1 JHSAT - May 2007 JHSAT Status May 2007 AHS Forum 63 – Virginia Beach, VA Mark Liptak FAA ANE-110 Jack Drake HAI

2 JHSAT - May 2007 Basic CAST Process 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

3 JHSAT - May 2007 JHSAT Goal: Provide intervention strategies to the IHST and Joint Helicopter Safety Implementation Team (JHSIT) that maximize the likelihood of reducing worldwide helicopter accident rates by 80 percent by 2016.

4 JHSAT - May 2007 JHSAT Team Membership: FAA ANE co-chair HAI co-chair Turbomeca Schweizer Helicopters Bell HelicopterSilver State Helicopters Sikorsky Bristow Group NASA Rolls Royce AHS/NASA Airmethods FAA ASW US Eurocopter

5 JHSAT - May 2007 JHSAT Status Data Analysis Engaging with the international community Interim safety recommendations

6 JHSAT - May 2007 Data Analysis

7 JHSAT - May 2007 JHSAT Process Overview Charter Development Establish Team Select Data Set Review NTSB Docket Data Develop Event Sequence Identify Problems (what/why) Assign Std Problem Statements Score Problem Validity & Importance Identify Intervention Strategies Score Intervention Ability/Usage Categorize and Prioritize Data Technical Review & Expert Validation Conflicts? Report Results No Yes IHST JHSIT Current task

8 JHSAT - May 2007 Data Analysis: The year 2000 accident data has been downloaded from the NTSB (~4000 files) The JHSAT team has completed processing all 197 accidents from the dataset For each accident the JHSAT has: reconstructed the sequence of events identified what went wrong and why it went wrong assigned an appropriate problem statement identified appropriate corrective action(s) scored findings based on validity, importance, ability and usage

9 JHSAT - May 2007

10 JHSAT - May 2007 Validity - How valid do we think the Problem Statement is in this accident based on the available accident information? Range: Guess = 0 Absolutely Sure = 4 Importance - How important is this particular Problem Statement in the causal chain in this accident? Range: No importance = 0 Cause of accident = 4 Ability - How well can this particular Intervention mitigate the cause or contributing factors of this accident scenario? Range: No effect on Problem Statement = 0 Would Prevent Problem Statement = 4 Usage – Given this accident scenario, how confident are we that this Intervention will be utilized and will perform as expected in the real world? Range: No Utilization = 0 100% Utilization = 4 JHSAT Scoring Criteria

11 JHSAT - May 2007 Sample of event processing

12 JHSAT - May 2007 Data Analysis Status: To date the accidents analyzed have covered a wide spectrum of helicopter types – 15 basic mission types scored problem statements/intervention findings have been developed JHSAT currently interpreting the analysis results. overall fleet issues by mission issues Expect to offer recommendations for all major operational groups and overall US fleet by June 07.

13 JHSAT - May 2007 Primary OpsSecondary Aerial ApplicationExternal Load Aerial Observation/patrolTraining Air TourPositioning/RTB SightseeingFerry Business - company owns a/cAir Taxi - Cargo (135) Corp/Exec - dedicated pilotAir Taxi - Passenger (135) EMSCargo (91) ENGPublic Use FirefightingMaintenance/Test flight Instructional/TrainingEvaluation flight Law Enforcement Logging Commercial Operator External Load Offshore Other Aerial Work Personal/Private Utilities - Patrol & Construction JHSAT Mission Categories

14 JHSAT - May 2007 Results of full year 2000 dataset

15 JHSAT - May 2007 Results of full year 2000 dataset Safety Equipment

16 JHSAT - May 2007 Results of full year 2000 dataset Safety Equipment

17 JHSAT - May 2007 Results of full year 2000 dataset

18 JHSAT - May 2007 Engaging with the international community

19 JHSAT - May 2007

20 JHSAT - May 2007 Engaging with the international community The preceding slide shows worldwide accident trends for the last 26 years. The criticality of working with the international community to reduce worldwide rates is readily apparent since the US accounts for only 35 to 40% of accidents on an annual basis. On-going efforts to identify other partners from Asia, South America, Oceania, etc. Any entity that possess large helicopter accident datasets that could be processed by the JHSAT method should be considered. EASA and Canada moving toward partnering with us in this process.

21 JHSAT - May 2007 Engaging with the international community A structured approach will be used to manage the analytical and implementation work sponsored by the IHST. Key attributes: All recommendations will be data driven Regional ownership - Data is owned and analyzed by those most familiar with it. Safety recommendations will be implemented by teams most familiar with local needs. JHSAT and JHSIT lead teams will be responsible for training/coaching regional teams, measuring the results of the safety recommendations and implementation effectiveness.

22 JHSAT - May 2007 JHSAT/JHSIT cross-talk IHST Safety Initiative Analysis, Implementation and Metrics Management Structure IHST Executive Committee JHSAT Lead Group JHSIT Lead Group Canada JHSAT EASA JHSAT Canada JHSIT EASA JHSIT Region X, Y, Z JHSIT US/CAN/EASA Consolidated Recommendations JHSAT sends recommendations to JHSIT US/CAN/EASA/X,Y,Z Implementation Results Need to maintain a strong communication/feedback loop between IHST – JHSAT - JHSIT Process development using US NTSB data represents 48% of worldwide fleet Measure Accident Reductions Effectiveness Measure Implementation Effectiveness Regions X, Y, Z defined as those pockets of operation not able to staff a full JHSAT team and are willing to work implementation of US/CAN/EASA findings to benefit their fleets Others? ALEA group EMS group Military AU/India JHSAT

23 JHSAT - May 2007 Potential Barriers: JHSAT: Variation in dataset quality, definitions, etc, around the world may make use of a standardized JHSAT approach more difficult. Military data may not be available. Lack of fleet hours will complicate ability to measure results. Regional teams may be difficult to staff with sufficient level of expertise representing manufacturers, operators and regulatory interests. JHSIT: Regional operations and regulations may make some implementation actions difficult.

24 JHSAT - May 2007 Interim Recommendations

25 JHSAT - May 2007 Interim recommendations Reports reviewed by the JHSAT: NASA - U.S. Civil Rotorcraft Accidents, 1963 Through 1997 NASA - Analysis of US Civil Rotorcraft Accidents from 1990 to 1996 and Implications for a Safety Program NASA - ASRS Rotorcraft Incident Study - Draft Data Summary Aviation Safety Reporting System NASA - Helicopter Accident Analysis Team AMPA - A Safety Review and Risk Assessment in Air Medical Transport CRS - Report for Congress - Military Aviation Safety OGP - Safety Performance of Helicopter Operations in the Oil and Gas Industry Data TSB Canada - Lessons Learned from TSB Investigation of Helicopter Accidents ( ) Bell Textron - History of Helicopter Safety Other NTSB and international reports may be considered. The JHSAT has identified important recommendations from a series of existing helicopter safety reports. (listed on the next slide) These recommendations were submitted to the IHST in November so that the JHSIT would have foundational intervention areas to consider. The JHSAT plan to issue its full set of analytical results by 2Q07 which will significantly augment these foundational areas.

26 JHSAT - May 2007 US JHSAT interim recommendations: 1. – Promote the adoption of Safety Management Systems in the helicopter community. 2. – More consistent and comprehensive NTSB involvement and investigation needed in helicopter accidents. 3. – Reestablish the collection of worldwide helicopter fleet hour data as previously performed by the FAA. 4. – Establish a helicopter safety website to disseminate important information 5. – Use proximity detection equipment in helicopters. 6. – Use flight recording devices and cockpit image recording systems in helicopters. 7. – Develop a strategy to improve pilot Aeronautical Decision Making. (NB: this listing is not intended to indicate prioritization)

27 JHSAT - May 2007 Questions?