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Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph...
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![Page 1: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/1.jpg)
Offices of Research and Engineering and Aviation Safety
Overview of HEMS Safety IssuesOverview of HEMS Safety Issues
Dr. Joseph Kolly
Acting Director, Office of Research and Engineering
![Page 2: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/2.jpg)
Joint Office Product – RE and ASJoint Office Product – RE and AS
• AS and RE investigators of HEMS accidents
• AS and RE staff for the public hearing• Writers of the recommendation
package– Dr. Robert Dodd– Jeffery Guzzetti– Dr. Vernon Ellingstad– Sally Bennett
![Page 3: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/3.jpg)
The HEMS Industry The HEMS Industry
• Provides important service, 24/7• 750 helicopters• 70 commercial operators• 60 hospital-based programs• 40 public operations• 400,000 patients transported annually• Increased risk for accidents when
compared to other commercial ops
![Page 4: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/4.jpg)
NTSB has Longstanding Concern for HEMS SafetyNTSB has Longstanding Concern for HEMS Safety
• 1988 Safety Study– Evaluated 59 HEMS
accidents– Issued 19 safety
recommendations to FAA, NASA,
and 2 associations
![Page 5: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/5.jpg)
2006 Special Investigation Report (SIR)2006 Special Investigation Report (SIR)
• Increase in EMS accidents
• SIR adopted January 25, 2006
• Analyzed 55 EMS accidents
– 41 HEMS accidents
– January 2002 - January 2005
• 54 fatalities, 19 serious injuries
•29 of 55 accidents preventable with corrective actions
![Page 6: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/6.jpg)
Safety Recommendations IssuedSafety Recommendations Issued
• Conduct all EMS flights with medical personnel on board in accordance with Part 135 regulations A-06-12 (Open-Unacceptable)
• Develop and implement flight risk evaluation programs A-06-13 (Open-Unacceptable)
• Require formalized dispatch and flight-following procedures including up-to-date weather information A-06-14 (Open Acceptable)
• Install terrain awareness and warning systems A-06-15 (Open-Unacceptable)
![Page 7: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/7.jpg)
Fatal HEMS Accident DataFatal HEMS Accident Data
• In 2006: 3 fatal accidents (5 killed)
• In 2007: 2 fatal accidents (7 killed)
• In 2008: 8 fatal accidents (29 killed)
![Page 8: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/8.jpg)
Aurora, IllinoisLa Crosse, Wisconsin
Huntsville, Texas
Flagstaff, Arizona
District Heights, Maryland
S. Padre Island,Texas
![Page 9: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/9.jpg)
Recent Fatal EMS AccidentsRecent Fatal EMS Accidents• S. Padre Island, Texas – Feb 5, 2008
– Eurocopter AS350; loss of control in IMC; 3 fatalities
• La Crosse, Wisconsin – May 10, 2008
– Eurocopter EC135; struck ridge after night takeoff; 3 fatalities
• Huntsville, Texas – June 8, 2008
– Bell 407; CFIT at night; 4 fatalities
• Flagstaff, Arizona – June 29, 2008
– Two Bell 407s collided while approaching helipad; 7 fatalities
• District Heights, Maryland – Sept 27, 2008 – Aerospatiale AS365N; crashed during approach; 4 fatalities
• Aurora, Illinois – Oct 15, 2008
– Bell 222; struck radio tower; 4 fatalities
![Page 10: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/10.jpg)
Recent EMS Accident Fatalities Recent EMS Accident Fatalities • S. Padre Island, Texas – Feb 5, 2008 (night operation)
– Eurocopter AS350; loss of control in IMC; 3 fatalities
• La Crosse, Wisconsin – May 10, 2008 (night operation)
– Eurocopter EC135; struck ridge after night takeoff; 3 fatalities
• Huntsville, Texas – June 8, 2008 (night operation)
– Bell 407; CFIT at night; 4 fatalities
• Flagstaff, Arizona – June 29, 2008
– Two Bell 407s collided while approaching helipad; 7 fatalities
• District Heights, Maryland – Sept 27, 2008 (night operation)– Aerospatiale AS365N; crashed during approach; 4 fatalities
• Aurora, Illinois – Oct 15, 2008 (night operation)
– Bell 222; struck radio tower; 4 fatalities
![Page 11: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/11.jpg)
Recent EMS Accident Fatalities Recent EMS Accident Fatalities • S. Padre Island, Texas – Feb 5, 2008 (night/reduced visibility)
– Eurocopter AS350; loss of control in IMC; 3 fatalities
• La Crosse, Wisconsin – May 10, 2008 (night/reduced visibility)
– Eurocopter EC135; struck ridge after night takeoff; 3 fatalities
• Huntsville, Texas – June 8, 2008 (night operation)
– Bell 407; CFIT at night; 4 fatalities
• Flagstaff, Arizona – June 29, 2008
– Two Bell 407s collided while approaching helipad; 7 fatalities
• District Heights, Maryland – Sept 27, 2008 (night/reduced visibility)– Aerospatiale AS365N; crashed during approach; 4 fatalities
• Aurora, Illinois – Oct 15, 2008 (night operation)
– Bell 222; struck radio tower; 4 fatalities
![Page 12: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/12.jpg)
NTSB Public Hearing on HEMS SafetyNTSB Public Hearing on HEMS Safety
• February 3 – 6, 2009• 41 expert witnesses
– 8 HEMS operators– 12 associations– 6 manufacturers– 4 hospitals
• Parties to the Hearing– FAA, HAI, AAMS, PHPA/OPEIU, NEMSPA,
Air Methods, CareFlite
• Summary of testimony posted at www.ntsb.gov
![Page 13: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/13.jpg)
Public Hearing TestimonyPublic Hearing Testimony
• EMS Models & Reimbursement Structures• State Oversight & Competition• Patient Transport Request Process• Flight Dispatch Procedures• Safety Equipment & Flight Recorders• Flight Operations Procedures & Training• Corporate Oversight• Safety Management Systems• FAA Oversight
![Page 14: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/14.jpg)
Safety Issue AreasSafety Issue Areas
• Pilot Training• Collection of Flight Operations Data• Use of Flight Recording Devices and Data• Safety Management Systems• Weather Information• Use of Autopilots or Dual Pilots • Night Vision Imaging Systems• Reimbursement Rate Structures• Federal Policy and Guidelines
![Page 15: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/15.jpg)
Safety Issue AreasSafety Issue Areas
• Pilot Training• Collection of Flight Operations Data• Use of Flight Recording Devices and Data• Safety Management Systems• Weather Information• Use of Autopilots or Dual Pilots • Night Vision Imaging Systems• Reimbursement Rate Structures• Federal Policy and Guidelines
![Page 16: Offices of Research and Engineering and Aviation Safety Overview of HEMS Safety Issues Dr. Joseph Kolly Acting Director, Office of Research and Engineering.](https://reader036.fdocuments.in/reader036/viewer/2022070406/56649de95503460f94ae3e4a/html5/thumbnails/16.jpg)