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IHST OverviewBob Sheffield – IHST Executive Committee

Member AgustaWestland EMS Seminar – September 2012

Objectives

• Awareness– What is the IHST?

• Engagement– Implement IHST recommendations– Influence other operators to do the same

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Overview

• IHST’s volunteer evolution

• Products

• Results

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Why?

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Every accident is our accident.

““Condicio sine qua non: Safety” – Dr. Mele

“.. Inconsistent standards…” – Roberto Garavaglia

Helicopters save lives.

“The patient is a unique passenger with no choice of carrier and no choice of carriage.” – Tom Judge

“Using a helicopter should be at least as safe as an ambulance.” – Nicolas Letellier

HEMS FATAL ACCIDENTSFY 2002-FY 2008

• From FY 2002 through FY 2008, 33 HEMS helicopters were involved in 32 fatal accidents, with 83 fatalities.

• Annual averages:• 4.5 fatal accidents• 12 fatalities

• 23 fatal accidents & 65 fatalities at night.

• 2 more in October 2008 (FY 2009 – Aurora & 1 ground operation(Information current as of 10/23/2008)

Source: Dennis Pratte, US FAA, Public HEMS Meeting, 29 October 2008

HEMS Fatal Accident Rates Compared To Road Ambulances

• HEMS average 4.5 fatal accidents & 12 fatalities per year.– This includes 3.3 fatal accidents & 9.3 fatalities at night.

• Road ambulances average 10 fatal accidents & 11 fatalities– This includes 1 fatal accident & 1 fatality per year at night.

• HEMS moves 0.5 million patients per year

• Road ambulances move 15 million patients per year.

• HEMS Rates versus Road Ambulance rates– Fatal accident rate exceeds road by 13.5-fold– Fatality rate exceeds road by 34-fold

• Sources: 500,000 HEMS movements from AAMS.• Highway data from NHTSA Fatal Accident Reporting System (FARS).• Road ambulance movements (30 million) from U.S. Fire Administration & “Firehouse Magazine” Annual Survey of EMS.

Source: Dennis Pratte, US FAA, Public HEMS Meeting, 29 October 2008

Safety advantage by HEMS

MeanAccidents per 100,000

missions

HEMS 4 - 5,4

ground EMS 55

(Bruhn, Williams, & Afghababian, 1993)(Thies, Sep, & Derksen, 2006)(Hinkelbein, Dambier, Viergutz, & Genzwürker, 2008)

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Stefan Becker: Medical & Economical Perspectives for HEMS in Europe

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IHST Background

• 2006: IHST INDUSTRY/GOVERNMENT EFFORT BEGAN

• TODAY NEARLY 40 COUNTRIES SUPPORT THE IHST

– ANALYZE ACCIDENT DATA

– DEVELOP SAFETY TOOLKITS

• GOAL: 80% ACCIDENT REDUCTION BY 2016

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IHST Organization ChartExecutive Committee

Government Co-ChairFAA - Kim Smith

Industry Co-ChairHAI – Matt Zuccaro

Program DirectorFAA – James Viola

SecretariatAHS – Mike Hirschberg

DirectorBristow – Bill Chiles

DirectorHelicopter Assoc. Canada – Fred Jones

Director Eurocopter - Gilles Bruniaux

DirectorSomen Chowdhury

DirectorAgustaWestland – Bob Sheffield

Regional Partners - Australia, Brazil, Canada, Europe, MENA Safety Committee, India, Japan, Russia, US

DirectorIrish Aviation Authority – John Steel

DirectorFlight Safety Foundation – Bill Voss

Communications TeamFAA - Tony Molinaro

Metrics Team Co-ChairFAA - Sean Hafner

DirectorSikorsky – Fred Brisbois

Metrics Team Co-ChairEd DiCampli

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IHST = Worldwide EffortGovernment and Industry - Partners In Safety

IHST follows a process adapted from the successful Commercial Aviation Safety Team (CAST)

Key attributes:• Data driven recommendations• Regional ownership –

– Data is owned and analyzed by those familiar with it.

– Safety recommendations are implemented by teams most familiar with local challenges and needs.

Key resources provided by regulatory bodies, associations, operators, original equipment manufacturers and customers.

US and European Regional teams are available for:

• Sharing analysis tools and products

• Training and coaching regional teams,

• Measuring the results

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IHST = Worldwide Effort500 Volunteers in 40 Countries

Growing each Year

First 5 Years 2006 – 2011

The IHST stood up Safety Teams in the U.S., Canada, Europe, Brazil, India, Japan, GCC/MENA, and Australia.

Mid Course Correction 2012 – 2016

To ensure we meet the 80% accident reduction by 2016 the IHST is expanding and refocusing efforts in South America and Australia. New efforts initiated in New Zealand, and South Africa.

The IHST will continue on-going work in US, Canada, Europe, India, Japan, GCC/MENA, Mexico and Russia.

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Helicopter Accidents by Mission Type

Analyzing 523 accidents in the U.S. from three years of data(2000, 2001, and 2006), the IHST has verified that these missiontypes have the highest percentage of accidents.

mission type share of accidents

1. Personal/Private 18.5 percent

2. Instructional/Training 17.6 percent

3. Aerial Application 10.3 percent

4. Emergency Medical Services 7.6 percent

5. Commercial 7.5 percent

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Helicopter Accidents by Activity

Analyzing 523 accidents in the U.S. from three years of data(2000, 2001, and 2006), the IHST has verified that these activitieshave the highest percentage of accidents.

activity share of accidents

1. Instructional/Training 22.8 percent

2. Positioning/RTB 13.2 percent

3. Personal/Private 12.4 percent

4. Passenger/Cargo 9.8 percent

5. Aerial Application 9.0 percent

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Similarity in Results WorldwideAccidents by Mission and Activity are Similar

Four Common Themes Found in the

U.S., Canadian and European Analysis

(Intervention Recommendations):

1. Implement (SMS) safety management systems

2. Improve training (Sims/FTD, ADM)

3. Improve maintenance practices

4. Leverage new technologies though new systems and equipment. HTAWS, stabilization

The IHST is working with Regional

Partners/Safety Teams to:

(We need your help here)

1. Develop strategies to move in concert on the common themes. (greatest impact in the personal flying and training segment)

2. Develop complimentary products for use worldwide

3. Address unique regional needs locally.

4. Implement a plan to share these products worldwide

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An Accurate Understanding

of the World’s Helicopter Operation (CY 2011)

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18.6% Rate of Decrease2006-2011

HEMS6.4

HEMS2.9

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Accident Rates Vary by Region of the WorldCivil registered helicopter accidents and flight hours from IHST data

Pre-IHST (2001-2005) accident rates vs. CY2011 accident rates

NorthAmerica

Pre: 9.32011: 4.9

SouthAmerica

Pre: 9.72011: 14.0

EuropePre: 7.1

2011: 6.1

AfricaPre: 12.92011: 5.4

AsiaPre: 9.4

2011: 9.7

OceaniaPre: 17.5

2011: 15.5

Accuracy of flight hour exposure estimate improves every year.

WorldPre: 9.4

Sep 2011: 6.5 Accidents per100K Flt Hrs

25 January 2012

Source: International Helicopter Safety Team

Civil Registered Helicopters AccidentsIHST Started Jan 2006

Source: International Helicopter Safety Team

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Key Endorsements at Heli-Expo 2010 and IHSS 2010

In a ringing endorsement of the IHST safety initiative, the CEO’s of AgustaWestland, Bell Helicopter Textron, Eurocopter and Sikorsky Aircraft signed a joint letter captioned “A Call for Action by Helicopter Owners.” and “Ten Major Offshore Operators” signed a joint letter of commitment captioned “Call to Action by and for Offshore Helicopter 0perators”

• The letters call upon all operators “to implement the safety enhancements recommended by the International Helicopter Safety Team (IHST).”

• The areas cited in the letters 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– Cultural/Behavioural Change, and – Crew Resource Management (CRM) Program

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Heli-Expo 2011 - A Call for Action by HEMS Organizations

“A Call to Action by and Helicopter Emergency Medical Services Organizations” – AAMS, AeroMed, ACCT, AMOA, EHAC, MedEvac, NEMSPA.

The letter calls upon “all those who operate helicopters in the HEMS environment to implement the safety enhancements recommended by the IHST.”

The 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 •Aeromedical Crew Resource Management (CRM) Programs

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IHST SAFETY TOOLKITS

SMS 1st Edition Edition 2

Edition 2 Translation of Toolkits

in Progress

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IHST SAFETY TOOLS• Helicopter Safety Leaflets

• Helicopter Airmanship– Degraded Visual Environment (DVE)– Vortex Ring State– Loss of Tail rotor Effectiveness (LTE)– Static and dynamic rollover

• Helicopter Safety Video• Degraded Visual Environment (DVE)

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WWW.IHST.ORG

IHST ON FACEBOOK

IHST ON TWITTER

We encourage you to add the www.ihst.org link to

your company website

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Conclusions:

We are making progress.

We have the tools.

We need to engage those who have yet to hear or heed the IHST’s message.

Join IHST to “Meet the IHST Challenge”

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“Meeting the IHST Challenge”

Expand our efforts worldwide

Implement proven safety measures

Meet the 80% accident rate reduction target by 2016

Thank you for your attention

Questions?