1. 1 JHSAT - May 2007 JHSAT SMS Briefing May 2007 AHS Forum 63 – Virginia Beach, VA Jack Drake, HAI Mark Liptak, FAA

2. 2 JHSAT - May 2007 The IHST Mission An 80% reduction in accident rate is achievable and an opportunity …to improve safety awareness and ensure proactive safety management …to improve business (safety is good for business)

3. 3 JHSAT - May 2007 The JHSAT Epiphany We don’t have to wait We know more than we realize We can do more with the data (safety management) to reduce accident risk We can do a better job of investigating - to root cause

4. 4 JHSAT - May 2007 Achieving the 80% Goal We’re already improving: 2001-20059.1 acdts/100K hours 20058.0 20066.3 20161.8?

5. 5 JHSAT - May 2007 SPS by the Numbers Pilot judgment and actions – 401 Safety culture (ops and safety mgmt) – 173 Pilot situational awareness – 87 Communications - 24

6. 6 JHSAT - May 2007 Intervention Numbers Safety Management = 275 –Risk assessment – 100 –Risk management – 49 –Weather SOP – 26 –Preflight preparation SOP - 20

7. 7 JHSAT - May 2007 ENG Safety Culture SPS (9/30) Inadequate company management (Lack of management policies and/or oversight; failure to enforce SOPs; and inadequate hiring practices) Safety program (lack of a system for threat-free reporting of safety-related incidents, and insufficient employee performance monitoring) Training program (inadequate transition and flight procedures training) Pilot disregard of known safety risk (reflects an inadequate company approach to safety)

8. 8 JHSAT - May 2007 ENG Pilot Judgment/Performance SPS Codes (11/30) Lack of situational awareness Willful disregard of rules, SOPs, and aircraft limitations Failed to follow procedures Disregarded cues that should have led to termination of current course of action Improper action due to misdiagnosis Misjudged own limitations/capabilities Improper decision-making Inadequate preflight preparation (inadequate consideration of weather/wind, and inadequate aircraft pre-flight)

9. 9 JHSAT - May 2007 ENG Risk Assessment/Management Interventions (needed in Safety Management and Training categories) Develop a risk management program Provide personal and flight operations risk management training Provide judgment training in risk assessment Provide mission specific operational training that addresses event hazards Provide weather training to emphasize appropriateness of aborting the mission when faced with deteriorating weather conditions (em-pha-sis)

10. 10 JHSAT - May 2007 Other ENG Safety Management Interventions Set higher safety and flight operations standards Establish a company flight operations oversight program to ensure compliance with AFM procedures Provide training to reduce the risk of procedural intentional non-compliance (PINC) with company and regulator rules or standards Implement a non-punitive safety event reporting system Establish policy to reduce the risk of inadvertent flight into adverse weather (IIMC) Utilize HOMP-type (helicopter operations monitoring program) flight data to verify employee flight performance

11. 11 JHSAT - May 2007 Information is Power Sharing safety information is powerful for: –Increasing safety awareness –Mitigating problems before the accident

12. 12 JHSAT - May 2007 Safety Management Systems Commitment to the “safety culture” Safety tools (event data, digital data, and audits) Assessing risk as part of the culture (to improve procedural guidance, launch decisions, and aeronautical decision-making) Managing safety (raising the standard, feedback loops, safety alerts, and safety/awareness education)

13. 13 JHSAT - May 2007 The IHST Goal …is achievable, if we manage safety!

14. 14 JHSAT - May 2007 Questions ?