Investigators will evaluate additional data, vehicle performance and "explore the degree to which Autopilot and associated Tesla systems may exacerbate human factors or behavioural safety risks, undermining the effectiveness of the driver's supervision," the agency said.
Comment from Tesla has been sought.
An engineering analysis is the final stage of an investigation, and in most cases NHTSA decides within a year if there should be a recall or the probe should be closed.
In the majority of the 16 crashes, the Teslas issued collision alerts to the drivers just before impact. Automatic emergency braking intervened to at least slow the cars in about half the cases. On average, Autopilot gave up control of the Teslas less than a second before the crash, NHTSA said in documents detailing the probe.
NHTSA also said it is looking into crashes involving similar patterns that did not include emergency vehicles or trucks with warning signs.
The agency found that in many cases, drivers had their hands on the steering wheel as Tesla requires, yet they failed to take action to avoid a crash. This suggests drivers are complying with Tesla's monitoring system, but it doesn't make sure they're paying attention.
In crashes were video is available, drivers should have seen first responder vehicles an average of eight seconds before impact, the agency wrote.
The agency will have to decide if there is a safety defect with Autopilot before pursuing a recall.
Investigators also wrote that a driver's use or misuse of the driver monitoring system "or operation of a vehicle in an unintended manner does not necessarily preclude a system defect."
The agency document all but says Tesla's method of making sure drivers pay attention isn't good enough, and that it's defective and should be recalled, said Bryant Walker Smith, a University of South Carolina law professor who studies automated vehicles.
"It is really easy to have a hand on the wheel and be completely disengaged from driving," he said.
Monitoring a driver's hand position is not effective because it only measures a physical position.
"It is not concerned with their mental capacity, their engagement or their ability to respond."
Similar systems from other companies such as General Motors' Super Cruise use infrared cameras to watch a driver's eyes or face to ensure they're looking forward. But even these may still allow a driver to zone out, Walker Smith said.
"This is confirmed in study after study. This is established fact that people can look engaged and not be engaged. You can have your hand on the wheel and you can be looking forward and not have the situational awareness that's required."
In total, the agency looked at 191 crashes but removed 85 of them because other drivers were involved or there wasn't enough information to do a definite assessment. Of the remaining 106, the main cause of about one-quarter of the crashes appears to be running Autopilot in areas where it has limitations, or in conditions that can interfere with its operations.
"For example, operation on roadways other than limited access highways, or operation in low traction or visibility environments such as rain, snow or ice," the agency wrote.
Other automakers limit use of their systems to limited-access divided highways.
The National Transportation Safety Board, which also has investigated some of the Tesla crashes dating to 2016, has recommended that NHTSA and Tesla limit Autopilot's use to areas where it can safely operate. The NTSB also recommended that NHTSA require Tesla to have a better system to make sure drivers are paying attention. NHTSA has yet to take action on the recommendations. The NTSB can only make recommendations to other federal agencies.
In a statement, NHTSA said there aren't any vehicles available for purchase today that can drive themselves.
"Every available vehicle requires the human driver to be in control at all times, and all state laws hold the human driver responsible for operation of their vehicles," the agency said.
Driver-assist systems can help avoid crashes but must be used correctly and responsibly, the agency said.
Tesla did an online update of Autopilot software last fall to improve camera detection of emergency vehicle lights in low-light conditions. NHTSA has asked why the company didn't do a recall.
NHTSA began its inquiry in August of last year after a string of crashes since 2018 in which Teslas using the company's Autopilot or Traffic Aware Cruise Control systems hit vehicles at scenes where first responders used flashing lights, flares, an illuminated arrow board, or cones warning of hazards.
- AP