Docket No. SA-530

Exhibit No. 3-D

NATIONAL TRANSPOPRTATION SAFETY BOARD

Washington D.C.

Helicopter Association International Presentation on Industry Safety Initiatives

(37 pages)

NTSB HEMS HEARINGNTSB HEMS HEARING

FEBRUARY 3-6, 2009

WASHINGTON, D.C.Matt Zuccaro

President HAI

Co-Chair IHST

Helicopter Association International

• Established 1948

• The professional trade association for the International helicopter community

• 1,575 member organizations • 1,200 individual members • in 78 countries

• HAI Members operate over 5,000 helicopters and fly nearly 2.3 million hours each year

HAI SAFETY POLICYHAI SAFETY POLICY

• Safety As a First Priority

• Safety Above All Else

• Fly To a Higher Standardy o a g e Sta da d

International Helicopter Safety Team

WWW IHST ORGWWW.IHST.ORG

REDUCE THE INTERNATIONAL REDUCE THE INTERNATIONAL HELICOPTER ACCIDENTHELICOPTER ACCIDENTHELICOPTER ACCIDENT HELICOPTER ACCIDENT RATE BY 80 % OVER THE RATE BY 80 % OVER THE %%

NEXT 10 YEARSNEXT 10 YEARS

Executive Committeeecu ve Co ee

IIHSTHSTSecretariat

InternationalInternationalJHSATJHSAT

International International JHSITJHSIT

Regional JHSATs

Regional JHSITs

6

IHST Regional Developments1st Regional Conference held in New Delhi in June 2006

JHSAT process workshop in New Delhi in March 2007

2nd Regional Conference held in Melbourne, Australia in March 2007

Latin American Regional Conference held in Brazil in June 2007

Canadian and EU JHSATs operational

IHST Conferences:IHST Conferences:

Germany May 2008Europe September 2008Europe September 2008Portugal October 2008Middle East November 2008Far East April 2009Far East April 2009Russia May 2009Africa September 2009

Worldwide Helicopter Accidents per Yearp p1991 to 2005

700

600

500

600

ount400

500

Cou

nt

200

300

400

ccid

ent C

o

200

300

Acci

dent

0

100

200

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5

A

0

100

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

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

YearUS Military US Civil Non US Civil and Military

YearUS Civil US Military Non US Civil and Military

Source - Bell Helicopter

Worldwide Fleet Distribution by Country26,365 Aircraft Total

England1 186

France, 701, 2.7%

Germany, 700, 2.7%

South Africa, 577, 2.2%

Brazil Canada

1,1864.5%

United States

Australia1302

Brazil4471.7%

Canada1,8877.2%

13,21750.1%

Others386914.7%

4.9%

New Zealand, 657, 2.5%

14.7%

Mexico, 343, 1.3%Italy, 693, 2.6%

Japan, 786, 3.0%

9

Factors That Led To Breakthroughs inFactors That Led To Breakthroughs inMajor Airline Fatal Accident Rates Since 1946Major Airline Fatal Accident Rates Since 1946

7

8

9

Broad implementation of VOR and DMER d i t d d t l t d t

Pressurized Aircraft into fleet Earliest ILS (Glide slope, LOC & markers)

epar

ture

s

5

6

7 Radar introduced at selected towersATC centers RADAR and radio contact with cruise aircraft 1949-55

Long-Range radar (Centers)Mill

ion

De

4

5g g ( )

Jet Engine 1958VOR/DME integrated into autopilot (precision approaches)Secondary radar

RNAV (processing VOR/DME &

FMSCRM & 6-Axis Simulator & FDRWindshearen

ts P

er M

2

3 RNAV (processing VOR/DME & basic Instruments)GPWS, TCAS; Early automation

Cabin Safety

atal

Acc

ide

FOQA/ASAP & ATC DataRJ RevolutionNew Large JetsCooperative safety

0

1

46 50 54 58 62 66 70 74 78 82 86 90 94 98 '02Maj

or F

a Cooperative safety Agenda

Example of Potential Breakthroughs inExample of Potential Breakthroughs inHelicopter Accident Rates Helicopter Accident Rates

xpos

ure

Introduction of a scalable SMS tool ?

nts

per E

x

Insurance safety incentives ?

er A

ccid

en NVG utilization & HTAWS ?

ADS-B implementation ?

Hel

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te

All IFR Ops?

'

H

2005 20162007 2009 2011 2013 20152008 2010 2012 20142006

11

Progressing Toward the 80% Goal

US Fl t D t

~760

10

9

US Fleet Data

Trend projection if no action takenStart Start –– 9.19.1Per 100K hours

760Accidents Avoided

~372Fatalities/Serious Injuries Avoided00

flig

ht h

ours

8

7

6 Injuries Avoidedsource: Bell Worldwide Database

cide

nt R

ate

per 1

00,0

0

5

4

US

Acc 3

2

1

Goal Goal –– 1.81.8Per 100K hours

2001

-200

5av

g 2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

0

Year

Progressing Toward the 80% Goal

W ld id Fl t D t

~1694Accidents Avoideds

10

9

Worldwide Fleet DataTrend projection if no action takenStart Start –– 9.59.5

Per 100K hours

Accidents Avoided~1132

Fatalities/Serious Injuries Avoidedsource: Bell Worldwide Databaseer

100

,000

flig

ht h

ours

8

7

6source: Bell Worldwide Database

wid

e A

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ate

pe

5

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Wor

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Goal Goal –– 1.91.9Per 100K hours

2001

-200

5av

g 2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

0

Year

IHSTA Th St PA Three-Stage Process

DataDataAnalysis

Implement Safety Enhancements -

U.S.

Set SafetyPriorities

Influence Safety Enhancements -

Agree onproblems and interventions WorldwideAchieve

consensus onpriorities Integrate into

interventions

14

priorities Integrate into existing work and distribute

90

Percent of Accidents in which Problem Categories were identified at least once

70

80

90 e e de t ed at east o ce

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Problem Category

Int’l Helicopter Safety Symposium 2007Montreal - September19–21, 2009 300 + Attendees

ProgramProgram

Joint Helicopter Safety Analysis Team reportJoint Helicopter Safety Implementation TeamJoint Helicopter Safety Implementation Team

progress update and SMS workshop

Manufacturer and operator presentationsManufacturer and operator presentations

Concurrent papers:Safety and survivability equipmentSafety and survivability equipmentSafety cultureTraining

IHSS – September 2009 - Montreal

Edition 1Edition 1

Compiled by the Joint Helicopter Safety Implementation Team (JHSIT)Compiled by the Joint Helicopter Safety Implementation Team (JHSIT)an organization of the

International Helicopter Safety Team (IHST)an organization of the

International Helicopter Safety Team (IHST)

Pathways to the Operating Community

Maintainers Trainers FAA / NTSBHAI / AHS

I

Maintainers Trainers

Fi i l

FAA / NTSBAssociations

InsuranceIndustry

FinancialInstitutions

Emphasis on 1 to 5 ship operatorsEmphasis on 1 to 5 ship operators

Safety CultureSafety Culture

M

Manufacturers Operators / Owners

Insurance IndustryManagement

Regulatory agencies

Pilots / TechniciansElected Leaders

End User / Clients(Ed ti I iti ti )

Pilots / Technicians

Communities / Public

Elected Leaders

(Education Initiative)

EVERYONE HAS TO BE INVOLVED & AWAREEVERYONE HAS TO BE INVOLVED & AWARE

IHST SummaryVia a worldwide effort a structured approach will be used to manage the analytical and implementation work sponsored by the IHST

All recommendations will be data driven

Country data is owned, analyzed and implemented by the teams most familiar with local needs.

U.S. JHSAT and JHSIT lead teams responsible for training/advising i l t hil it i th lt f th f tregional teams, while monitoring the results of the safety

recommendations and implementation effectiveness.

European representative added to Executive CommitteeEuropean representative added to Executive CommitteeJHSIT SMS toolkit available free, online.EHEST/EHSAT building on North American workGroups in Australia Brazil and India committed to support the IHSTGroups in Australia, Brazil and India committed to support the IHST

Helicopter Operating EnvironmentHelicopter Operating Environment

Single & Multiengine Ops

VFR / IFR Operations

Urban vs. rural vs. offshore

1 aircraft to 300 aircraft fleets

Commercial / private / public

Multiple Mission Profiles Corporate Air Tours

Aerial Applications Instruction / TrainingAerial Applications Instruction / Training

Utilities Patrol Construction

Aerial Firefighting Mineral Exploration

Air Taxi Environmental patrol

ENG HEMS

Law Enforcement Logging

Aerial Photography Schedule Airline service

Firefighting Customs

Search and Rescue HEMS

Homeland Security Department of Defense (Military)

Traffic reporting Courier / Cargo

HEMS Specific Considerationsp

1. Off Airport Operations

2. Low Altitude Environment

3 Remote Locations3. Remote Locations

4. Outside Normal Aviation Infrastructure

5. Challenging Operating Environments

6 No previous operations at site locations

7. Minimal notice of flight requirement

8 Daily / 24 hour - Day / Night – VFR / IFR8. Daily / 24 hour Day / Night VFR / IFR

Technology - Important part of the solution

Helicopter Terrain Avoidance Warning System

Enhanced Ground Proximity Warning System

Health Usage Monitoring System

Automatic Dependent System BroadcastAutomatic Dependent System Broadcast

GPS / WAAS enhanced

BUT NOT THE TOTAL SOLUTION

There is no magic bullet.

Pre io s fatal accidents ha e in ol edPrevious fatal accidents have involved

T i i IFR i ft• Twin engine IFR aircraft• Autopilot equipped• Two pilot IFR qualified crewTwo pilot IFR qualified crew• VFR operations• Advanced cockpitp• Familiar operating environment

Human Factors - Critical Area of Focus

Risk Assessment

Decision Making

Perceived or real pressures on operations

Safety Culture

HAI Initiatives

Mission specific HAI Safety Forums / WorkshopsMission specific HAI Safety Forums / Workshops

Aerial Firefighting Feb & October 2008

Air Tours May & Oct 2008

EMS / ENG Jan 2008 & Jan 2009

EMS Only Oct 2008 & 2009 Regional Forums

Participants: Operators, Pilots, TechniciansFAA NTSB Clients Insurance industryFAA, NTSB, Clients, Insurance industry

Revised HEMS Operations Specifications p p

Cooperative Industry Development of Comments in Response to FAA NPRM OP Spec A 021 & A 050Response to FAA NPRM - OP Spec A-021 & A-050

A. Increase in Weather Minima

B. Enhance Pre Flight planning

C. Promotion of IFR flightg

D. Promotion of NVG / HTAWS use

NOTE: HAI / FAA Regional HEMS Safety Seminarsto be scheduled within next 3 Months

HAI / AAMS / AMOA Initiatives

Night Vision Goggles / Enhanced Vision Systems for night VFR HEMS Operations

Congressional funding via A.I.P. program for infrastructure improvement d di t d t HEMS ti i tdedicated to HEMS operating environment

Application of HEMS criteria to Government operators (public use)

Develop dedicated low level helicopter IFR Infrastructure

Utilization of FDR / CVR / Video capture devices or related technology forUtilization of FDR / CVR / Video capture devices or related technology for accident investigation and FOQA programs

HAI / AAMS / AMOA Initiatives

Elimination of launch / response time requirements

Prioritized ADS-B implementation for HEMS environment

Formalized multiple flight request protocols – Helicopter shopping

Review of fatigue factors within the HEMS work model

Industry Agency coordination with the International HelicopterIndustry, Agency coordination with the International Helicopter Safety Team relative to Data driven accident analysis and a focuson the role of human factors in helicopter accident causation.

HAI / Industry Initiatives

Non punitive safety reporting environments

Implementation of Safety Management Systems

Management oversight of Risk Assessment activities

Acknowledgement of risk aversion, not risk exposure

Client education program and forums

Sales & marketing of safety to operators and clients

Safety initiatives appropriate to specific operating environment and missionSafety initiatives appropriate to specific operating environment and mission

Consideration of retrofit capability to existing fleet

Development of end user / client educational DVD

HAI / Industry Initiatives

HEMS specific mission training – use of simulators / FTDHEMS specific mission training – use of simulators / FTD

Accurate flight hour data to facilitate actual helicopter accident rates

Dedicated Helicopter Low level IFR routes, point in space and precisioninstrument approaches to heliports & scenes, to provide seamless transition in and out of the IFR system for helicopters

Provide Pilots / Maintenance Technicians with sterile operating environment limited to aeronautical / airworthiness decision making considerations – free of 3rd party non relevant influence and pressuresconsiderations free of 3 party, non relevant influence and pressures

Change the cultural mindset of relevant parties, so that daily decision making places safety as the primary consideration above all else.

HAI / Industry Initiatives

HEMS risk assessment / Decision making same as other mission protocolsHEMS risk assessment / Decision making same as other mission protocols

Separation of pilots from medical / patient information prior to departure

Local Pre-established HEMS helistops

Formalized Operational Control Agreements with clientsFormalized Operational Control Agreements with clients.

Formalized, structured dispatch / communication procedures

S f t i t lSafety is not a slogan

It requires

Passion and CommitmentPassion and Commitment

CONTACT INFORMATIONCONTACT INFORMATION

Matt Zuccaro – President HAI / Co-Chair IHST

HAI OFFICE: 703-683-4646

E-MAIL: TAILROTOR@AOL.COM

HAI WEBPAGE: WWW ROTOR COMHAI WEBPAGE: WWW.ROTOR.COM

IHST WEBPAGE: WWW.IHST.ORG

Questions?Questions?