · Photographs: 12 of 59 casesATC audio2009 · ATC audio: 0 of 59 casesProbable cause2009 · Probable cause: 53 of 59 cases2009
Column height = share of that year’s cases for which we hold the item. Hover for counts.

What the record says for this slice

a pattern, not a findingthe causal findings the Board cited most often across the 53 coded cases here
  • Conditions/weather/phenomena › Turbulence · Environmental issues · 23%12 cases
  • Action/decision › Action · Personnel issues · 21%11 cases
  • Task performance › Communication (personnel) · Personnel issues · 19%10 cases
  • Psychological › Attention/monitoring · Personnel issues · 15%8 cases
  • Task performance › Use of equip/info · Personnel issues · 11%6 cases
  • Physical environment › Object/animal/substance · Environmental issues · 9%5 cases
  • Action/decision › Info processing/decision · Personnel issues · 9%5 cases
  • Aircraft oper/perf/capability › Performance/control parameters · Aircraft · 9%5 cases
  • Aircraft systems › Landing gear system · Aircraft · 8%4 cases
  • Physical › Impairment/incapacitation · Personnel issues · 6%3 cases
  • Physical › Alertness/Fatigue · Personnel issues · 6%3 cases
  • Support/oversight/monitoring › Training · Organizational issues · 4%2 cases

The cases

59 of 59newest first — open any case for its recorders, transcript, photographs and analyst
DateCaseAircraftOperatorWhereOutcomeEvidence
2009-12-26CEN10IA084
Part 121 airline
ATR ATR72EXECUTIVE AIRLINES INCDallas, TXNo injury25 docs · FDR tables
2009-12-23DCA10RA017
Part 121 airline
BOEING 737American Airlines Inc.,KingstonSerious injuryno docket · open
2009-12-18DCA10CA018
Part 121 airline
BOMBARDIER CL600 2C10American EagleDallas, TXMinor injury1 docs
2009-12-14DCA10IA015
Part 121 airline
BOEING MDAmerican AirlinesCharlotte, NCNo injury30 docs · recorder reports
2009-12-04OPS10IA003
Part 121 airline
PINNACLE AIRLINES INCDetroit, MINo injury1 docs
2009-11-19DCA10FA012
Part 121 airline
BOEING 777-200United Airlines Inc.,New Market, VASerious injuryno docket
2009-11-15CEN10IA053
Part 121 airline
AIRBUS A319-111Frontier AirlinesKansas City, MONo injury4 docs
2009-11-02WPR10LA044
Part 121 airline
MCDONNELL DOUGLAS MD-90-30DELTA AIR LINES INCPhoenix, AZNo injury4 docs
2009-10-27ERA10CA036
Part 121 airline
BOEING 767-432ERDELTA AIR LINES INCAtlanta, GASerious injury3 docs
2009-10-26ERA10LA041
Part 121 airline
BOEING 717-200Air Tran AirwaysPleasant Grove, NCSerious injury12 docs · FDR tables
2009-10-21DCA10IA001
Part 121 airline
AIRBUS A320NORTHWEST AIRLINES INCMinneapolis, MNNo injury47 docs · FDR tables
2009-10-20DCA10WA004
Part 121 airline
MCDONNELL DOUGLAS MD11CENTURION AIR CARGO INCCiudad de la CostaNo injuryno docket · open
2009-10-19OPS10IA001
Part 121 airline
BOEING 767Delta Air Lines, Inc.Atlanta Hartsfield Intl. Apt. (KATL), GANo injury21 docs · recorder reports
2009-10-05ERA10CA022
Part 121 airline
BOEING 767-3P6DELTA AIR LINES INCUnknownSerious injury3 docs
2009-09-18ENG09IA018
Part 121 airline
BOEING 767Continental AirlinesNewark, NJNo injuryno docket
2009-09-08ENG09IA016
Part 121 airline
BOEING 767 432ERDELTA AIR LINES INCSt. Johns—1 docs
2009-09-08ENG09IA014
Part 121 airline
BOEING 737Southwest Airlines, Co.Los Angeles, CANo injury8 docs
2009-09-03ENG09IA017
Part 121 airline
EMBRAER ERJ 190-100 IGWJetBlue AirwaysNassauMinor injuryno docket
2009-08-29ERA09LA529
Part 121 airline
BOMBARDIER INC DHC-8-202CHAMPLAIN ENTERPRISES INCSterling, VA—9 docs · recorder reports
2009-08-27ERA09LA488
Part 121 airline
BOEING 717-200Airtran AirwaysInverness, FLSerious injury22 docs · FDR tables
2009-08-08ERA09MA447
Major investigation
PIPER PA-32R-300STEVEN M ALTMANHoboken, NJFatal · 9no docket
2009-08-06ERA09LA444
Part 121 airline
BOEING OF CANADA/DEHAV DIV DHC-8-311PIEDMONT AIRLINES INCFayetteville, NCSerious injury4 docs
2009-08-04DCA09CA069
Part 121 airline
BOMBARDIER INC CL-600-2B19PINNACLE AIRLINES INCLouisville, KYSerious injury1 docs
2009-08-03DCA09IA071
Part 121 airline
BOEING 767-224CONTINENTAL AIRLINES INCBavaroMinor injuryno docket
2009-07-31CEN09IA606
Part 121 airline
SAAB 340BMesaba Aviation, Inc.Traverse City, MINo injury2 docs
2009-07-27DCA09FA068
Part 121 airline
EMBRAER EMB170Republic Airlines Inc.,Norfolk, VASerious injury6 docs · FDR tables
2009-07-20DCA09WA066
Part 121 airline
BOEING 767United AirlinesKeflavikNo injuryno docket · open
2009-07-15ENG09IA009
Part 121 airline
BOEING 737-3B7US AIRWAYS INCCharlotte (CLT), NCNo injuryno docket
2009-07-13DCA09FA065
Part 121 airline
BOEING 737SOUTHWEST AIRLINES COCharleston, WVNo injury21 docs · FDR tables
2009-07-11CEN09LA461
Part 121 airline
EMBRAER-EMPRESA BRASILEIRA DE ERJ 170-20REPUBLIC AIRLINE INCIndianapolis, INSerious injury1 docs
2009-07-10ERA09LA396
Part 121 airline
AIRBUS A320-232JETBLUE AIRWAYS CORPFort Myers, FLSerious injury10 docs · recorder reports
2009-06-26OPS09IA009
Part 121 airline
BOMBARDIER INC DHC-8-202CONTINENTAL AIRLINES INCCleveland, OHNo injuryno docket
2009-06-18OPS09IA008
Part 121 airline
AIRBUS A320USAirwaysBoston, MANo injury5 docs
2009-06-11ERA09IA338
Part 121 airline
BOMBARDIER INC CL-600-2B1Atlantic Southeast AirlinesAtlanta, GANo injury35 docs · FDR tables
2009-06-10ENG09IA007
Part 121 airline
BOEING 757-222UNITED AIR LINES INCDenver, CONo injuryno docket
2009-06-03OPS09IA007
Part 121 airline
BOEING 737-7H4Cleveland, OHNo injuryno docket
2009-06-01OPS09IA006
Part 121 airline
MCDONNELL DOUGLAS MD80Chicago, ILNo injuryno docket
2009-05-21WPR09LA255
Part 121 airline
EMBRAER EMB-135American Eagle Airlines IncLos Angeles, CANo injury8 docs · FDR tables
2009-05-20DCA09CA051
Part 121 airline
BOEING 767 332Delta Air LinesSan Juan, PRSerious injury3 docs · FDR tables
2009-05-16ERA09LA418
Part 121 airline
BOEING 757Delta Air Lines, Inc.CubaSerious injury3 docs
2009-05-13CEN09IA294
Part 121 airline
BOEING 737SOUTHWEST AIRLINES COHouston, TXMinor injury20 docs · FDR tables
2009-05-06DCA09FA048
Part 121 airline
BOEING DC-10World AirwaysBaltimore, MDSerious injury32 docs · FDR tables
2009-05-04DCA09FA047
Part 121 airline
AIRBUS A320NORTHWEST AIRLINES INCDenver, COMinor injury15 docs · recorder reports
2009-04-21WPR09LA211
Part 121 airline
DE HAVILLAND DHC-8Mesa AirlinesPhoenix, AZNo injury8 docs · recorder reports
2009-04-18CEN09LA256
Part 121 airline
BOEING 737-724CONTINENTAL AIRLINES INCMcAllen, TXSerious injury6 docs · FDR tables
2009-04-17DCA09WA075
Part 121 airline
MCDONNELL DOUGLAS MD11ARROW AIR INCBatcoNo injuryno docket · open
2009-03-28ERA09LA224
Part 121 airline
MCDONNELL DOUGLAS MD88Delta Air Lines IncAtlanta, GASerious injury8 docs
2009-03-23DCA09RA041
Part 121 airline
MCDONNELL DOUGLAS MD11FedEx CorporationNaritaFatal · 2no docket · open
2009-03-22WPR09MA159
Major investigation
PILATUS PC-12/45Eagle Cap Leasing, Inc.Butte, MTFatal · 1478 docs
2009-02-28DCA09FA033
Part 121 airline
BOMBARDIER CRJAtlantic Southeast Airlines, Inc.Tallahassee, FLNo injury24 docs · recorder reports
2009-02-21WPR09IA123
Part 121 airline
EMBRAER EMB-120ERSKYWEST AIRLINES INCSalt Lake City, UTNo injury3 docs
2009-02-20DCA09WA029
Part 121 airline
BOEING 747TokyoSerious injuryno docket · open
2009-02-19OPS09IA002
Part 121 airline
AIRTRAN AIRWAYS INCTampa, FL—5 docs
2009-02-13DCA09MA027
Major investigation
BOMBARDIER INC DHC-8-402COLGAN AIR INCClarence Center, NYFatal · 492 docs · recorder reports
2009-02-08ERA09MA157
Major investigation
CESSNA 206HJorge Bringuier-AlfaroQuebradillas, PRFatal · 630 docs
2009-01-27CEN09MA142
Major investigation
AEROSPATIALE ALENIA ATR 42-320Empire AirlinesLubbock, TXSerious injury140 docs · FDR tables
2009-01-15DCA09MA026
Major investigation
AIRBUS A320US AIRWAYS INCWeehawken, NJSerious injury123 docs · FDR tables
2009-01-04CEN09MA117
Major investigation
SIKORSKY S-76CPHI INCMorgan City, LAFatal · 829 docs · FDR tables
2009-01-02ENG09IA002
Part 121 airline
BOEING 777Delta Air LinesAtlanta, GANo injuryno docket