Casualties unknown

Improper Washer Installation Leads to Engine Failure and Forced Landing (N2008M)

Concord, CA, US

On January 2, 1993, a Piper PA-28R-201T (registration N2008M) operated by Richard Talley/larry Shattuck was involved in an aviation accident near Concord, CA. Investigators recorded the probable cause as: Improper installation of the tab washers, which allowed one oil pump cover bolt to back out and be ingested through engine drive gears. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 2026-07-04Data APIEditorial standards

During an IFR flight, an airplane experienced engine roughness and zero oil pressure. The pilot shut down the engine and performed a forced landing, striking posts. Investigation revealed a missing bolt caused by improperly installed tab washers.

Incident Overview

During an instrument flight rules (IFR) flight at approximately 11,000 feet mean sea level, the airplane's engine began to run rough and engine oil pressure dropped to zero. The pilot also reported smelling something burning. He initiated a descent and requested vectors to the nearest airport. While following the vector, the engine roughened further and the burning smell intensified. The pilot then shut down the engine and entered a power-off forced landing.

Forced Landing

The pilot broke out of the clouds and determined that he could not glide to the airport. He performed a landing to the only available area. During touchdown, the airplane collided with posts.

Post-Accident Examination

An FAA safety inspector examined the engine. He determined that one of the four bolts used to secure the engine oil pump cover to the crankcase was missing. A damaged bolt was found in the engine's camshaft gear. The tab washers used to lock the oil pump cover bolts were found with their single tab bent downward. The twin tabs on the three remaining bolts were pointed straight out, appearing to have never been bent into place after the bolts were tightened.

Findings

Improper installation of the washers resulted in one bolt falling off and being ingested through various drive gears. The engine had been overhauled by the manufacturer 515 hours prior to the accident.

Probable cause

Improper installation of the tab washers, which allowed one oil pump cover bolt to back out and be ingested through engine drive gears.

Frequently asked questions

What happened in the 2 Jan 1993 Piper PA-28R-201T accident near Concord, CA?

During an IFR flight, an airplane experienced engine roughness and zero oil pressure. The pilot shut down the engine and performed a forced landing, striking posts. Investigation revealed a missing bolt caused by improperly installed tab washers.

What aircraft was involved and where did it happen?

The accident on 2 Jan 1993 involved a Piper PA-28R-201T, registration N2008M, operated by Richard Talley/larry Shattuck, at Concord, CA.

What was the probable cause of the accident?

Improper installation of the tab washers, which allowed one oil pump cover bolt to back out and be ingested through engine drive gears.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001211X11712. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.