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SEA91LA217 · Beech B24R

20 Aug 1991 · Shady Cove, OR, United States

Beech B24R · Accident: total loss of engine power (mechanical failure) en route

From Rogue Valley International-Medford Airport (MFR) to SHADY GROVE, OR

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Event

NTSB case
SEA91LA217
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Beech B24R

Aircraft type
Beechcraft 24
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N2528W
Operator
John G. Purdy · private individual
Onboard fatalities
Unknown
Route
From Rogue Valley International-Medford Airport (MFR), Medford, ORTo SHADY GROVE, OR
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
En route · cruise
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Total loss of engine power (mechanical failure)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Fluid, oil › Leak
  • Lubricating system, oil line › Loose
  • Other maintenance personnel › Maintenance, installation, improper
  • Powerplant › Seized

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB 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.

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.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record SEA91LA217
Event ID
20001212X17993
Case number
SEA91LA217
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: local date, investigation status. Values present in the bulk record are kept.
  • The date is the local date; the NTSB stores the UTC date 1991-08-21.
  • API snapshot SHA-256: 6d28523901d8b6a02eecca36a2179c5618500f7d3a5c51b27ac62b2f3bf148f9; retrieved 2026-09-21T15:22:04.294Z.