1. 1 HeliExpo 2009 – Feb 22, 2009 International Helicopter Safety Team Overview Briefing Mark Liptak IHST Executive Committee FAA ASA-100

2. 2 HeliExpo 2009 – Feb 22, 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. Review the implementation team’s process and status

3. 3 HeliExpo 2009 – Feb 22, 2009 We have a problem!

4. 4 HeliExpo 2009 – Feb 22, 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. 5 HeliExpo 2009 – Feb 22, 2009 Recent Accident Counts by Region

6. 6 HeliExpo 2009 – Feb 22, 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 1949-55 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. 7 HeliExpo 2009 – Feb 22, 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 ? ? 200520162007200920112013 2015 2008 2010 2012 2014 2006 IHST Formed

8. 8 HeliExpo 2009 – Feb 22, 2009 ~760 Accidents Avoided ~372 Fatalities/Serious Injuries Avoided source: Bell Worldwide Database 2001-2005 avg 20062007200820092010201120122013201420152016 US Accident Rate per 100,000 flight hours 10 9 8 7 6 5 4 3 2 1 0 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. 9 HeliExpo 2009 – Feb 22, 2009 ~1694 Accidents Avoided ~1132 Fatalities/Serious Injuries Avoided source: Bell Worldwide Database 2001-2005 avg 20062007200820092010201120122013201420152016 Worldwide Accident Rate per 100,000 flight hours 10 9 8 7 6 5 4 3 2 1 0 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. 10 HeliExpo 2009 – Feb 22, 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. 11 HeliExpo 2009 – Feb 22, 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. 12 HeliExpo 2009 – Feb 22, 2009 ALEA

13. 13 HeliExpo 2009 – Feb 22, 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. 14 HeliExpo 2009 – Feb 22, 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

15. 15 HeliExpo 2009 – Feb 22, 2009

16. 16 HeliExpo 2009 – Feb 22, 2009 Why do we think our process will work? Three Examples: Commercial Aviation OGP/Shell Aircraft ALEA

17. 17 HeliExpo 2009 – Feb 22, 2009 Large Transport Ops Rate Improvements Source: cast.org

18. 18 HeliExpo 2009 – Feb 22, 2009 Source: R. Sheffield, Shell Aircraft

19. 19 HeliExpo 2009 – Feb 22, 2009 Airborne Law Enforcement Association Education Programs Began SMS training 2000 Accreditation Standards adopted 2005 Adopted IHST SMS Toolkit 2007 480 people/year attend Regional Safety Seminars 220 attended pre-conference courses in 2007 1,100 people attend Annual Conference Total membership – 3,600 Reduced accidents by 75% (21-6) from 1999-2007 by adoption of SMS methods

20. 20 HeliExpo 2009 – Feb 22, 2009 A look at some of the IHST’s work in the US

21. 21 HeliExpo 2009 – Feb 22, 2009 US Accident Analysis Overview: 197 accidents analyzed; covered a wide spectrum of helicopter operations – 15 basic mission types identified. 1200+ 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. 22 HeliExpo 2009 – Feb 22, 2009 Ranked US Fleet-wide 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. 23 HeliExpo 2009 – Feb 22, 2009 US Fleet– CY2000 Data

24. 24 HeliExpo 2009 – Feb 22, 2009

25. 25 HeliExpo 2009 – Feb 22, 2009

26. 26 HeliExpo 2009 – Feb 22, 2009 2001 accident data

27. 27 HeliExpo 2009 – Feb 22, 2009 Intervention Categories (2000 vs 2001) 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 Data/Information Infrastructure Maintenance No recommendation Regulatory Safety Mgmt Systems and Equip Training/Instruct % of Interventions ID'ed

28. 28 HeliExpo 2009 – Feb 22, 2009 The IHST challenge – reaching small and medium sized operators HAI Survey Data Identifying the target audience

29. 29 HeliExpo 2009 – Feb 22, 2009 1 to 5 ship operators Insurance Maintainers Trainers Leasing FSDO Pathways to Influence Change ABC Groups Accreditation Progs We need to find high leverage means to influence the small ops community

30. 30 HeliExpo 2009 – Feb 22, 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

31. 31 HeliExpo 2009 – Feb 22, 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. Demonstrated benefits in OGP, EMS, ALEA and other well funded and managed operations. 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

32. 32 HeliExpo 2009 – Feb 22, 2009