1. 1 IHST Overview Bob Sheffield – IHST Executive Committee Member AgustaWestland EMS Seminar – September 2012

2. Objectives Awareness –What is the IHST? Engagement –Implement IHST recommendations –Influence other operators to do the same 2

3. Overview IHST’s volunteer evolution Products Results 3

4. Why? 4 Every accident is our accident. ““Condicio sine qua non: Safety” – Dr. Mele “.. Inconsistent standards…” – Roberto Garavaglia Helicopters save lives. “The patient is a unique passenger with no choice of carrier and no choice of carriage.” – Tom Judge “Using a helicopter should be at least as safe as an ambulance.” – Nicolas Letellier

5. HEMS FATAL ACCIDENTS FY 2002-FY 2008 From FY 2002 through FY 2008, 33 HEMS helicopters were involved in 32 fatal accidents, with 83 fatalities. Annual averages: 4.5 fatal accidents 12 fatalities 23 fatal accidents & 65 fatalities at night. 2 more in October 2008 (FY 2009 – Aurora & 1 ground operation (Information current as of 10/23/2008) Source: Dennis Pratte, US FAA, Public HEMS Meeting, 29 October 2008

6. HEMS Fatal Accident Rates Compared To Road Ambulances HEMS average 4.5 fatal accidents & 12 fatalities per year. –This includes 3.3 fatal accidents & 9.3 fatalities at night. Road ambulances average 10 fatal accidents & 11 fatalities –This includes 1 fatal accident & 1 fatality per year at night. HEMS moves 0.5 million patients per year Road ambulances move 15 million patients per year. HEMS Rates versus Road Ambulance rates –Fatal accident rate exceeds road by 13.5-fold –Fatality rate exceeds road by 34-fold Sources: 500,000 HEMS movements from AAMS. Highway data from NHTSA Fatal Accident Reporting System (FARS). Road ambulance movements (30 million) from U.S. Fire Administration & “Firehouse Magazine” Annual Survey of EMS. Source: Dennis Pratte, US FAA, Public HEMS Meeting, 29 October 2008

7. Safety advantage by HEMS Mean Accidents per 100,000 missions HEMS4 - 5,4 ground EMS55 (Bruhn, Williams, & Afghababian, 1993) (Thies, Sep, & Derksen, 2006) (Hinkelbein, Dambier, Viergutz, & Genzwürker, 2008) 7 Stefan Becker: Medical & Economical Perspectives for HEMS in Europe

8. 8 IHST Background 2006: IHST INDUSTRY/GOVERNMENT EFFORT BEGAN TODAY NEARLY 40 COUNTRIES SUPPORT THE IHST –ANALYZE ACCIDENT DATA –DEVELOP SAFETY TOOLKITS GOAL: 80% ACCIDENT REDUCTION BY 2016

9. 9 IHST Organization Chart Executive Committee Government Co-Chair FAA - Kim Smith Industry Co-Chair HAI – Matt Zuccaro Program Director FAA – James Viola Secretariat AHS – Mike Hirschberg Director Bristow – Bill Chiles Director Helicopter Assoc. Canada – Fred Jones Director Eurocopter - Gilles Bruniaux Director Somen Chowdhury Director AgustaWestland – Bob Sheffield Regional Partners - Australia, Brazil, Canada, Europe, MENA Safety Committee, India, Japan, Russia, US Director Irish Aviation Authority – John Steel Director Flight Safety Foundation – Bill Voss Communications Team FAA - Tony Molinaro Metrics Team Co-Chair FAA - Sean Hafner Director Sikorsky – Fred Brisbois Metrics Team Co-Chair Ed DiCampli

10. 10 IHST = Worldwide Effort Government and Industry - Partners In Safety IHST follows a process adapted from the successful Commercial Aviation Safety Team (CAST) Key attributes: Data driven recommendations Regional ownership – –Data is owned and analyzed by those familiar with it. –Safety recommendations are implemented by teams most familiar with local challenges and needs. Key resources provided by regulatory bodies, associations, operators, original equipment manufacturers and customers. US and European Regional teams are available for: Sharing analysis tools and products Training and coaching regional teams, Measuring the results

11. 11 IHST = Worldwide Effort 5 00 Volunteers in 40 Countries Growing each Year First 5 Years 2006 – 2011 The IHST stood up Safety Teams in the U.S., Canada, Europe, Brazil, India, Japan, GCC/MENA, and Australia. Mid Course Correction 2012 – 2016 To ensure we meet the 80% accident reduction by 2016 the IHST is expanding and refocusing efforts in South America and Australia. New efforts initiated in New Zealand, and South Africa. The IHST will continue on-going work in US, Canada, Europe, India, Japan, GCC/MENA, Mexico and Russia.

12. 12 Helicopter Accidents by Mission Type Analyzing 523 accidents in the U.S. from three years of data (2000, 2001, and 2006), the IHST has verified that these mission types have the highest percentage of accidents. mission type share of accidents 1.Personal/Private 18.5 percent 2.Instructional/Training 17.6 percent 3.Aerial Application 10.3 percent 4.Emergency Medical Services 7.6 percent 5.Commercial 7.5 percent

13. 13 Helicopter Accidents by Activity Analyzing 523 accidents in the U.S. from three years of data (2000, 2001, and 2006), the IHST has verified that these activities have the highest percentage of accidents. activity share of accidents 1.Instructional/Training 22.8 percent 2.Positioning/RTB 13.2 percent 3.Personal/Private 12.4 percent 4.Passenger/Cargo 9.8 percent 5.Aerial Application 9.0 percent

14. 14 Similarity in Results Worldwide Accidents by Mission and Activity are Similar Four Common Themes Found in the U.S., Canadian and European Analysis (Intervention Recommendations): 1.Implement (SMS) safety management systems 2.Improve training (Sims/FTD, ADM) 3.Improve maintenance practices 4.Leverage new technologies though new systems and equipment. HTAWS, stabilization The IHST is working with Regional Partners/Safety Teams to: (We need your help here) 1. Develop strategies to move in concert on the common themes. (greatest impact in the personal flying and training segment) 2.Develop complimentary products for use worldwide 3.Address unique regional needs locally. 4.Implement a plan to share these products worldwide

15. 15 An Accurate Understanding of the World’s Helicopter Operation (CY 2011)

16. 16 18.6% Rate of Decrease 2006-2011 HEMS 6.4 HEMS 2.9

17. 17 Accident Rates Vary by Region of the World Civil registered helicopter accidents and flight hours from IHST data Pre-IHST (2001-2005) accident rates vs. CY2011 accident rates North America Pre: 9.3 2011: 4.9 South America Pre: 9.7 2011: 14.0 Europe Pre: 7.1 2011: 6.1 Africa Pre: 12.9 2011: 5.4 Asia Pre: 9.4 2011: 9.7 Oceania Pre: 17.5 2011: 15.5 Accuracy of flight hour exposure estimate improves every year. World Pre: 9.4 Sep 2011: 6.5 Accidents per 100K Flt Hrs 25 January 2012

18. Source: International Helicopter Safety Team

19. Civil Registered Helicopters Accidents IHST Started Jan 2006 Source: International Helicopter Safety Team

20. 20 Key Endorsements at Heli-Expo 2010 and IHSS 2010 In a ringing endorsement of the IHST safety initiative, the CEO’s of AgustaWestland, Bell Helicopter Textron, Eurocopter and Sikorsky Aircraft signed a joint letter captioned “A Call for Action by Helicopter Owners.” and “Ten Major Offshore Operators” signed a joint letter of commitment captioned “Call to Action by and for Offshore Helicopter 0perators” The letters call upon all operators “to implement the safety enhancements recommended by the International Helicopter Safety Team (IHST).” The areas cited in the letters are the adoption of: –Safety Management Systems (SMS) –Improved Training –Use of advanced systems/equipment Flight data monitoring systems (FDM) Health monitoring systems (HUMS) –Use of mission-specific equipment Night vision goggles Avionics to avoid controlled flight into terrain –Strict compliance with manufacturer’s maintenance program –Cultural/Behavioural Change, and –Crew Resource Management (CRM) Program

21. 21 Heli-Expo 2011 - A Call for Action by HEMS Organizations “A Call to Action by and Helicopter Emergency Medical Services Organizations” – AAMS, AeroMed, ACCT, AMOA, EHAC, MedEvac, NEMSPA. The letter calls upon “all those who operate helicopters in the HEMS environment to implement the safety enhancements recommended by the IHST.” The areas cited in the letter are the adoption of: Safety Management Systems (SMS) Improved Training Use of advanced systems/equipment Flight data monitoring systems (FDM) Health monitoring systems (HUMS) Cultural/Behavioural Change, and Aeromedical Crew Resource Management (CRM) Programs

22. 22 IHST SAFETY TOOLKITS SMS 1st Edition Edition 2 Translation of Toolkits in Progress 22

23. 23 IHST SAFETY TOOLS Helicopter Safety Leaflets Helicopter Airmanship –Degraded Visual Environment (DVE) –Vortex Ring State –Loss of Tail rotor Effectiveness (LTE) –Static and dynamic rollover Helicopter Safety Video Degraded Visual Environment (DVE) 23

24. 24 WWW.IHST.ORG IHST ON FACEBOOK IHST ON TWITTER We encourage you to add the www.ihst.org link towww.ihst.org your company website

25. 25 Conclusions: We are making progress. We have the tools. We need to engage those who have yet to hear or heed the IHST’s message. Join IHST to “Meet the IHST Challenge”

26. 26 “Meeting the IHST Challenge” Expand our efforts worldwide Implement proven safety measures Meet the 80% accident rate reduction target by 2016 Thank you for your attention Questions?