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NTSB Report
August 21, 1991 · Beech B24R · N2528W
Shady Cove, OR
Overview
Report Status
Probable Cause
Event Type
Accident
Date
August 21, 1991
Injury Outcomes
1 injury (1 serious injury)
Location
Shady Cove, OR
Aircraft
Beech B24R
Tail Number
N2528W
Operator
John G Purdy
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
SEA91LA217
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
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.
Full Narrative
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.
Flight
Event TypeAccident
Event Time17:15 PDT
Nearest Airport0nm N
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftBeech B24R
Tail NumberN2528W
Aircraft CategoryAir
DamageSubstantial
OperatorJohn G Purdy
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-360-A1B6 · Reciprocating · 200
Seats4
People & Injuries
Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 69 · Second Class
Conditions
ConditionsVMC
LightDaylight
Wind290° @ 7 kt
Visibility10 sm
CeilingOvercast 6500 ft
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourcePILO