Piper PA-31-350 accident near Medford, Oregon, December 6, 2021
On December 6, 2021, a 1977 Piper PA-31-350, registered N64BR, was destroyed in an accident during takeoff near Medford, Oregon (Rogue Valley Intl - Medford airport). It was a personal flight under general aviation rules (Part 91). 2 people were killed. The weather was instrument conditions (cloud, fog or low visibility).
The NTSB's probable cause their words, unchanged
The pilot’s failure to maintain aircraft control during the initial climb into clouds due to spatial disorientation, which resulted in an uncontrolled descent and collision with terrain.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- December 6, 2021
- Place
- Medford, Oregon · Rogue Valley Intl - Medford · map
- Type
- Accident
- Injuries
- 2 people were killed.
- Weather
- instrument conditions (cloud, fog or low visibility)
- Aircraft
- Piper PA-31-350, built 1977 · all PA-31-350s on the register
- Registration
- N64BR · no longer on the register · serial 31-7752124
- Damage
- Destroyed
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
The airplane was departing into instrument meteorological conditions using a standard instrument departure. The takeoff instructions consisted of making a climbing right turn direct to a nondirectional beacon. After departing, the pilot made a radio communication to an air traffic controller asking if he will tell him when to turn. The controller replied that he would not be calling his turn and that the pilot should fly the departure as published making a climbing right turn to overfly the approach end of the runway. The pilot acknowledged the communication, which was his last transmission. The airplane made a 360° turn and descended below the cloud layer. The airplane then climbed back into the cloud layer and made an inverted loop, descending into the ground in a near-vertical attitude. A postaccident examination of the airplane revealed no evidence of preimpact mechanical malfunctions or failures. Recorded audio of the airplane before the accident was consistent with the engines operating. The signatures on both propellers were consistent with one another and consistent with the engines operating at a similar rpm. The pilot was qualified and recently underwent recurrent training. The reasons the pilot became spatially disoriented could not definitely determined. The pilot left the anti-collision lights on while in the clouds, which may have resulted in him having flicker vertigo.
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
What happened, in order
- Other weather encounter during takeoff
- Loss of control in flight during takeoff defining event
The NTSB's findings
- Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
- Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
Pilot
- Certificate: commercial pilot
- Ratings: multi-engine land; single-engine land; single-engine sea; instrument: airplane
- Flight time: 2,167 hours in all; 1,520 in this make and model; 2 in the last 30 days; 2,089 as pilot in command
- Last flight review: November 4, 2021
- Medical certificate: Class 2 (with waivers/limitations)
- Seat: left
- Injury: fatal
The aircraft
- Airframe total time: 8,809 hours
- Last inspection: annual inspection, August 18, 2021; 2 hours since
- Maximum gross weight: 7,000 lb
- Seats: 8
- Landing gear: retractable
- Engine 1: Lycoming TIO-540-J2B (piston); 8,809 hours total
- Engine 2: Lycoming TIO-540-J2BD (piston); 0 hours total
- Fire on the ground
The flight
- Destination: FLX Fallon NV
- Flight plan: IFR
- Runway 14, 8,800 ft by 150 ft
Weather at the time
- Light: daylight
- Sky: overcast at 200 ft
- Temperature: 39°F (4°C), dew point 39°F (4°C)
- Altimeter: 30.39 inHg
- Observation at 4:55 pm from KMFR, 1 miles away
Weather report (METAR): KMFR 060055Z 00000KT 35M BR OVC0022 04/04 A3039 910 I 100 -100 000/00 RMK AO2 T00390039
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 | |||
| Passengers | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
14 documents, released by the NTSB on December 14, 2023. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.
| # | Document | What it is | |
|---|---|---|---|
| 1 | Investigation Supplemental Materials | PDF, 26 pages | View Download |
| 2 | Sound Spectrum Study | PDF, 7 pages | View Download |
| 3 | Tower Communications | audio | View Download |
| 4 | Records of Conversation | PDF, 2 pages | View Download |
| 5 | Pilot's Recent Training Records | PDF, 6 pages | View Download |
| 6 | ADS-B Tabular Data | data file | Download |
| 7 | ADS-B Google Earth File | map file | Download |
| 8 | ADS-B Medford Flights (Before and After the Accident) | PDF, 6 pages | View Download |
| 9 | Statement of Party Representatives to NTSB Investigation | PDF, 3 pages | View Download |
| 10 | Release of Aircraft Wreckage, NTSB Form 6120.15 | PDF, 1 page | View Download |
| 11 | Toxicological Report | PDF, 1 page | View Download |
| 12 | Flicker Vertigo | PDF, 3 pages | View Download |
| 13 | Security Videos | zip file | Download |
| 14 | Autopsy Memorandum | PDF, 1 page | View Download |
The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.
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.
