canada_cdn ihss presentation v2007

8/11/2019 Canada_CDN IHSS Presentation v2007

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1JHSIT(C) Ft Worth 2011

IHSS 2011

Canadian Update


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JHSAT(C)-Joint Helicopter Safety AnalysisTeam (Canada)

Canadian Operations Overview

Results of Analysis: 2000 vs 2006 Recommendations to JHSIT (C)


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Canadian Operations Overview

Canada population approx. 31 million Arctic population 100,000 - area larger than the

size of Western Europe


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Data set: 2000 & 20062000 2006

52 Helicopter accidents50 Civil accidents analyzed

1 DND Accident

1 accident in US

56 Helicopter accidents 54 Civil accidents analyzed

1 DND Accident

2 accidents in US

DND: Department of National Defence


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Helicopter Accidents -Fatal

0.0

2.0

4.0

6.0

8.0

10.0

12.0

Fatal Accidents

FatalAccidents/100K


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Percentage of Accidents By Primary Mission

0 10 20 30 40 50 60 70

Aerial Application

Law Enforcement

Aerial Observation / Patrol

Instructional / Training

Personal / Private

External Load

Other non-specific Commercial

2006

2000


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Flight Hours by Type

0

100000

200000

300000

400000

500000

600000

700000

800000

900000

FAR 27 SingleTurbine

FAR 29 Twin Turbine

FAR 27 Piston

FAR 29 Single Turbine

FAR 27 Twin Turbine

FAR 29 Piston

Total Flight Hours


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Accidents by Type

0

10

20

30

40

50

60

FAR 27:Single Turbine

FAR 29:Twin Turbine

FAR 27:Single Piston


FAR 27:Twin Turbine


Total Accidents


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Accident Rate/100K by Type

0

5

10

15

20

25

30


FAR 29:Twin Turbine




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Interventions

1

6

9

13

19

60

60

110

123

0 20 40 60 80 100 120 140

400 Instructional

600 No Recommendation

700 Regulatory

300 Infrastructure

500 Maintenance

100 Aircraft Design

200 Information

900 Training

800 Safety Management

Yr 2006 Interventions


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Interventions

0 20 40 60 80 100 120 140 160

400 Instructional

600 No Recommendation

700 Regulatory

300 Infrastructure

500 Maintenance

100 Aircraft Design

200 Information

900 Training

800 Safety Management

Yr 2000 & 2006 Interventions

yr 2000

yr 2006


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SPS vs. Interventions: What to focus on

2000 Data


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SPS vs. Interventions: What to focus on

2006 Data


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Top 5 Intervention Categories

1) Training Pilot mission planning Preflight risk assessment

In-Flight risk assessment to adapt for unexpected mission changes.

Use of training devices (e.g., decision making)

Training area selection Improve auto-rotational proficiency for trainers.

Formal training for qualification of company training pilots.

Pilot recognition of critical cues and recovery (LTE, Inadvertent IMC, dynamic rollover,

VRS)

Increase pilot aircraft type specific knowledge Pilot Decision Making and Crew Resource Management

Task priority management (i.e., when multi-tasking)

Threat and error management

Plan and monitor aircraft performance to minimize risk exposure (e.g., HOGE, H-V, and

WAT charts) Competency based training program for specific operations

Obstacle proximity awareness

Customer training on operational limitations.

Safety Management program training


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2) Safety ManagementIndustry Association to develop best practices specific to operational activities.

(Heli-logging, EMS, Oil & Gas, Fire Fighting, etc.)

Ensure a company safety management system that will

Establish a company risk management process.

Involve clients in risk management process Establish duty day limitations based on operational intensity for Aircrew, Aircraft

Maintenance Engineers and Ground Crew.

Establish operational oversight protocols for remote operations

Establish company SOPs based on industry best practices, for all areas of operational

activities to encompass: Specific limitations (e.g., Weather, duty, obstacle clearance)

Unprepared landing zone standards.

Identifying the role of management, flight, ground crews, and clients

Provide pilots with tools to assess and predict aircraft performance.

Provide pilots with tools to assess specific operational risk. Required safety equipment and clothing to be worn for flight conditions (e.g., helmets,

safety glasses, boots, fire retardant flight suits.


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3) Aircraft Design & ManufactureEffective design performance monitoring to identify in-service difficulties with trendmonitoring through the use of Service Difficulty Reporting system.

Operators and industry associations to promote development and installation of systems

for all helicopters to warn of impending failures. (e.g., HUMS, simpler vibration monitoring

for airframe dynamic and engine components. Industry committee to be established to address a strategy to require new derivative

designs and legacy production aircraft to incorporate safety enhancements specified inlater design standards.

Industry associations to encourage design and installation of equipment to improve pilot

situational awareness Devices to indicate to pilot that control limitations are being approached, either through

aural or visual cues

Tail rotor guard or proximity detection warning device

Introduce automatic recording means to record operating usage data to be used to

determine

the life of components and associated maintenance..


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4) InformationIndustry and operators promote the use of:

Flight recording devices appropriate to the design and operation of the aircraft.

In-flight monitoring systems.

Transportation Safety Board should:

Develop procedures, policies and tools to enable the timely collection and

recording of all available relevant data for all Canadian accidents. (i.e., similar to

Transport Canadas web-based reporting of Service Difficulty Reports)

Make accident data readily accessible and searchable to all operators in support

of their safety management risk assessment process.

Promote the development of an international database to share accident

information.


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5) MaintenanceDevelop Industry Best Practice for maintenance on the following topics: Oversight of maintenance

At remote locations

Fatigue management plan for personnel

Introduction of annual compliance monitoring and recurrent training

Establish industry best practices.

Oversight of mechanics in training (apprentice)

The conduct of maintenance

Develop and introduce use of Stage/Task Cards Release of aircraft for flight after maintenance.

Briefing of Pilots after maintenance has occurred.

Completion of paperwork.

Care and use of equipment particularly from third parties. Refueling equipment

Maintenance tools

To ensure proper quality of fuel at all sources.


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JHSAT Conclusion

CDN data analyzed for the years 2000 and 2006 have

identified the same Top 5 interventions Categories with

similar specific interventions.

The above interventions are similar to those identified by

other participating Regions.

Canadian Challenge will continue to be our remoteness and

diversity of operations as provided by medium and smallcompanies.


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Alex Holliday

Ft. Worth

November 2011

JHSIT Canada


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Canadian JHSIT(C) Team Membership:

1. Rob Freeman- Transport Canada Co-chair

2. Alex Holliday Alpine Helicopters Co-chair

3. Geoff Goodyear Universal Helicopters Ltd.

4. Greg Wyght CHC

5. Sylvain Seguin Canadian Helicopters

6. Fred Brisbois Sykorsky Helicopters

JHSIT Canada


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0

6

6

10

13

15

23

23

29

42

42

44

52

73

0 10 20 30 40 50 60 70 80

Ground Personnel

Communications

Infrastructure

Regulatory

Post Crash Survival

Systems & Equipment Design

Maintenance Standards

Part/System Failure

Ground Duties

Safety Management

Pilot Situational Awareness

Mission RiskData Issues

Pilot Judgement

SPSC

ategories

% of Accidents That SPS Category is Cited At Least Once

JHSIT Canada


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3

8

11

14

26

44

63

110

151

0 50 100 150 200

No Recommendation600

Regulatory 700

Instructional 400

Infrastructure 300

Maintenance 500

Information 200

Aircraf tDesign/Manufacture

Safety Management800

Training 900

InterventionsJHSIT Canada


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St a n d a r d P r o b le m St a t e m en t

VS

Interventions

PltJudgmen

t

SafetyCulture

PilotSitAwa

reness

DataIssues

MissionRisk

Maintenance

GrndDuties

Parts/SystF

ailure

PostCrashSurvival

A/CDesign

Regulatory

Communication

Infrastructure

GroundPers

onnel

TotalInterve

ntions

Training 72 19 31 15 8 1 1 1 3 151

Safety Management 27 31 5 1 13 3 18 1 6 1 2 1 109A / C D e s i gn & Ma n u f a c tu r e 3 4 13 6 5 10 6 15 62

Information 1 1 37 1 2 2 44

Maintenance 1 24 1 26

Infrastructure 2 3 1 1 3 2 2 14

Instructional 10 1 11

Regulatory 1 1 2 4 8

N o R e c om m e n d at i o n 1 1 1 3

T o t a l St a n da r d P r o b le m St a t e m en t s 104 68 53 38 36 32 28 16 17 16 7 5 4 4

JHSIT Canada


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Pilot Judgment Training

Pilot Situational Awareness Training

Safety Culture Safety ManagementData Issues Information

Pilot Judgment Safety Management

JHSIT Canada


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1) Training

2) Safety Management

3) Aircraft Design and Manufacture4) Information

5) Maintenance


JHSIT Canada


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JHSAT Reports:

US JHSAT Year 2000 Report



EHSAT Report 2000-2005

CDN JHSAT Year 2000 Report

JHSIT Products:

US SMS Toolkits (1st and 2nd addition)

US SMS Video (HAI/IHST)

US Training Toolkit

US HFDM Toolkiit

EHEST Maintenance Toolkit (April 2011)

EHEST Training leaflet

EHEST Training Video

IHST Self Risk Assessment Toolkit

IHST Helicopter Safety Recommendation

Summary for Small Operators IHST Tri-Fold Flyer

IHST Presentations and Publications

Safety Resources and Products:

HAI Safety Videos

FAASTeam Training Materials

Skybrary Portal

Global HFDM Website

Helicopter Safety.org

FAA Human Factors Web Portal

Calendar of Events

JHSIT Canada


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JHSIT Canada

Convened March 2011 at H.A.C. Vancouver

Challenges- Marketing Strategy

- Identify the MessageTraining & SMS

- Identify the TargetSmall Operators < 5

- Identify Venue /delivery vehicle


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JHSIT Canada

H.A.C. Convention & WebsiteCHC Safety Symposium

TC Aviation Safety NewsletterTrade Publications


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