1 JHSAT - March 2007 US Joint Helicopter Safety Analysis Team (JHSAT) Status March 2007 AIAC12 – Melbourne, Australia Mark Liptak FAA ANE-110 JHSAT Co-Chairperson

2 JHSAT - March 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.

3 JHSAT - March 2007 Basic CAST Process CAST (IHST) Charters Activity JSAT (JHSAT) Analyzes Data Proposes most effective interventions JSIT (JHSIT) Assesses feasibility of interventions works implementation Continued data analysis, measure intervention effectiveness

4 JHSAT - March 2007 US 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 - March 2007 JHSAT Status Data Analysis Engaging with the international community Near term safety recommendations

6 JHSAT - March 2007 Data Analysis

7 JHSAT - March 2007 JHSAT currently working process areas highlighted in yellow 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 - March 2007 Data Analysis: All year 2000 accident data has been downloaded from the NTSB (~4000 files) The US JHSAT team has completed initial analysis of all 197 accidents from the NTSB year 2000 dataset For each accident the US JHSAT performs the following: reconstruct the sequence of events identify what went wrong and why it went wrong assign an appropriate problem statement identify appropriate corrective action(s) score findings based on validity, importance, ability and usage

9 JHSAT - March 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

10 JHSAT - March 2007

11 JHSAT - March 2007 Sample of event processing

12 JHSAT - March 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

13 JHSAT - March 2007 Results of full year 2000 dataset

14 JHSAT - March 2007 Results of full year 2000 dataset

15 JHSAT - March 2007 Results of full year 2000 dataset

16 JHSAT - March 2007 Results of full year 2000 dataset

17 JHSAT - March 2007 Data Analysis Status: To date the accidents analyzed have covered a wide spectrum of helicopter types and operations scored problem statements/intervention findings have been developed JHSAT currently working further categorization and prioritization of the results Expect to offer recommendations for all major operational groups in the US helicopter community by June ‘07 Currently working to form recommendations from the data

18 JHSAT - March 2007 Engaging with the international community

19 JHSAT - March 2007

20 JHSAT - March 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. The US JHSAT team is currently developing contacts and coordinating this activity. Any entity that possess large helicopter accident datasets that could be processed by a JHSAT method is being considered. EASA, Canada, Brazil, and India now moving toward joining in this initiative.

21 JHSAT - March 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. US JHSAT and US JHSIT teams will be assist in training/coaching regional teams, measuring the results of the safety recommendations and implementation effectiveness.

22 JHSAT - March 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 US JHSAT US JHSIT

23 JHSAT - March 2007 JHSAT Lead Group Analysis of International Data Mark Liptak is JHSAT POC Seeking data rich partners Preliminary discussions with: Canada EASA(CAA-UK, France BEA) Brazil NZ, AustraliaChile Canadian MilitaryUSN Interim Goal: have Canada/EASA present status at the 2007 IHSS Symposium in Montreal Demonstrate that this is an international effort, and it has momentum JHSIT will also have international partner management responsibilities: custom tailored regional solutions coordinated with JHSAT coordinated with IHST IHST Outreach/Marketing Emerging Fleets Somen is the IHST POC Identify emerging/high growth markets Develop strategy to: Foster participation Benefit from IHST knowledge base Candidates: China India CIS? Engaging with the International Community JHSIT Lead Group Implementing Regional Solutions

24 JHSAT - March 2007 US Civil Dataset Selection (1/2 of helicopters Worldwide) JSAT Process Understanding Refining JHSAT Analysis Identify FCAA & Military Partners Train FCAA & Military Partners in JHSAT Process FCAA & Military Partners conduct JHSAT analyses on their accident data Expert Review/ Validation Mitigation Recs - Global Mitigation Recs FCAA & Mil Coordinating JHSAT US and International Efforts First Set US Mitigation Recs Mar/Apr 06 May/June 06 May-Jan 07 May 07 2Q 07 1Q 08 TBD 08 TBD 07/08 TBD 06/07 Sept 06 Tech Review Feb 07 IHST JHSAT is now working to bring EASA, CA, AU, SA, India into the process Current task

25 JHSAT - March 2007 Potential Barriers: JHSAT: Variation in dataset quality, languages, 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.

26 JHSAT - March 2007 Offering near term safety recommendations

27 JHSAT - March 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. These recommendations were submitted to the IHST in November so that the JHSIT would have several well founded general recommendations to work with. The JHSAT plan to issue its full set of analytical results by 2Q07.

28 JHSAT - March 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)

29 JHSAT - March 2007 In Summary The IHST’s 80% accident reduction cannot be met without active involvement of the worldwide helicopter community. The US JHSAT has adapted the CAST accident analysis process for use in the helicopter community. We are currently working with EASA, Canada, Brazil and India to establish participating regions. The AU/NZ region is rich with useful helicopter data, joining the IHST’s initiative would have significant positive impact on helicopter flight safety going forward. The IHST looks forward to working with experts from the region to meet its worldwide goals.

30 JHSAT - March 2007 JHSAT Workshop This briefing is one piece of an effort to seek new partners in the IHST’s worldwide initiative. Anyone from the AU regional helicopter community interested in participating in an analytical team, analyzing data from the Australian region is invited to continue the discussion this Friday. Members of the US JHSAT are available to offer perspectives on regional data, provide a more detailed look at the accident analysis process and answer questions about the worldwide initiative. Please see me after the meeting.

31 JHSAT - March 2007 Questions?