International Helicopter Safety Team Overview Briefing

1. International Helicopter Safety Team Overview Briefing Mark Liptak FAA ASA-100 IHST Program Director

2. Today’s Objectives • The case for change in helicopter safety • IHST program status - US and worldwide efforts • Basics of analysis and implementation processes • Basics of analysis findings - US fleet accident data set • Invite stakeholders in Japan to consider working with us

3. We have a worldwide problem!

4. September 2005 – Montreal International Helicopter Safety Symposium (IHSS) 300 attendees from the worldwide helicopter community Unanimous position reached – unacceptable trends International Helicopter Safety Team (IHST) formed

5. IHST is a volunteer effort Analysis and implementation processes developed by the IHST, used by international participants Data sets (accident reports), analysts from industry and government formed and sustained locally IHST assists with process training and standardization, international coordination IHST coordinates performance metrics ongoing data mining efforts seeking regional data sources (flight hours)

6. Outreach efforts continue, seeking partnerships in the Mid and Far East, CIS, Mexico and S. Africa updated Jan ‘09 Global outreach key to success

7. Outreach efforts continue, seeking partnerships in the Mid and Far East, CIS, Mexico and S. Africa Is this correct? updated Jan ‘09

8. IHST is following a proven model IHST(CAST) Charters Activity CAST=Commercial Aviation Safety Team JHSAT=Joint Helicopter Safety Analysis TeamJHSIT=Joint Helicopter Safety Implementation Team JHSAT (JSAT)Analyzes DataProposes most effective interventions JHSIT (JSIT)Assesses feasibility of interventions works implementation Continued data analysis,measure interventioneffectiveness

9. Progressing Toward the 80% Goal US Fleet Data 10 Trend projection if no action taken Start – 9.1 Per 100K hours 9 ~760 AccidentsAvoided ~372 Fatalities/Serious Injuries Avoided source: Bell Worldwide Database 8 7 6 5 US Accident Rate per 100,000 flight hours 4 3 2 Goal – 1.8 Per 100K hours 1 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2001-2005 avg Year

10. Progressing Toward the 80% Goal Worldwide Fleet Data 10 Trend projection if no action taken Start – 9.5 Per 100K hours ~1694 AccidentsAvoided ~1132 Fatalities/Serious Injuries Avoidedsource: Bell Worldwide Database 9 8 7 6 Worldwide Accident Rate per 100,000 flight hours 5 4 3 2 Goal – 1.9 Per 100K hours 1 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2001-2005 avg Year

11. This is a worldwide effort All IHST participants using a process adapted from CAST. Key attributes: All recommendations directly rooted in accident data. Regional ownership – - Data is owned and analyzed by those most familiar with it. - Safety recommendations are implemented by teams most familiar with local needs and challenges. JHSAT and JHSIT lead teams responsible for training/coaching regional teams, measuring the results of the safety recommendations and implementation effectiveness.

12. ALEA Stakeholder participation is crucial to success

13. IHST Organization Chart Executive Committee Government Co- Chair FAA – Dennis Pratte Industry Co- Chair HAI – Matt Zuccaro Secretariat AHS – M. Rhett Flater Program Director FAA – Mark Liptak Director Bell Helicopter – Somen Chowdhury Director EHEST– Jean-Pierre Dedieu Director Shell Aircraft – Robert Sheffield Director NASA – Dr. Amy Pritchett Director HAC – Fred Jones Director EHA Representative – TBD JHSAT Co-Chairs JHSIT Co-Chairs Regional Partners - Europe, Brazil, India, Australia, Canada, US

14. IHST Safety Initiative Analysis, Implementation and Metrics Functional Structure IHSTExecutive Committee Recommendations Implemented Accident Analyses PerformanceMetrics JHSAT Co-Chairs JHSIT Co-Chairs RefinementStandardization Accident Analysis Recommendations turned into Implementation Actions Canada JHSAT India JHSAT EHSAT Canada JHSIT India JHSIT EHSIT Brazil JHSAT US JHSAT Others Brazil JHSIT US JHSIT Others JHSAT Accident Analysis Recommendations JHSIT Implementation Actions

15. Today 1 2 3 4 5 6 7 8 India IHST Program - Regional Process Tracking 2006 2008 2009 2010 2007 TBD IHSSFormed ExcomFormed Program staffing, sales, marketing, management, communications, international outreach Metrics 7 8 US 1 2 3 5 6 4 Metrics 5 6 1 2 3 4 7 8 Europe 1 2 3 6 7 8 4 5 Canada Brazil 1 2 3 4 5 6 7 8 Metrics 2 3 1 Australia 4 5 6 7 8 2 3 Mid East E 1 4 5 6 7 8 1 2 3 E Japan 4 5 6 7 8 1 2 3 CIS E 4 5 6 7 8 JHSIT SEs complete JHSAT Report Complete Key: Regional Kickoff Meeting 1 4 7 JHSAT Team Formed JHSIT Formed JHSIT DIPs complete 2 5 8 Accident Dataset Established JHSIT Process Refined Regional “exploratory” mtg 3 6 E

16. Why do we think our process will work? Three Examples: Commercial Aviation OGP/Shell Aircraft ALEA

17. Large Transport Ops Rate Improvements Source: cast.org

18. Source: R. Sheffield, Shell Aircraft

19. Began SMS training 2000 Accreditation Standards adopted 2005 Adopted IHST SMS Toolkit 2007 480 people/year attend Regional Safety Seminars 220 attended pre-conference courses in 2007 1,100 people attend Annual Conference Total membership – 3,600 Reduced accidents by 75% (21-6) from 1999-2007 by adoption of SMS methods Airborne Law Enforcement Association Education Programs

20. A look at some of the IHST’s work in the US

21. US JHSAT Process Overview

22. US Accident Analysis Overview: 197 accidents analyzed; covered a wide spectrum of helicopter operations – 15 basic mission types identified. 1200+ scored problem statements/intervention findings developed US JHSAT refined the problem statement/intervention findings into: 7 foundational recommendation areas for the US fleet 125 specific recommendations for 15 mission types 2001 analysis almost complete, 174 additional accidents

23. Ranked US Fleet-wide Recommendations 1. Safety Management 2. Training 3. Systems and Equipment 4. Information 5. Maintenance 6. Regulatory Recommendations 7. Infrastructure Detailed problem/solution info for 15 missions also developed

24. US Fleet– CY2000 Data

27. 2001 accident data

28. Intervention Categories (2000 vs 2001) 35.0 30.0 25.0 20.0 % of Interventions ID'ed 15.0 10.0 5.0 0.0 Regulatory Maintenance Safety Mgmt Infrastructure Training/Instruct Data/Information Systems and Equip No recommendation

29. Moving from analysis to implementation Analysis team results passed to an implementation team Joint Helicopter Safety Analysis Team (JHSAT) Joint Helicopter Safety Implementation Team (JHSIT) JHSAT  JHSIT The JHSIT is responsible for receiving the recommendations, ranking them against specific criteria and developing detailed implementation plans

30. U.S. JHSIT PROCESS FLOW Initiate Top Level Safety Intervention Actions (e.g. promoting IHST, SMS, Infrastructure changes) Review JHSAT Recommendations & Assign Number JHSAT Overall Effectiveness Value (OE) Assign JHSIT Average Feasibility Value Prioritize Recommendations (OE x F) Prepare Preliminary Safety Enhancement Plan Group Recommendations By Common Theme Prepare Detailed Safety Implementation Plan IHST Approval Execute and Monitor Progress Of Safety Implementation Plan IHST Approval

31. US Implementation Challenges Target audience is the 1 to 5 ship operators IHST/JHSIT not staffed to interact with 1000+ operators Need to leverage system and infrastructure channels to influence change

32. HAI Survey Data Identifying the target audience The IHST challenge – reaching small and medium sized operators

33. Pathways to Influence Change in the US Trainers ABC Groups Maintainers Industry Pubs Insurance FSDO OEMs AccreditationProgs 1 to 5 ship operators We need to find high leverage means to influence the small ops community

34. Conclusions: We have a problem – Unanimity in the worldwide helicopter community; long term accident trends are unacceptable. We know how to fix it – Using a data driven, stakeholder consensus process we’ve identified the drivers behind helicopter accidents. Implementation of SMS, training, information and maintenance enhancements are the top priority targets. Demonstrated benefits in OGP, EMS, ALEA and other well funded and managed operations. Effectiveness measures will be used. We can’t do it alone – Any entity with accident data willing to use the IHST analysis and implementation process is a viable candidate to join this worldwide initiative.

35. Request: IHST seeks to engage helicopter industry stakeholders in Japan Manufacturers Operators Regulators Researchers Next considerations: Identify responsible leaders Identify an accident dataset Learn the IHST analysis process Program resources, timing, implementation actions come under local (Japanese) ownership, day to day work not managed by IHST However, the basic analysis and implementation process developed by the IHST should be used to develop outputs compatible with the overall IHST effort