NTSB CAROL · Event
Event SEA00LA170
Registry · N570CA
FAA Aircraft Registry record.
Make / Model
AMERICAN CHAMPION AIRCRAFT 8GCBC
Year of manufacture
2010
TCDS
A21CE · AMERICAN CHAMPION AIRCRAFT CORP
Engine
LYCOMING O-360-C1G (180 hp)
Seats / Engines
2 seats · 1 engine
Last airworthiness date
20140909
ADS-B equipped
Yes — Mode-S A74E9C
Registrant of record
MIDWEST AVIATION INC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The turbine outlet temperature indicating system was out of calibration. Factors included improper maintenance calibration, which resulted in the over temperature of the turbine assembly.
Factual narrative
On August 25, 2000, at 1430 Pacific daylight time, a McDonnell Douglas Helicopter (Hughes) 369E, N570CA, registered to and operated by Silverhawk Aviation as a 14 CFR Part 135 contract flight for the Idaho Department of Lands in support of fire suppression and administrative flights, experienced a loss of engine power shortly after takeoff from Cavanaugh Bay airstrip, Coolin, Idaho. The pilot initiated an emergency running landing which resulted in the main rotor blades contacting and subsequently separating the tail boom during the landing phase. Visual meteorological conditions prevailed and a company visual flight rules flight plan was in effect. The helicopter was substantially damaged and the commercial pilot and his two passengers were not injured. The flight was departing for Nordman, Idaho, for the purpose of transporting personnel. In a written statement, the pilot reported that the start, warm-up and lift off were uneventful with all gauges and warning lights operating in the normal range. The helicopter lifted off to a three to five foot hover for positioning to the runway centerline and a southbound departure. The helicopter gained speed and passed through translational lift at 15 to 20 mph and 10 feet above ground level (AGL). The pilot stated that at 30 to 35 mph and 15 to 20 feet AGL, he felt the helicopter stop climbing, followed by the engine out audible warning and the flashing engine out light illuminated. The rotor rpm and the N2 indicated 96% and the pilot lowered the collective and applied slight aft cyclic to lower the power requirements. The rotor rpm and N2 decreased to 92% and the helicopter began to lose altitude. The pilot reported that he then initiated a running landing. The collective was held where it was to hold power and he adjusted the cyclic to slow the helicopter down in order to touch down on the landing skids in a level attitude. When the helicopter touched down, it slid on the skids for about 80 to 90 feet. During the last 30 feet, the collective was lowered to slow the ground speed. At this time the main rotor blades made contact with the tail boom, which was severed. The helicopter yawed slightly before coming rest upright. The pilot secured the cockpit and the passengers deplaned without further incident. The wreckage was moved to Pendleton, Oregon, for inspection. During the inspection the airframe/fuselage, tail rotor assembly, main rotor system, drive system, flight control systems, fuel system, engine, and turbine outlet temperature (TOT) indicating systems were examined. Maintenance logbook information indicated that the engine automatic re-light/re-ignition system had been inoperative since logbook entry 5,068 flight hours. Approximately 132 hours had been accumulated since this write-up to the time of the accident. The pilot also reported that the helicopter had a history of excessive droop "during huge power changes and would droop to approximately 94% N1." There was no aircraft or engine maintenance entry indicated in the logbooks regarding this issue. Several anomalies were noted during the inspection (see attached Boeing Report). While inspecting the fuel system, it was noted that the fuel pressure differential switch (delta P switch) electrical line/lead evidenced a complete fracture and the switch was not capable of normal operation. The switch was removed and sent to the manufacturer for examination (see attached Spectra Lux Fuel Pressure Switch Test). A pressurization test revealed that the diaphragm was in good working condition. The unit did not leak and operated as expected. Further inspection noted that the reed switch did not function. The pressure switch was x-rayed and found that one of the leads of the reed switch was damaged and "had obviously been mechanically agitated in two directions." The engineer performing the test reported that it would take a great deal of force for the leads to end up in their current position and this could not have happened during normal operating conditions. The Boeing participant reported that, "Malfunction of the fuel pressure differential switch rendered the impending fuel filter bypass warning system inoperative." A vacuum check of the engine fuel system, and a bleed valve functional check were normal, with no deficiencies noted, however, a pneumatic system pressure check identified an air leak at the "T" fitting on the #1 pneumatic line from the power turbine governor (PTG) to the fuel control unit (FCU). A correlation check between the cockpit control and the engine control indicated the systems were capable of normal operation. The spark ignitor was not properly secured at the combustion outer case and could be turned with finger pressure. The ignitor lead was frayed where it passes through the exhaust collector firewall shield, and excessive wear of the ground electrode (outer electrode) portion of the ignitor was noted. Excessive coking with one hole completely plugged and three additional holes partially plugged were noted to the fuel nozzle assembly. The compressor section would not rotate. Minor foreign object debris (FOD) was noted on several #1 compressor wheel rotors. The 4th stage N2 power turbine wheel rotated but would not freewheel. A light coating of silver metallic granules lined the engine exhaust forward of the 4th stage power turbine was noted. The TOT indicating system was inspected to verify calibration. The manufacturers calibration inspection requires the "TOT Indicating System Calibration" to be performed during all 300-hours inspections for those systems that are not self-calibrating. The last 300-hour inspection was performed on March 18, 2000. The test revealed (see attached TOT Gage Test) that the turbine outlet temperature indicated on the cockpit gage was below actual engine outlet temperatures. The Boeing participant reported that, "The specified resistance for the calibration inspection must be 8.0 +/- 0.05 ohms through the specified resistor and engine thermocouple harness. The results of the calibration test showed the resistance to be at 8.64 ohms." The Boeing participant further stated that, "Lower than actual turbine outlet temperature readings provided to the pilot via the cockpit TOT gage may have resulted in numerous operations being conducted in higher temperature ranges than that authorized by the Pilot's Flight Manual and/or the engine manufacturers temperature limitations," and that "Unreliable TOT readings were the result of an improper ohm resistance on the engine thermocouple harness (and associated resistors) and an inaccurate cockpit TOT gage." The engine was removed from the airframe and shipped to Rolls-Royce Allison, Indianapolis, IN, for further examination. The engine was torn down and inspected. Metallurgical examinations and testing of components were performed at Rolls-Royce Allison. (See attached report) The findings of the teardown inspection revealed: - The 1st stage Turbine Wheel failed by stress rupture at mid-length on all blades resulting from high temperature engine operation above 2000F. - Microstructure evaluation of the Second Stage Turbine Wheel blades indicated operation above 2000F. - Both the First and Second Stage Turbine Nozzles exhibited evidence of high temperature operation above the normal operating range. - The Combustion Liner Assembly exhibited a biased combustion flow pattern on the inner surface in line with the drain plug, which lead to the hot spots on the 1st and 2nd Stage Turbine Nozzles. - The material chemistries conformed to the requirements of the engineering drawings. Shortly after takeoff, the engine lost power. The pilot initiated an emergency running landing, which resulted in the main rotor blades contacting and subsequently severing the tail boom during the landing phase. The engine and associated components were inspected. The turbine outlet temperature (TOT) indicating system was inspected to verify calibration, which is to be calibrated inspected during all 300-hour inspections. The test revealed that the TOT indicated on the cockpit gage was below actual engine outlet temperatures, and that lower than actual TOT readings provided to the pilot via the cockpit TOT gage may have resulted in numerous operations being conducted in higher temperature ranges than that authorized by the Pilot's Flight Manual and/or the engine manufacturers temperature limitations. The engine teardown inspection confirmed that the failures and stress ruptures found throughout the engine turbine assembly components were a result of high temperature engine operation above 2000F. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2000_SEA00LA170.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
Browse the full corpus — academia portal ↗