IHST Overview

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• IHST Overview
• Bob Sheffield IHST Executive Committee Member
• AgustaWestland EMS Seminar September 2012

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Objectives

• Awareness
• What is the IHST?
• Engagement
• Implement IHST recommendations
• Influence other operators to do the same

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Overview

• IHSTs volunteer evolution
• Products
• Results

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Why?
Helicopters save lives.
Condicio sine qua non Safety Dr. Mele
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
.. Inconsistent standards Roberto Garavaglia
Every accident is our accident.
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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
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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
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Safety advantage by HEMS
Mean Accidents 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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• 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 Chart Executive Committee
Government Co-Chair FAA - Kim Smith
Industry Co-Chair HAI Matt Zuccaro
Program Director FAA James Viola
Secretariat AHS Mike Hirschberg
Director Eurocopter - Gilles Bruniaux
Director Sikorsky Fred Brisbois
Director Bristow Bill Chiles
Director Somen Chowdhury
Director Helicopter Assoc. Canada Fred Jones
Director AgustaWestland Bob Sheffield
Director Flight Safety Foundation Bill Voss
Director Irish Aviation Authority John Steel
Regional Partners - Australia, Brazil, Canada,
Europe, MENA Safety Committee, India, Japan,
Russia, US
Communications Team FAA - Tony Molinaro
Metrics Team Co-Chair Ed DiCampli
Metrics Team Co-Chair FAA - Sean Hafner
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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 Effort
• 500 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 mission
• types have the highest percentage of accidents.
• mission type share of accidents
• Personal/Private 18.5 percent
• Instructional/Training 17.6 percent
• Aerial Application 10.3 percent
• Emergency Medical Services 7.6 percent
• 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 activities
• have the highest percentage of accidents.
• activity share of accidents
• Instructional/Training 22.8 percent
• Positioning/RTB 13.2 percent
• Personal/Private 12.4 percent
• Passenger/Cargo 9.8 percent
• Aerial Application 9.0 percent

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Similarity in Results Worldwide Accidents by
Mission and Activity are Similar
Four Common Themes Found in the U.S., Canadian and European Analysis (Intervention Recommendations) Implement (SMS) safety management systems Improve training (Sims/FTD, ADM) Improve maintenance practices 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) Develop complimentary products for use worldwide Address unique regional needs locally. Implement a plan to share these products worldwide

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• An Accurate Understanding
• of the Worlds Helicopter Operation (CY 2011)

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18.6 Rate of Decrease 2006-2011
HEMS 6.4
HEMS 2.9
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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
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Source International Helicopter Safety Team
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Civil Registered Helicopters Accidents
IHST Started Jan 2006
Source International Helicopter Safety Team
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Key Endorsements at Heli-Expo 2010 and IHSS
2010In a ringing endorsement of the IHST safety
initiative, the CEOs 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 manufacturers
• 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)

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IHST SAFETY TOOLKITS
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• 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 IHSTs 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?
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