1. November 2006 Carmel Meeting
JHSAT Status
November 2006 Carmel Meeting
Mark Liptak FAA ANE-110 Jack Drake HAI

2. JHSAT Status
Tenets of the CAST process
Data Analysis
Engaging with the international community
Interim safety recommendations

3. Tenets of the CAST process

4. CAST JSAT Basic Tenets:
Data Driven
Stakeholder’s develop consensus solutions
Actions can be measured
Each imbedded in the IHST JHSAT process
Process attributes adapted to helicopters:
standard problem statements
scoring criteria
Recommendation categorization

5. Data Analysis

6. Data Analysis: The JHSAT team is currently processing 190 accidents
The accident data has been downloaded from the NTSB (~4000 files)
For each accident the 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
The team has currently completed 161 of 195 accidents

7. JHSAT currently working process areas highlighted in yellow
Charter Development
Establish Team
Select Data Set
Review NTSB Docket Data
Develop Event Sequence
Identify Intervention Strategies
Score Problem Validity & Importance
Score Intervention Ability/Usage
Assign Std Problem Statements
Identify Problems (what/why)
Yes
Technical Review & Expert Validation
Conflicts?
Prioritize by Overall Effectiveness
Report Results No
IHST
JHSIT

8. Sample of event processing

9. Data Analysis:
To date the accidents analyzed have covered a wide spectrum of helicopter types and operations. We expect to be able to offer the IHST and JHSIT a comprehensive set of safety recommendations based on the analyses.
The data has not been formally ranked by the JHSAT yet. This will be accomplished as a final step prior to review with experts in the affected recommendation areas.

11. Not necessarily representative of final JHSAT product

12. Not necessarily representative of final JHSAT product

13. Not necessarily representative of final JHSAT product

14. Engaging with the international community

16. 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.
Any entity that possess large helicopter accident datasets that could be processed by the JHSAT method should be considered.
Working with EASA and TC.
Working JHSAT formation in Australia (Mar meeting),
Working May/June meeting in Sao Paulo for SA.
India contacts established.
China? CIS?

17. Engaging with the international community
A structured approach needs to 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.

18. IHST Executive Committee JHSAT/JHSIT cross-talk
IHST Safety Initiative
Analysis, Implementation and Metrics Management Structure
IHST Executive Committee
Process development using US NTSB data represents 48% of worldwide fleet
Need to maintain a strong communication/feedback loop between IHST – JHSAT - JHSIT
JHSAT
Lead Group
Measure
Accident Reductions
Effectiveness
Measure
Implementation
Effectiveness
JHSIT
Lead Group
JHSAT sends recommendations to JHSIT
US JHSAT
EASA EHSAT
Region X, Y, Z JHSIT
JHSAT/JHSIT cross-talk
US JHSIT
EASA EHSIT
Region X, Y, Z JHSIT
US/EASA/X,Y,Z Implementation Results
US/EASA/X,Y,Z Consolidated Recommendations
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

19. Engaging with the International Community
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?
JHSAT Lead Group Analysis of International Data
Matt Rigsby is JHSAT POC Seeking data rich partners
Preliminary discussions with:
Canada
EASA (CAA-UK, France BEA)
Brazil NZ (contacted, no reply)
Australia Chile
Canadian Military USN
Near-term: bring Canada & EASA on-line 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 Lead Group Implementing Regional Solutions
JHSIT will also have international partner
management responsibilities: custom tailored regional solutions coordinated with JHSAT coordinated with IHST

20. Potential Barriers for JHSAT function:
Variation in dataset quality, definitions, etc, around the world may complicate use of standardized JHSAT approach.
Military involvement may not be available. Lack of fleet hours may complicate ability to measure and/or normalize results.
Regional teams may be difficult to staff with sufficient level of expertise representing manufacturers, operators and regulatory interests.
Regional teams may have difficulty working to IHST/JHSAT timing and milestones Some of these issues may also apply to the JHSIT function

21. Coordinating JHSAT US and International Efforts
US Civil Dataset Selection
(1/2 of
helicopters
Worldwide)
JSAT Process Understanding Refining
JHSAT Analysis
Tech Review
Expert Review/ Validation
2Q 07
May 06 - Jan 07
Mar 07
Apr 07
May/June 06
First Set US Mitigation Recs
Mar/Apr 06
FCAA & Military
Partners
conduct JHSAT analyses
on their
accident data
Train FCAA
&
Military
Partners in JHSAT Process
Mitigation Recs FCAA & Mil
Identify FCAA & Military Partners
TBD 08
Mitigation Recs - Global
Sept 06
TBD 07/08
TBD 06/07
TBD 07/08
IHST
JHSAT is on schedule to deliver US recommendations early 2Q07

22. Interim safety recommendations

23. Interim safety recommendations
The JHSAT has developed recommendations from a series of existing helicopter safety reports. (listed on the next slide) These recommendations are being submitted to the IHST at this meeting so that the JHSIT will have several well founded general recommendations to work with.
This should allow for JHSIT implementation strategizing and targeting who should be on the team.
The JHSAT plan to issue its full set of analytical results by early 2Q07.

24. JHSAT reviewed the following reports:
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

25. JHSAT Observations
Based on the teams review of year 2000 accident data:
Develop strategy to promote Safety Management Systems approach in helicopter community
Helicopter community should align with international trends in adopting Safety Management Systems
Petition the NTSB to:
fully investigate helicopter accidents
develop training curricula to show how accident data can be used to improve helicopter safety

26. Review of existing Safety Reports
Proximity detection equipment for helicopters
Wire detection systems (EM, radar)
Radio altimeters (confined to what is directly below the helicopter within direct line of sight of the sensor)
Hover systems employing RADALT, doppler or other means to measure lateral drift

27. Review of existing Safety Reports
Develop and require real-time performance monitoring
Adopt new technologies to provide crash info to accident investigators
New, cost effective products available, adapt to specific ops
Keep over burdensome government requirements out.

28. Review of existing Safety Reports
Web Site - Safety/Accident awareness – data & feedback dissemination
Keep fresh safety info on an easily accessed web site
Keep current accident/incident statistics
Leverage NASA safecopter site

29. Review of existing Safety Reports
Aeronautical decision making training
JHSIT develop a strategy to target and apply ADM training across the operational community.
Include training using simulators and fixed base training devices

30. Questions?