mark liptak jhsat co-chairperson

1JHSAT - June 2007

JHSAT Status4Th International Flight Safety SeminarLatin America Regional International

Helicopter Safety SymposiumSao Paulo, Brazil

June 2007

Mark Liptak JHSAT co-chairperson

2JHSAT - June 2007

Basic CAST ProcessIHST (CAST)

Charters Activity

JHSAT (JSAT)Analyzes DataProposes most

effective interventions

JHSIT (JSIT)Assesses feasibility of

interventions works implementation

Continued data analysis,measure intervention

effectiveness

3JHSAT - June 2007

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.

4JHSAT - June 2007

U.S. Safety Coordination Program

Industry

International HelicopterSafety Team

(IHST)

Joint Safety Analysis Teams

(JHSAT)

Government

AHSHAIBellSikorskyEurocopterTurbomecaRolls RoyceGESchweizerOperatorsBoeingALEAPratt Whitney

FAA• Aircraft CertificationNASA

US JHSAT and JHSIT Stakeholders

JHSATAHSHAIBellSikorskyEurocopterTurbomecaRolls RoyceSchweizerBristowAir MethodsSilver State Helo LLCNASAFAA


Industry


(IHST)


(JHSAT)

Government



Joint HelicopterSafety AnalysisTeam (JHSAT)

Joint HelicopterSafety Implementation

Team (JHSIT)

JHSITCHCHACEurocopterSikorskyPHIBristowArkansas Child HospAELASilver State Helo LLCLife Flight MaineBellFAA


Industry


(IHST)


(JHSAT)

Government



US JHSAT and JHSIT Stakeholders

JHSATAHSHAIBellSikorskyEurocopterTurbomecaRolls RoyceSchweizerBristowAir MethodsSilver State Helo LLCNASAFAA


Industry


(IHST)


(JHSAT)

Government



Joint HelicopterSafety AnalysisTeam (JHSAT)

Joint HelicopterSafety Implementation

Team (JHSIT)

JHSITCHCHACEurocopterSikorskyPHIBristowArkansas Child HospAELASilver State Helo LLCLife Flight MaineBellFAA

5JHSAT - June 2007

JHSAT Status

Data Analysis

Engaging with the international community

Interim safety recommendations

6JHSAT - June 2007

Data Analysis

7JHSAT - June 2007

JHSAT Process Overview

CharterDevelopment

EstablishTeam

Select Data Set

ReviewNTSB

Docket Data

DevelopEvent

Sequence

IdentifyProblems

(what/why)

Assign StdProblem

Statements

ScoreProblem

Validity &Importance

Identify InterventionStrategies

ScoreInterventionAbility/Usage

Categorize and Prioritize Data

TechnicalReview

&Expert

Validation

Conflicts? ReportResults

No

Yes

IHST

JHSITCurrent task

8JHSAT - June 2007

Data Analysis:

The JHSAT team has completed processing 197 accidents from the NTSB year 2000 docket dataset (~4000 files)

For each accident the JHSAT has:reconstructed the sequence of eventsidentified what went wrong and why it went wrongassigned an appropriate problem statementidentified appropriate corrective action(s)scored findings based on validity, importance, ability

and usage

9JHSAT - June 2007

US Rotorcraft Accident Trends1986-2006

1715

10

1311

20

17

23

20 20

14

17

-5

0

5

10

15

20

25

30

35

40

45

Oct

ober

Nov

embe

r

Dec

embe

r

Janu

ary

Feb

ruar

y

Mar

ch

Apr

il

May

June

July

Aug

ust

Sep

tem

ber

Month

Fre

qu

ency

Monthly Avg1986 - 2006

2000 Monthly Accident Count

Source: NTSB N-registered accidents, excluding amateur built

+2σ 1986 - 2006

-2σ 1986 - 2006

+3σ 1986 - 2006

-3σ 1986 - 2006

10JHSAT - June 2007

Data Analysis Status:

To date the accidents analyzed have covered a wide spectrum of helicopter types – 15 basic mission types.

1200+ scored problem statements/intervention findings have been developed

JHSAT currently interpreting the analysis results.overall fleet issuesby mission issues

Will offer recommendations for all major operational groups and overall US fleet by June ‘07.

11JHSAT - June 2007

Primary Ops SecondaryAerial Application External Load Aerial Observation/patrol TrainingAir Tour - Sightseeing Positioning/RTBBusiness - company owns a/c Air Taxi - Cargo (135)Corp/Exec - dedicated pilot Air Taxi - Passenger (135)EMS Cargo (91)ENG Public UseFirefighting Maintenance/Test flightInstructional/Training Evaluation flightLaw Enforcement FerryLoggingCommercial OperatorExternal Load OffshoreOther Aerial Work Personal/PrivateUtilities - Patrol & Construction

JHSAT Mission Categories

12JHSAT - June 2007

Results of full year 2000 dataset

13JHSAT - June 2007


Sa

fety

Eq

uip

me

nt

14JHSAT - June 2007


Sa

fety

Eq

uip

me

nt

15JHSAT - June 2007


16JHSAT - June 2007


17JHSAT - June 2007

Worldwide Helicopter Accidents/Year

Last 15 Years Prior to IHST (1991 - 2005)

0

100

200

300

400

500

600

700

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Acc

iden

ts/y

ear

US Military US Civil Registry Non-US Civil and Military

18JHSAT - June 2007

Worldwide Fleet Distribution by Country24,500 aircraft total

Source: Bell Helicopter

Worldwide Fleet Distribution by Country24,500 aircraft total

Source: Bell Helicopter

19JHSAT - June 2007


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.

JHSAT and JHSIT lead teams will be responsible for training/coaching regional teams, measuring the results of the safety recommendations and implementation effectiveness.

20JHSAT - June 2007


The preceding slides show 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 partners from Asia, South America, Oceania, Africa, India, Middle East, etc.

EASA has established the EHSAT, fine-tuning the process

Canada, Australia and India forming JHSAT teams

Any entity that possess large helicopter accident datasets that could be processed by the JHSAT method should be considered.

21JHSAT - June 2007

IHST International Resources Analysis, Implementation and Metrics Management Structure

IHSTExecutive Committee

J HSATLead Group

J HSITLead Group

Regional J HSATEU/CA/US/AU/IN/SA

Regional JHSITEU/CA/US/AU/ IN/SA

Region X, Y, Z J HSIT

Consolidated Recommendations

JHSAT sends recommendations to JHSIT

Implementation Results

J HSAT/ JHSI T

cross-talk

J HSAT/ JHSI T

cross-talk

Need to maintain a strongcommunication/feedback loopbetween IHST – JHSAT - JHSIT

Process development usingUS NTSB datarepresents 48% ofworldwide fleet

Measure Accident Reductions

Effectiveness

Measure Implementation

Effectiveness

Regions X, Y, Z defined as those pockets of operation not ableto staff a full JHSAT team and are willing to work implementation of consolidated JHSAT findings to benefit their fleets

Others

ALEA groupEMS group

Military

22JHSAT - June 2007

Potential Barriers:

JHSAT:Variation in dataset quality, definitions, etc, around the world may make use of a standardized JHSAT approach more difficult.

Military data may not be available.

Availability of fleet hours may 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.

23JHSAT - June 2007

Interim Recommendations

24JHSAT - June 2007

Interim recommendationsReports reviewed by the JHSAT:NASA - U.S. Civil Rotorcraft Accidents, 1963 Through 1997NASA - 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 SystemNASA - Helicopter Accident Analysis TeamAMPA - A Safety Review and Risk Assessment in Air Medical TransportCRS - Report for Congress - Military Aviation SafetyOGP - Safety Performance of Helicopter Operations in the Oil and Gas Industry - 2000 DataTSB Canada - Lessons Learned from TSB Investigation of Helicopter Accidents (1994 - 2003)Bell Textron - History of Helicopter SafetyOther NTSB and international reports may be considered.

The JHSAT has identified important recommendations from a series of existing helicopter safety reports. (listed on the next slide)

These recommendations were submitted to the IHST in November so that the JHSIT would have foundational intervention areas to consider.

The JHSAT plan to issue its full set of analytical results by 2Q07 which will significantly augment these foundational areas.

25JHSAT - June 2007

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)

26JHSAT - June 2007

Questions?

mark liptak jhsat co-chairperson

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