Beech B24R accident near Shady Cove, Oregon, August 21, 1991
On August 21, 1991, a Beech B24R, registered N2528W, was substantially damaged in an accident near Shady Cove, Oregon. It was a personal flight under general aviation rules (Part 91). 1 person was seriously injured. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
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.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- August 21, 1991
- Place
- Shady Cove, Oregon · map
- Type
- Accident
- Injuries
- 1 person was seriously injured.
- Weather
- visual conditions (good weather)
- Aircraft
- Beech B24R · all B24Rs on the register
- Registration
- N2528W · no longer on the register · serial MC201
- Damage
- Substantial damage
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
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.
The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.
The factual record from the NTSB's investigation tables, in plain English
Pilot
- Certificate: commercial pilot
- Ratings: multi-engine land; multi-engine sea; single-engine land; single-engine sea; instrument: airplane
- Flight time: 3,660 hours in all; 1,392 in this make and model; 13 in the last 90 days; 1 in the last 30 days; 3,179 as pilot in command; 500 on instruments
- Medical certificate: Class 2 (valid medical--w/ waivers/lim.)
- Seat: unk
The aircraft
- Last inspection: inspection type not recorded; 0 hours since
- Maximum gross weight: 2,700 lb
- Seats: 4
- Landing gear: retractable
- Engine: Lycoming IO-360-A1B6 (piston); 0 hours total
The flight
- Departed from: MFR Medford OR
- Destination: Shady Grove OR
- Flight plan: none
- Runway 0
Weather at the time
- Light: daylight
- Wind: from 290° at 7 knots
- Visibility: 10 statute miles
- Sky: overcast at 6,500 ft; not recorded
- Temperature: 0°F (-18°C), dew point 0°F (-18°C)
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Crew | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.
Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.