US Joint Helicopter Safety Analysis Team (JHSAT) Status March 2007 AIAC12 – Melbourne, Australia

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

2. 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. CAST (IHST)Charters Activity Basic CAST Process JSAT (JHSAT)Analyzes DataProposes most effective interventions JSIT (JHSIT)Assesses feasibility of interventions works implementation Continued data analysis,measure interventioneffectiveness

4. US JHSAT Team Membership: FAA ANE co-chair HAI co-chair Turbomeca Schweizer Helicopters Bell Helicopter Silver State Helicopters Sikorsky Bristow Group NASA Rolls Royce AHS/NASA Airmethods FAA ASW US Eurocopter

5. JHSAT Status Data Analysis Engaging with the international community Near term safety recommendations

6. Data Analysis

7. JHSAT currently working process areas highlighted in yellow CharterDevelopment EstablishTeam Select Data Set ReviewNTSBDocket Data DevelopEventSequence Identify InterventionStrategies ScoreProblemValidity &Importance ScoreInterventionAbility/Usage Assign StdProblem Statements IdentifyProblems(what/why) Yes TechnicalReview&Expert Validation Conflicts? Categorize and Prioritize Data ReportResults No IHST Current task JHSIT

8. 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. Primary Ops Secondary Aerial Application External Load Aerial Observation/patrol Training Air Tour Positioning/RTB Sightseeing Ferry Business - company owns a/c Air Taxi - Cargo (135) Corp/Exec - dedicated pilot Air Taxi - Passenger (135) EMS Cargo (91) ENG Public Use Firefighting Maintenance/Test flight Instructional/Training Evaluation flight Law Enforcement Logging Commercial Operator External Load Offshore Other Aerial Work Personal/Private Utilities - Patrol & Construction JHSAT Mission Categories

11. Sample of event processing

12. JHSAT Scoring Criteria

13. Results of full year 2000 dataset

14. Resultsof full year 2000 dataset

15. Resultsof full year 2000 dataset

16. Resultsof full year 2000 dataset

17. Data Analysis Status: To date the accidents analyzed have covered a wide spectrum of helicopter types and operations. 1200+ 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. Engaging with the international community

20. 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. 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. IHST Safety Initiative Analysis, Implementation and Metrics Management Structure IHSTExecutive Committee Need to maintain a strongcommunication/feedback loopbetween IHST – JHSAT - JHSIT Process development usingUS NTSB datarepresents 48% ofworldwide fleet JHSAT Lead Group Measure Accident Reductions Effectiveness Measure Implementation Effectiveness JHSIT Lead Group JHSAT sends recommendations to JHSIT Canada JHSAT EASA JHSAT Canada JHSIT EASA JHSIT Region X, Y, Z JHSIT US JHSAT JHSAT/JHSITcross-talk US JHSIT Others? ALEA groupEMS groupMilitary US/CAN/EASA/X,Y,Z Implementation Results US/CAN/EASA Consolidated Recommendations Regions X, Y, Z defined as those pockets of operation not ableto staff a full JHSAT team and are willing to work implementation of US/CAN/EASA findings to benefit their fleets

23. JHSAT Lead GroupAnalysis of International Data Mark Liptak is JHSAT POC Seeking data rich partners Preliminary discussions with: Canada EASA (CAA-UK, France BEA) Brazil NZ, Australia Chile Canadian Military USN 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 Engaging with the International Community IHSTOutreach/MarketingEmerging Fleets Somen is the IHST POCIdentify emerging/high growth markets Develop strategy to: Foster participation Benefit from IHST knowledge base Candidates: China India CIS? JHSIT Lead GroupImplementingRegional Solutions JHSIT will also have international partner management responsibilities: custom tailored regional solutions coordinated with JHSAT coordinated with IHST

24. Coordinating JHSAT US and International Efforts Current task US CivilDataset Selection (1/2 of helicopters Worldwide) JSAT ProcessUnderstandingRefining Expert Review/Validation JHSAT Analysis TechReview 2Q 07 May-Jan 07 Feb 07 May 07 May/June 06 First SetUS MitigationRecs Mar/Apr 06 FCAA & Military Partners conductJHSATanalyses on their accident data Train FCAA & Military Partners in JHSATProcess MitigationRecsFCAA & Mil IdentifyFCAA &MilitaryPartners 1Q 08 MitigationRecs - Global Sept 06 TBD 08 TBD 06/07 TBD 07/08 IHST Current task JHSAT is now working to bring EASA, CA, AU, SA, India into the process

25. 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. Offering near term safety recommendations

27. 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 - 2000 Data TSB Canada - Lessons Learned from TSB Investigation of Helicopter Accidents (1994 - 2003) 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. 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. 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 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 accidentanalysis process and answer questions about the worldwide initiative. Please see me after the meeting.

31. Questions?