1. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. FDM, Risk and Protecting your Assets Sonya Tietjen Principal, Safety Management Systems 4 March, Heli-Expo 2013: Las Vegas, NV

2. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.The Problem 2.The Solution 3.The Benefits 1.Risk Management 2.Flight Data Monitoring 3.Protecting Your Assets Agenda

3. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.The flight crew made numerous procedural errors and deviations during the final approach segment of the VOR/DME approach. 2.The crew demonstrated poor crew coordination during the accident flight. 3.The flight crew was under pressure to land. NTSB Report

4. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Causal Factors - Primary IHST 2006 (JHSAT) Flight Crew

5. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. The Problem?

6. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Threats How accidents happen Organization Technology Humans Modified from J. Reason 1997

7. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. BowTieXP: Loss of Separation Source: CGE Risk

8. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.Safety Reporting 2.Flight Data Monitoring Two tools for Flight Ops data

9. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Safety Reporting Air Safety Report

10. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Human beings, the technology they operate, and the organisation they work within, are the three sets of factors likely to be “implicated in breaching defenses put in place to avoid accidents.” J. Reason 1997 Breaching Defenses

11. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. “Hazard and risk management must be data-driven and involve constant monitoring to either eliminate or reduce the risk to as low as reasonably practicable.” ICAO 2009, Doc 9859 Risk Management

12. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Data The data collected must be systematic, cover all areas of the operation, and have the ability to measure the results of controls put in place […to control risk]. Finally, the focus must first be on the area of highest risk. ICAO 2009, Doc 9859

13. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Flight Operations

14. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.Human Factors are the primary cause of incidents and accidents 2.Flight is the highest area of risk in operations 3.Flight is the operation of which we have the least amount of information Bottom Line: Flight Operations

15. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.Safety Reporting 2.Flight Data Monitoring Only FDM is comprehensive and quantifiable Two tools for Flight Ops data

16. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. 1.Records interaction between:  the technology (aircraft)  and the people (pilots) 2.Analyses interaction  for specific events (reactive)  undesirable trends (proactive) 3.So the organisation can do something about it… The Solution: FDM

17. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  FDM – W4’s: 1.Who* 2.What 3.Where 4.When  Safety Reporting 5.Why Safety Reporting + FDM = “W5s”

18. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Threats Organization Technology Humans Modified from J. Reason 1997

19. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. The Good, the Bad, and the Ugly

20. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  Organisation  Technology  Humans Protecting Your Assets

21. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  Complaint Management  Turbulence  Timing  Airmanship  Marketing  Liability  Risk Management  Professionalism Humans (The Clients)

22. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  CEO  Peace of mind from actually knowing your aircraft are being operated in a professional manner.  False accusation  Airspace breaches  Low flying  Poor airmanship  Management Support  Non-SOP Flying Requests  Documents observations  Procedures  Equipment Humans (The Employees)

23. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  Pre-purchase / Pre-funding:  Performance / Efficiency  Proper handling  Limits maintained  MRO:  Faulty Equipment  Limits maintained / exceeded  Warranty issues Technology (The Aircraft)

24. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  Return on Investment  Protecting your Assets  Marketing  Promotion of SMS  Risk Management  Monitoring – Quality Assurance  Ferry Flights  Flight Operations  Human Resources  Continuous Improvement  Training Programs  Enhancement  Validation  Efficiencies  Fuel efficiency  Maintenance Organisation (The Company)

25. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. Global Helicopter Flight Data Monitoring Community (www.hfdm.org)www.hfdm.org International Helicopter Safety Team (www.ihst.org)www.ihst.org UK Civil Aviation Authority - CAP 739 (www.caa.co.uk)www.caa.co.uk FDM Resources

26. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd.  The highest risk to an operation is Flight  Without FDM, you really don’t have quality assurance on flight operations  Implement FDM Wrap Up

27. Q-Pulse is a registered trademark of Gael Products Ltd. All rights reserved worldwide. Copyright © 2012 Gael Ltd.All rights reserved worldwide. Copyright © 2013 Gael Ltd. FDM, Risk and Protecting your Assets Sonya Tietjen Principal, Safety Management Systems SonyaT@GaelQuality.com