1 CHC Safety Summit – Mar/Apr 2009 International Helicopter Safety Team Overview Briefing Mark Liptak FAA Aviation Data and Analysis Services, ASA-100 IHST Program Director

2 CHC Safety Summit – Mar/Apr 2009 Today’s Objectives Discuss the case for change in helicopter safety Provide an overview of how the IHST is developing safety improvements from accidents analyses Provide IHST program status of both domestically and internationally Present top level analysis findings from the US fleet accident data set. Discuss the challenges of reaching small operators

3 CHC Safety Summit – Mar/Apr 2009 We have a problem!

4 CHC Safety Summit – Mar/Apr 2009 Global outreach key to success Outreach efforts continue, seeking partnerships in the Mid and Far East, CIS, Mexico and S. Africa updated Jan ‘09

5 CHC Safety Summit – Mar/Apr 2009 Recent Accident Counts by Region

6 CHC Safety Summit – Mar/Apr 2009 Broad implementation of VOR and DME Radar introduced at selected towers Vickers-700 Turboprop (1953 in UK, 1956 US) DC-7 (1955), Lockheed Electra ATC centers RADAR and radio contact with cruise aircraft Pressurized Aircraft into fleet (L-049, DC-6 & B-377) Earliest ILS (Glide slope, LOC & markers) Long-Range radar (Centers) Jet Engine; 707 (1958) & DC-8 VOR/DME integrated into autopilot (precision approaches) Secondary radar RNAV (processing VOR/DME & basic Instruments) GPWS, TCAS; Early automation FMS CRM & 6-Axis Simulator & FDR Windshear Cabin Safety Major Fatal Accidents Per Million Departures FOQA/ASAP & ATC Data RJ Revolution New Large Jets Cooperative safety agenda Factors That Led To Breakthroughs in Major Fatal Accident Rates Since 1946

7 CHC Safety Summit – Mar/Apr 2009 ' Helicopter Accidents per Exposure Factors That Will Lead To Breakthroughs in Helicopter Accident Rates Since 2005 Introduction of a scalable SMS tool ? Widespread use of safety accreditation programs ? Create partnerships with insurers Cockpit imaging systems ? ? IHST Formed

8 CHC Safety Summit – Mar/Apr 2009 ~760 Accidents Avoided ~372 Fatalities/Serious Injuries Avoided source: Bell Worldwide Database avg US Accident Rate per 100,000 flight hours Year Progressing Toward the 80% Goal US Fleet Data Trend projection if no action taken Start – 9.1 Per 100K hours Goal – 1.8 Per 100K hours

9 CHC Safety Summit – Mar/Apr 2009 ~1694 Accidents Avoided ~1132 Fatalities/Serious Injuries Avoided source: Bell Worldwide Database avg Worldwide Accident Rate per 100,000 flight hours Year Progressing Toward the 80% Goal Worldwide Fleet Data Trend projection if no action taken Start – 9.5 Per 100K hours Goal – 1.9 Per 100K hours

10 CHC Safety Summit – Mar/Apr 2009 IHST is following a proven model IHST (CAST) Charters Activity JHSAT (JSAT) Analyzes Data Proposes most effective interventions JHSIT (JSIT) Assesses feasibility of interventions works implementation Continued data analysis, measure intervention effectiveness (JIMDAT)

11 CHC Safety Summit – Mar/Apr 2009 This is a worldwide effort All IHST participants use 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 CHC Safety Summit – Mar/Apr 2009 ALEA

13 CHC Safety Summit – Mar/Apr 2009 IHST Organization Chart Executive Committee Government Co- Chair FAA – Dennis Pratte Industry Co- Chair HAI – Matt Zuccaro Program Director FAA – Mark Liptak Director Bell Helicopter – Somen Chowdhury Secretariat AHS – M. Rhett Flater Director Shell Aircraft – Robert Sheffield Director HAC – Fred Jones JHSAT Co-ChairsJHSIT Co-Chairs Director EHEST– Jean-Pierre Dedieu Director NASA – Dr. Amy Pritchett Director EHA Representative – TBD Regional Partners - Europe, Brazil, India, Australia, Canada, US

14 CHC Safety Summit – Mar/Apr 2009 Refinement Standardization IHST Safety Initiative Analysis, Implementation and Metrics Functional Structure IHST Executive Committee Canada JHSAT JHSAT Accident Analysis Recommendations JHSIT Implementation Actions Others EHSAT US JHSAT Brazil JHSAT India JHSAT Canada JHSIT Others EHSIT US JHSIT Brazil JHSIT India JHSIT JHSAT Co-Chairs JHSIT Co-Chairs Performance Metrics Accident Analysis Recommendations turned into Implementation Actions Accident Analyses Recommendations Implemented

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16 CHC Safety Summit – Mar/Apr 2009 Why do we think our process will work? Three Examples: Commercial Aviation OGP/Shell Aircraft ALEA

17 CHC Safety Summit – Mar/Apr 2009 Large Transport Ops Rate Improvements Source: cast.org

18 CHC Safety Summit – Mar/Apr 2009 Source: R. Sheffield, Shell Aircraft

19 CHC Safety Summit – Mar/Apr 2009 Airborne Law Enforcement Association Education Programs Began SMS training 2000 Accreditation Standards adopted 2005 Adopted IHST SMS Toolkit people/year attend Regional Safety Seminars 220 attended pre-conference courses in ,100 people attend Annual Conference Total membership – 3,600 Reduced accidents by 75% (21-6) from by adoption of SMS methods

20 CHC Safety Summit – Mar/Apr 2009 A look at some of the IHST’s work in the US

21 CHC Safety Summit – Mar/Apr 2009 US Accident Analysis Overview: 197 accidents analyzed; covered a wide spectrum of helicopter operations – 15 basic mission types identified 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

22 CHC Safety Summit – Mar/Apr 2009 Ranked US Fleetwide 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

23 CHC Safety Summit – Mar/Apr 2009 US Fleet– CY2000 Data

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26 CHC Safety Summit – Mar/Apr accident data

27 CHC Safety Summit – Mar/Apr 2009 Intervention Categories (2000 vs 2001) Data/Information Infrastructure Maintenance No recommendation Regulatory Safety Mgmt Systems and Equip Training/Instruct % of Interventions ID'ed

28 CHC Safety Summit – Mar/Apr 2009 Detailed US JHSAT data available at ihst.org year 2000 report issued year 2001 report to be issued September 2009 year 2006 accident data “on deck” for analysis All findings passed to US JHSIT for implemtation plan development All recommendations and actions based on accident data

29 CHC Safety Summit – Mar/Apr 2009 Implementing Change – Remaining Process Driven Implementation actions are driven by accident data and are based on the recommendations of the JHSAT team Actions are prioritized for potential impact Each action is assessed for safety impact and ROI A “Safety Enhancement” (SE) plan is established for each action The Excom reviews and if appropriate, approves each SE Approved SEs are further augmented by a “Detailed Implementation Plan” (DIP) SE/DIP effectiveness metrics used to ensure actions working as intended

30 CHC Safety Summit – Mar/Apr 2009 The IHST challenge – reaching small and medium sized operators HAI Survey Data Identifying the target audience

31 CHC Safety Summit – Mar/Apr to 5 ship operators Insurance Maintainers Trainers Industry Pubs FSDO Pathways to Influence Change ABC Groups Accreditation Progs We need to find high leverage means to influence the small ops community

32 CHC Safety Summit – Mar/Apr 2009 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. 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. ihst.org

33 CHC Safety Summit – Mar/Apr 2009