Aircraft Accident/Incident Report

Shady Cove, Oregon 97539
Tuesady, August 20, 1991 17:15 PDT

NTSB Narrative Summary Released at Completion of Accident

ON THE FIRST FLIGHT AFTER AN ANNUAL INSPECTION, THE PILOT WAS RETURNING HIS BEECH B24R TO ITS HOME BASE. HE NOTED THAT THE ENGINE WAS NOT DEVELOPING NORMAL RPM, AND HE ELECTED TO RETURN TO THE MAINTENANCE FACILITY. SHORTLY THEREAFTER, THE ENGINE SEIZED. THE PILOT MADE A WHEELS-UP LANDING ON UNEVEN GRASSY TERRAIN, AND THE AIRCRAFT WAS DAMAGED. AN INVESTIGATION REVEALED THAT AN OIL LINE, WHICH HAD BEEN REMOVED FOR MAINTENANCE, WAS LOOSE AND OIL HAD BEEN PUMPED OVERBOARD.

NTSB Probable Cause Narrative

IMPROPER RE-INSTALLATION OF AN OIL LINE BY MAINTENANCE PERSONNEL, WHICH RESULTED IN AN OIL LEAK FROM A LOOSE LINE AND SUBSEQUENT SEIZURE OF THE ENGINE. UNEVEN TERRAIN IN THE EMERGENCY LANDING AREA WAS A RELATED FACTOR.

Event Information

Type of Event Accident
Event Date 8/20/1991
Event Day of the Week Tuesday
Time of Event 1715
Event Time Zone Pacific Daylight Time
Event City SHADY COVE
Event State OREGON
Event Country --
Zipcode of the event site 97539
Event Date Year 1991
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 6500
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) -18
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 290
Variable Wind Indicator Unknown
Wind Speed (knots) 7
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) 0
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 569
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 44474
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2528W
NTSB Number SEA91LA217
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model B24R
Aircraft Series Identifier B24R
Aircraft Serial Number MC201
Certified Max Gross Weight 2700
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection --
Airframe hours since last inspection 0
Airframe Hours --
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name JOHN G. PURDY
Aircraft Owner Street Address P.O. BOX 648
Aircraft Owner City SHADY COVE
Aircraft Owner State OR
Aircraft Owner Country
Aircraft Owner Zipcode 97539
Operator is an individual? --
Operator Name JOHN G. PURDY
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address P.O. BOX 648
Operator City SHADY COVE
Operator State OR
Operator Country
Operator Zip code 97539
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MFR
Departure City MEDFORD
Departure State OR
Departure Country
Departure Time 1710
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code
Destination City SHADY GROVE
Destination State OR
Destination Country
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --