Canada - CDN IHSS Presentation v2007

1
JHSIT(C) Ft Worth 2011

IHSS 2011
Canadian Update
2
JHSAT(C)-Joint Helicopter Safety Analysis
Team (Canada)
Canadian Operations Overview
Results of Analysis: 2000 vs 2006
Recommendations to JHSIT (C)
3
Canadian Operations Overview
Canada population approx. 31 million
Arctic population 100,000 - area larger than the
size of Western Europe
4
Data set: 2000 & 2006
2000
2006
52 Helicopter accidents
50 Civil accidents analyzed
1 DND Accident
1 accident in US
56 Helicopter accidents
54 Civil accidents analyzed
1 DND Accident
2 accidents in US
DND: Department of National Defence
5
Helicopter Accidents -Fatal
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Fatal Accidents
Fatal
Accidents/100K
6
Percentage of Accidents By Primary Mission
0 10 20 30 40 50 60 70
Aerial Application
Law Enforcement
Aerial Observation / Patrol
Instructional / Training
Personal / Private
External Load
Other non-specific Commercial
2006
2000
7
Flight Hours by Type
0
100000
200000
300000
400000
500000
600000
700000
800000
900000
FAR 27 SingleTurbine
FAR 29 Twin Turbine
FAR 27 Piston
FAR 29 Single Turbine
FAR 27 Twin Turbine
FAR 29 Piston
Total Flight Hours
8
Accidents by Type
0
10
20
30
40
50
60
FAR 27:Single Turbine
FAR 29:Twin Turbine
FAR 27:Single Piston
FAR 27:Twin Turbine
Total Accidents
9
Accident Rate/100K by Type
0
5
10
15
20
25
30
FAR 29:Twin Turbine
10
Interventions
1
6
9
13
19
60
60
110
123
0 20 40 60 80 100 120 140
400 Instructional
600 No Recommendation
700 Regulatory
300 Infrastructure
500 Maintenance
100 Aircraft Design
200 Information
900 Training
800 Safety Management
Yr 2006 Interventions
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Interventions
0 20 40 60 80 100 120 140 160
400 Instructional
600 No Recommendation
700 Regulatory
300 Infrastructure
500 Maintenance
100 Aircraft Design
200 Information
900 Training
800 Safety Management
Yr 2000 & 2006 Interventions
yr 2000
yr 2006
12
SPS vs. Interventions: What to focus on
2000 Data
13
SPS vs. Interventions: What to focus on
2006 Data
14
Top 5 Intervention Categories
1) Training
Pilot mission planning
Preflight risk assessment
In-Flight risk assessment to adapt for unexpected mission changes.
Use of training devices (e.g., decision making)
Training area selection
Improve auto-rotational proficiency for trainers.
Formal training for qualification of company training pilots.
Pilot recognition of critical cues and recovery (LTE, Inadvertent IMC, dynamic rollover,
VRS)
Increase pilot aircraft type specific knowledge
Pilot Decision Making and Crew Resource Management
Task priority management (i.e., when multi-tasking)
Threat and error management
Plan and monitor aircraft performance to minimize risk exposure (e.g., HOGE, H-V, and
WAT charts)
Competency based training program for specific operations
Obstacle proximity awareness
Customer training on operational limitations.
Safety Management program training
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2) Safety Management
Industry Association to develop best practices specific to operational activities.
(Heli-logging, EMS, Oil & Gas, Fire Fighting, etc.)
Ensure a company safety management system that will
Establish a company risk management process.
Involve clients in risk management process
Establish duty day limitations based on operational intensity for Aircrew, Aircraft
Maintenance Engineers and Ground Crew.
Establish operational oversight protocols for remote operations
Establish company SOPs based on industry best practices, for all areas of operational
activities to encompass:
Specific limitations (e.g., Weather, duty, obstacle clearance)
Unprepared landing zone standards.
Identifying the role of management, flight, ground crews, and clients
Provide pilots with tools to assess and predict aircraft performance.
Provide pilots with tools to assess specific operational risk.
Required safety equipment and clothing to be worn for flight conditions (e.g., helmets,
safety glasses, boots, fire retardant flight suits.
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3) Aircraft Design & Manufacture
Effective design performance monitoring to identify in-service difficulties with trend
monitoring through the use of Service Difficulty Reporting system.
Operators and industry associations to promote development and installation of systems
for all helicopters to warn of impending failures. (e.g., HUMS, simpler vibration monitoring
for airframe dynamic and engine components.
Industry committee to be established to address a strategy to require new derivative
designs and legacy production aircraft to incorporate safety enhancements specified in
later design standards.
Industry associations to encourage design and installation of equipment to improve pilot
situational awareness
Devices to indicate to pilot that control limitations are being approached, either through
aural or visual cues
Tail rotor guard or proximity detection warning device
Introduce automatic recording means to record operating usage data to be used to
determine
the life of components and associated maintenance..
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4) Information
Industry and operators promote the use of:
Flight recording devices appropriate to the design and operation of the aircraft.
In-flight monitoring systems.
Transportation Safety Board should:
Develop procedures, policies and tools to enable the timely collection and
recording of all available relevant data for all Canadian accidents. (i.e., similar to
Transport Canadas web-based reporting of Service Difficulty Reports)
Make accident data readily accessible and searchable to all operators in support
of their safety management risk assessment process.
Promote the development of an international database to share accident
information.
18
5) Maintenance
Develop Industry Best Practice for maintenance on the following topics:
Oversight of maintenance
At remote locations
Fatigue management plan for personnel
Introduction of annual compliance monitoring and recurrent training
Establish industry best practices.
Oversight of mechanics in training (apprentice)
The conduct of maintenance
Develop and introduce use of Stage/Task Cards
Release of aircraft for flight after maintenance.
Briefing of Pilots after maintenance has occurred.
Completion of paperwork.
Care and use of equipment particularly from third parties.
Refueling equipment
Maintenance tools
To ensure proper quality of fuel at all sources.
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JHSAT Conclusion
CDN data analyzed for the years 2000 and 2006 have
identified the same Top 5 interventions Categories with
similar specific interventions.
The above interventions are similar to those identified by
other participating Regions.
Canadian Challenge will continue to be our remoteness and
diversity of operations as provided by medium and small
companies.
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Alex Holliday
Ft. Worth
November 2011
JHSIT Canada
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Canadian J HSIT(C) Team Membership:
1. Rob Freeman- Transport Canada Co-chair
2. Alex Holliday Alpine Helicopters Co-chair
3. Geoff Goodyear Universal Helicopters Ltd.
4. Greg Wyght CHC
5. Sylvain Seguin Canadian Helicopters
6. Fred Brisbois Sykorsky Helicopters
JHSIT Canada
22
0
6
6
10
13
15
23
23
29
42
42
44
52
73
0 10 20 30 40 50 60 70 80
Ground Personnel
Communications
Infrastructure
Regulatory
Post Crash Survival
Systems & Equipment Design
Maintenance Standards
Part/System Failure
Ground Duties
Safety Management
Pilot Situational Awareness
Mission Risk
Data Issues
Pilot J udgement
S
P
S

C
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g
o
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i
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% of Acci dents That SPS Category i s Ci ted At Least Once
JHSIT Canada
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3
8
11
14
26
44
63
110
151
0 50 100 150 200
No Recommendation
600
Regulatory 700
Instructional 400
Infrastructure 300
Maintenance 500
Information 200
Aircraft
Design/Manufacture
Safety Management
800
Training 900
Interventions
JHSIT Canada
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Standard ProblemStatement
VS
Interventions
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Training 72 19 31 15 8 1 1 1 3 151
Safety Management 27 31 5 1 13 3 18 1 6 1 2 1 109
A/C Design & Manufacture 3 4 13 6 5 10 6 15 62
Information 1 1 37 1 2 2 44
Maintenance 1 24 1 26
Infrastructure 2 3 1 1 3 2 2 14
Instructional 10 1 11
Regulatory 1 1 2 4 8
No Recommendation 1 1 1 3
Total Standard ProblemStatements 104 68 53 38 36 32 28 16 17 16 7 5 4 4
JHSIT Canada
25
Pilot J udgment Training
Pilot Situational Awareness Training
Safety Culture Safety Management
Data Issues Information
Pilot J udgment Safety Management
JHSIT Canada
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1) Training
2) Safety Management
3) Aircraft Design and Manufacture
4) Information
5) Maintenance
JHSIT Canada
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JHSAT Reports:
US J HSAT Year 2000 Report
EHSAT Report 2000-2005
CDN J HSAT Year 2000 Report
JHSIT Products:
US SMS Toolkits (1
st
and 2
nd
addition)
US SMS Video (HAI/IHST)
US Training Toolkit
US HFDM Toolkiit
EHEST Maintenance Toolkit (April 2011)
EHEST Training leaflet
EHEST Training Video
IHST Self Risk Assessment Toolkit
IHST Helicopter Safety Recommendation
Summary for Small Operators
IHST Tri-Fold Flyer
IHST Presentations and Publications
Safety Resources and Products:
HAI Safety Videos
FAASTeam Training Materials
Skybrary Portal
Global HFDM Website
Helicopter Safety.org
FAA Human Factors Web Portal
Calendar of Events
JHSIT Canada
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JHSIT Canada
Convened March 2011 at H.A.C. Vancouver
Challenges- Marketing Strategy
- Identify the Message
Training & SMS
- Identify the Target
Small Operators < 5
- Identify Venue /delivery vehicle
29
JHSIT Canada
H.A.C. Convention & Website
CHC Safety Symposium
TC Aviation Safety Newsletter
Trade Publications
30

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JHSIT(C) Ft Worth 2011

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