1. International Helicopter Safety Team
IHST Update
November 2010
Turbomeca Safety Conference
Brazil South America
Ana Claudia Malagrino Galvao - IHST Brazil JHSAT Co-Chair 1

2. IHST Goal: To reduce worldwide helicopter accident rate by 80% by 2016!
Reduce accidents…save lives!!!

3. This is where we were… Make the case for change
20+ years of accident trends across the US, Military and International fronts
Levels are unacceptable
Need unique solutions to break the trend
Need participation from all sectors, civil, military and international
This is where we were…

4. IHST is a worldwide effort with over 300 volunteers
All IHST participants using a process adapted from CAST.
Key attributes:
All recommendations directly rooted in accident data.
Regional ownership – Data is owned and analyzed by those most
familiar with it Safety recommendations are implemented by teams most familiar with local needs and challenges.
US JHSAT and JHSIT lead teams are responsible for training/coaching regional teams, measuring the results of the safety recommendations and implementation effectiveness 4

5. Joint Helicopter Safety
Safety enhancement development
Results measurements
Data analyses
IHST
Joint Helicopter Safety
Analysis Team (JHSAT)
Implementation
Team (JHSIT)
Joint Helicopter Implementation Measurement Data Analysis Team (JHIMDAT)
International Helicopter Safety Team (IHST)
We need to use proven methods to identify problems and put necessary changes into place.
The CAST initiative developed a method that has great success in the commercial aviation world.
We’re adapting it for use with helicopters.
Three basic tenants:
Based on real accident data
Solutions developed by helicopter community stakeholders
Actions taken can be measured for effectiveness.
IHST is following a proven model

6. Worldwide participation is key to success
48% of helicopters fly in North America
However, we wont make our target if we don’t engage with the worldwide community.
Source : IHST– Dec 2009
Worldwide participation is key to success 6

7. IHST Program - Regional Process Tracking
2006
2007
2008
2009
2010
IHSS Formed
Excom Formed US
Europe
Canada
TBD
Metrics
Brazil
Australia
Mid East
Today
Japan
Russia 1 2 3 4
Regional Kickoff Meeting
JHSAT Team Formed
Key:
Accident Dataset Established
JHSAT Report Issued 5 6
JHSIT Formed
JHSIT Process Refined E 7
JHSIT SEs complete 8
JHSIT DIPs complete
India
IHST Program - Regional Process Tracking
Program staffing, sales, marketing, management, communications, international outreach
Regional “exploratory” mtg

8. IHST Worldwide Progress Toward 80% Goal (Through August 2010)
2005
2007
2009
9.4
1.9
Note accident rate is lower the year following fall IHSSs
IHST Metrics - Flight Hours 10 August 2010 8

9. IHST US Registered Progress Toward 80% Goal (Through August 2010)
2007
2009
2005
9.1
1.8
Note accident rate is lower the year following fall IHSSs
IHST Metrics - Flight Hours 10 August 2010 9

10. IHST Metrics - Flight Hours 10 August 2010
Accident Rates Vary by Region of the World Civil registered helicopter accidents and flight hours from IHST data Pre-IHST ( ) accident rates vs through August accident rates
North America
Pre: 9.3
2010: 4.8
South America
Pre: 9.7
2010: 7.4
Europe
Pre: 7.1
2010: 6.6
Africa
Pre: 12.9
2010: 7.9
Asia
Pre: 9.4
2010: 8.3
Oceania
Pre: 17.5
2010: 14.0
Accuracy of flight hour exposure estimate improves every year.
World
2010 August: 6.1 Accidents per
100K flt hrs
27 Sep 2010
IHST Metrics - Flight Hours 10 August 2010 10

11. International Regional Partners IHSS 2010 - Cascais, Portugal
Updates from EHEST, US, Japan, Canada, Brazil, India and Middle East
EHEST – EHSAT Report
US – JHSAT 2006 Report
Panel Discussion – Regional Leads
Sharing data and partnership
Implementation Challenges

13. Another way of determining where the problem reside, this time by category rather than mission.13

14. Data set – NTSB Accident Dockets
US JHSAT
Data set – NTSB Accident Dockets
U.S. civil registered helicopters
Type certificated (amateur built helicopters excluded)
Includes ‘Public Use’ and restricted category
Total of 523 helicopter accidents analyzed
CY accidents (Report issued IHSS 2007)
CY accidents (Report issued IHSS 2009)
CY accidents (Report issued IHSS 2010)
We all know about the Jim Reason’s Swiss Cheese model.
The JHSAT uses a similar concept. They analyze the NTSB accident docket and any other information that may be available for an accident.
Google Earth is an excellent source to see how terrain may have factored in to an accident.
The JHSAT does not second guess the NTSB’s Probable Cause, instead they identify where an action, or inaction, is documented that eventually led to the accident.
These actions are then tabulated as a Standard Problem Statement (SPS). The thought being that each SPS is like a hole in the Swiss cheese. When the holes line up, the accident occurs. This theory is such that by covering that hole the accident may have been avoided.
So what is the ‘best’ way of covering the hole? The team decides on the best Intervention Recommendation (IR) for that particular circumstance.
When all accidents have been analyzed, the SPSs and IRs are totaled and prioritized by Frequency. Again, what are the most common problems that resulted in an accident and what are the most common Interventions that will have the greatest impact on the Accident Rate.

15. Recommendations Top 10 from CY2006 Report
Install Cockpit Recording Devices, 88
Improve Quality and Depth of NTSB Investigation and Reporting, 76
Training Emphasis for Maintaining Awareness of Cues Critical to Safe Flight, 26
Autorotation Training Program, 21
Follow ICA Procedures with Confirmation of Compliance, 18
In-flight Power/Energy Management Training, 17
Recommend Enforcement Action–Certificate Suspension/Revocation, 16
Mission Specific Risk Management Program, 16
ADM Training, 16
Establish mission Specific SOP and Flight OPS Oversight Program, 15
In CY2006, the JHSAT made 858 recommendations for the 152 accidents analyzed. When duplicates were collected and rolled up, there were 165 different recommendations.
Obviously not all 165 can be acted on by the JHSIT is a given year, so the report tabulates the Top 20.
To keep this chart readable, only the Top 10 are presented here.
Leading this list is the recommendation to install cockpit recording devises – HFDM. This recommendation was made in 88 of the 152 accidents.
Follow ICA Procedures was recommended in 18 of the 152 accidents.
You can find the complete chart in the CY2006 Report.

16. IHST Toolkits – Developed by US
JHSIT IWGs
- Safety resources
- IHST Toolkits
Maintenance toolkit forthcoming
Updates to SMS, FDM, and Training Toolkits - February 2011 16

17. Current US JHSIT Toolkits Answers 8 of the Top 10 US Intervention Recommendations (IRs) Supports Worldwide Regional Team Interim IRs
Helicopter Flight Data Monitoring Toolkit
Install Cockpit Recording Devices
Training Toolkit
Training Emphasis for Maintaining Awareness of Cues Critical to Safe Flight
Autorotation Training Program
In-flight Power/Energy Management Training
ADM Training
SMS Toolkit
Mission Specific Risk Management Program
Establish mission Specific SOP and Flight OPS Oversight Program
Maintenance Toolkit
Follow ICA Procedures with Confirmation of Compliance
This chart shows how the toolkits address the JHSAT’s recommendations. Of the Top 10 we just looked at, their Toolkits cover 8 of them already.

18. Sub-group on Communication EHSIT Specialist Teams
Core Team
EHSAT
Sub-group on Communication
Regional Teams
EHSIT Specialist Teams
ESSI is a 10 year programme ( ) aimed at improving aviation safety in Europe, and for the European citizen worldwide
Partnership, with more than 150 organisations
Powered by industry and facilitated by EASA
Launched on 14 November 2006, EHEST brings together manufacturers, operators, research organisations, regulators, accident investigators and a few military operators from across Europe. EHEST is the helicopter branch of the ESSI, and also the European component of the International Helicopter Safety Team.
More than fifty organisations participate in EHEST to date, of which around thirty are actively involved in EHSAT and EHSIT.

19. Scope of analysis Data driven approach
Accidents (definition ICAO Annex 13)
Date of occurrence year
State of occurrence located in EASA MS
Final report from AIB available
Preliminary results presented Oct 2008
186 accidents
Final report results presented October 2010
311 accidents
Available
The EHSAT analysis scope has been initially limited to accidents (definition ICAO Annex 13) reported by the accident investigation boards, with date of occurrence between 2000 and 2005 and State of occurrence located in Europe. In order not to interfere with ongoing accident investigation board investigations, only those accidents are analysed where a final investigation report is available.
For this purpose Europe is defined as the EASA Member States (27 EU + plus Iceland, Liechtenstein, Norway and Switzerland)
Important to note that this initiative combines European wide data. 19

20. EHSIT Products Two products are ready:
Safety consideration for helicopter pilots leaflet
Degraded Visual Environment (DVE)
Vortex Ring State
Loss of Tail rotor Effectiveness (LTE)
Static and dynamic rollover
Video on Degraded Visual Environment (DVE)
View both on IHST website (

21. Maintenance Toolkit The Maintenance Toolkit will address
Comprehensive guidelines for cost-effective maintenance
Self-assessment guideline
The Toolkit is scalable for all sizes and types of helicopter operators
Expected publication date – 1st Quarter 2011
On the IHST website

22. SMALL OPERATOR’S INVOLVEMENT WORLDWIDE
Holding factors
Possible factors for success
Difficult economical situation
Limited financial and human resources
Complexity of rules and regulations
High personnel costs
Non educated to Safety Customers
Communication
Motivation
Support

23. IHST Communications Update
IHST is engaged with the European Helicopter Safety Team’s communications group to revitalise the IHST website.
SKYbrary Partnership – Helicopter Safety Portal
FAA Safety.gov – FAASTeam
Link to WINGS Program and Helicopter Training Products
Global HFDM Committee
Multi-lingual Website and Toolkits
Please put a link to the IHST website ( on your own website.
Communication Support

24. IHST Supports Accreditation Program (s)
HAI, EHA, BHA announced June 09, 2010 their partnership with IS-BAO/IBAC on development and management of the Helicopter Version of the IS-BAO Standard
European CEN Standard
Covers more than SMS
Bob Sheffield (IHST Exec Director) –HE Standards Workgroup Chairman
Motivation Support

25. Insurers’ Support for IHST
We are presenting IHST recommendations and toolkits at various insurance industry conferences in North America and worldwide.
IHST Insurance Liaison to facilitate Insurance Education forums, sponsored by HAI
Discussions on sharing data and partnership
Motivation Support

26. Heli-Expo 2010 - A Call for Action by Helicopter Owners
In a ringing endorsement of the IHST safety initiative, the Chief Executive Officers of AgustaWestland, Bell Helicopter Textron, Eurocopter and Sikorsky Aircraft gathered at Heli-Expo to sign a joint letter captioned “A Call for Action by Helicopter Owners.”
The letter calls upon “all those who operate our products to implement the safety enhancements recommended by the International Helicopter Safety Team (IHST).”
The four 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)
Use of mission-specific equipment
Night vision goggles
Avionics to avoid controlled flight into terrain
Strict compliance with manufacturer’s maintenance program
Industry Support
The four areas of concentration cited in the letter are the adoption of Safety Management Systems (SMS); improvements in training; the use of advanced systems and equipment, such as flight data monitoring systems (FDM); the use of health monitoring systems; and the use of mission-specific equipment, such as night vision goggles for night flying and avionics to avoid controlled flight into terrain; and strict compliance with the manufacturer’s maintenance program.

27. IHSS 2010 - A Call for Action by Off Shore Operators
In a ringing endorsement of the IHST safety initiative, the following ten offshore operators signed a joint letter of commitment captioned “A Call to Action by and for Offshore Helicopter Operators” -- Bond, Bristow, BIH, CHC, Cougar, Dancopter, Era, Heli-Union, Inaer, and PHI.
The letter calls upon “all those who operate helicopters in the offshore environment to implement the manufacturers’ recommended maintenance and flight operations practices and the safety enhancements recommended by the IHST”.
The four 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
Crew Resource Management (CRM) Programs
Industry Support
The four areas of concentration cited in the letter are the adoption of Safety Management Systems (SMS); improvements in training; the use of advanced systems and equipment, such as flight data monitoring systems (FDM); the use of health monitoring systems; and the use of mission-specific equipment, such as night vision goggles for night flying and avionics to avoid controlled flight into terrain; and strict compliance with the manufacturer’s maintenance program.

28. Thank you for your attention
The challenge now is to expand our efforts worldwide and continue the development and implementation of effective measures to meet and some day exceed the 80% accident rate reduction target
Thank you for your attention
Questions? 28

29. Sue Gardner – IHST Program Director
Telephone: (630)
Ana Claudia Galvão – Co-chair JHSAT-Brazil
Telephone: