The CAA has recently published CAP 1864, which is the Onshore Helicopter Review Report. This conducts a similar review into onshore operations which CAP 1145 did to offshore operations, following a number of offshore accidents including the Sumburgh AS332L2 in 2013.
As onshore operations are more diverse, it covers training, CAT, HEMS, Police, SAR and GA operations -http://publicapps.caa.co.uk/modalapplication.aspx?catid=1&pagetype=65&appid=11&mode=detail&id=9304 . Due to the diverse nature of onshore operations, it might be more difficult to focus on specific industry issues as there will be major differences between the various types of operation. However, one interesting element of the study is the proposed adoption of the principles in the EUROCONTROL White Paper entitled “From Safety I to Safety II”. This basically focuses on the large number of occasions when things go right and not on the very small number of occasions when things go wrong. In some ways, this is similar to the approach we took when defining the HTAWS envelopes in CAP 1519, where we attempted to define “normality” and then warned the crew when things were abnormal.
One of the accidents referenced in CAP 1864 is to G-SPAO, an EC 135 which suffered a double engine flameout and impacted the Clutha Vaults in Glasgow on the 29th November 2013, resulting in 10 deaths. I was an expert witness for the Crown and Procurator Fiscal’s Office for this case. The Sheriff Principal’s report is available online https://www.scotcourts.gov.uk/docs/default-source/cos-general-docs/pdf-docs-for-opinions/2019fai46.pdf?sfvrsn=0. Two of the four safety recommendations made by the AAIB include recommendations on the installation of flight recorders to police helicopters, something the Regulations do not currently require. Flight and cockpit voice recorder data would have been helpful in this accident, as it would be with many other Part 27 helicopter accidents. A recent article by EASA seems to support the fitment of recorders to small helicopters, although stop short of mandating them https://www.easa.europa.eu/flight-recorders-light-helicopters. A few years ago, I was involved in an investigation into a fatal accident involving a Bell 407 which crashed in poor weather in Louisiana. The Appareo recording system fitted, although not connected to any aircraft instrumentation, provided invaluable data which allowed us to determine the cause of the accident.
The CAA has published CAP 1519 and 1538 which provide enhanced alerting envelopes for offshore HTAWS. These should go some way to alerting crews on the unsafe conditions which led to accidents at the Cormorant Alpha and ETAP platforms, in Morecambe Bay and on approach to Sumburgh Airport.
Another part of the problem is ensuring that crew “hear” the alerts. Hear is shown in quotations as evidence points to the fact that under some conditions pilots are not aware of the warnings despite them being generated. One example is the near miss to G-WIWI https://assets.publishing.service.gov.uk/media/548aff04ed915d4c100002ce/Sikorsky_S-76C_G-WIWI_12-14_v2.pdf
Recently the CAA has publish CAP 1747, which addresses the Human Factors side of HTAWS and looks at how best to gain the pilots attention when an HTAWS alert is generated.
Unfortunately, the pace of implementing the new envelopes has been slow. In my view, this is largely a result of the poor state of the offshore helicopter industry and their suppliers, which resulted from the shock fall in the oil price in 2014 from $115 per barrel to under $35 per barrel in 2016.
EUROCAE Working Group 110 has started developing Minimum Operation Performance Standards (MOPS) for offshore HTAWS. https://www.eurocae.net/news/posts/2018/october/new-working-group-wg-110-helicopter-terrain-awareness-and-warning-systems-htaws/. The USA's RTCA is joining this effort in June 2019. The MOPS will help by defining internationally agreed standards for offshore HTAWS.
HeliOffshore and Honeywell Successfully Demonstrate HTAWS Safety Capability
11th December, 2017
Efforts to advance the development and implementation of enhanced Helicopter Terrain Awareness and Warning Systems (HTAWS) took a step forward last month with the completion of simulator trials of Honeywell’s EGPWS MKXXII HTAWS solution. Effective collision avoidance is fundamental to helicopter safety, and a collaborative project involving multiple stakeholders is working to give pilots additional time to alert of a collision through the widespread adoption of upgraded HTAWS in the offshore helicopter sector.
A working group organised by offshore helicopter safety organisation HeliOffshore is hopeful that the successful demonstration of the system’s new envelopes providing enhanced collision avoidance protection without nuisance alerts will support its efforts to have upgraded HTAWS available for a variety of aircraft from 2018.
In trials run by Honeywell from 13-19 November, pilots from offshore operators CHC Helicopter and Bristow Group evaluated the modified Honeywell EGPWS MKXXII system in a Sikorsky S92 simulator at Bristow’s base in Aberdeen. The trials demonstrated the use of the UK Civil Aviation Authority’s CAP 1519 protection envelopes and how these can reduce the risk of controlled fight into terrain/water accidents.
Honeywell will use data generated by the simulator trials to certify the company’s modified EGPWS. The manufacturer has indicated that the programme is on track to deliver updated HTAWS equipment to helicopter manufacturers in 2018.
“This trial was a great example of industry collaboration, as Honeywell was supported by CHC and Bristow pilots, some of whom had given up their time off to fly on the trials, and simulator staff who provided expert technical support during two and a half days of simulator time donated by Bristow,” commented HeliOffshore consultant Mark Prior.
The protection envelopes defined in CAP 1519 have been the result of several years of work led by the UK Civil Aviation Authority. The work has used Flight Data Monitoring (FDM) data to provide the evidence to establish the enhanced envelopes. It also identified two new envelopes alerting flight crew to loss of airspeed. FDM data has been provided by CHC, Bristow and Babcock from over 200,000 approaches to offshore installations. These data were used to set the alerts for the new Offshore Envelope 7, which is aimed at preventing accidents such as the 2013 crash of a helicopter on approach to Sumburgh in Scotland. The CAA research was initially sponsored by Shell and Bristow, and has had the support of BP, IOGP, and Oil & Gas UK.
HeliOffshore has been the focal point for a collaborative effort involving offshore operators, manufacturers and oil and gas companies. The HTAWS project is part of the organisation’s Operational Effectiveness workstream, which has also focused its attention on safety enhancements such as approach path management guidelines, and the implementation of Flight Crew Operating Manuals and Line Operations Safety Audits.
Helicopter Terrain Awareness Warning System (HTAWS) - What Next?
HTAWS began to be fitted to the newer generation of helicopters, such as the S92, H225 and AW139 when they were introduced into the market. At the time, the principle HTAWS available was the Honeywell Enhanced Ground Proximity Warning System (EGPWS) MKXXII. The thinking behind the fitting of HTAWS was that rotary wing operations could benefit from the use of this equipment that had been so successful in fixed wing operations.
However, a direct read-across is probably not valid as aeroplanes operate from airfields where the local terrain in well mapped in the TAWS database and so the Ground Proximity element can be desensitised to reduce false alerts.
The FAA saw a need for improved terrain warning for helicopters, in particular for HEMS operations where a number of well publicised accidents occurred in the USA. I was a member of RTCA Special Committee 212 which had the mandate to produce MOPS for a Class B HTAWS, i.e. a system without a radio altimeter input which derived altitude information from GPS: DO 309 was the resulting standard.
For offshore operations, a different approach was needed to warn crews of an unsafe descent rate or proximity to the surface as accident had occurred which had not been, or in the case of legacy helicopters would not have been, prevented by the extant HTAWS warning envelopes. A UK CAA group was formed using industry funding to further enhance the capabilities of HTAWS for offshore operations. As well as Flight Data Monitoring (FDM) and accident data, we had some AAIB recommendations to consider.
UK AAIB issued a number of Safety Recommendations regarding H-TAWS:
We were ready to finalise our recommendation in 2013 when the accident to G-WNSB occurred during at approach to Sumburgh airport. During our analysis we confirmed that our new envelopes would not have provided a sufficient alert to the crew and so further analysis was conducted. During this additional analysis we obtained FDM data on several serious incidents where a loss of airspeed had been the precursor to a loss of control. Using data from over 100,000 approaches on various helicopter types we produced a new warning envelope which alerts the crew to a lack of power applied to maintain airspeed. In early 2017 the CAA issued CAP 1538 and CAP 1519 which document the work undertaken and the proposed offshore warning envelopes.
HeliOffshore has been supportive in aligning the equipment and airframe manufactures, as well as the operators and oil companies. It is intended that the first aircraft to be fitted with the new certified warning envelopes will be in early 2018.
Of course, generating the alerts is only part of the story, as the crews must also perceive the warnings and react appropriately. For example, the incident where G-WIWI nearly came to grief during a night approach to a private house at Peasmarsh in Sussex. Phase 2 of this project, funded by HeliOffshore, is looking at the optimum way to warn the crew. This work has been undertaken by experts from Cranfield University and Royal Holloway University and should report soon.
So, what is next? EASA is likely to start a EUROCAE group to address the issues raised and the CAA recommendations – we are meeting EASA on the 26th October to discuss the next steps.
BIG DATA LITTLE INFORMATION – HOW THE HELICOPTER OPERATORS CAN EXTRACT MORE INFORMATION FROM THEIR DATA SILOS
Helicopter operators are increasingly data rich, but how much of it is producing value to safety, efficiency and effectiveness?
Aeroplane manufactures and airlines have been using their data to improve efficiency, reduce costs and have attempted to improve the passenger experience for a while. How can the major helicopter operators catch-up and what are the benefits?
Whilst the offshore helicopter industry has pioneered the use of Health and Usage Monitoring System (HUMS), other areas have not advanced as far. Too often we see that data is held in silos without being readily accessible to other systems. So what are these system silos? Apart from HUMS, operators will have a safety reporting system, engineering and supply chain system such as SAP, aircraft Tech Log data, Flight Data Monitoring, flight planning tools, crewing and rostering records.
Measuring drives behaviour as it indicates where problems exist.
What operators lack is a mechanism to find the Rumsfeldian “unknown unknowns” and the unusual patterns or outliers in their data. Flight Data Monitoring (FDM) is an example of a data rich system which is mainly used for compliance and yet it has the capability to do so much more. As well as having fixed thresholds to identify errors in the flight profile, the data can be used to identify “Normality” and anything outside those parameters might be an issue. For example, are the outliers evenly distributed across the operations or are they more prevalent at certain locations, at certain times of day, on certain aircraft or with certain crews? Using this methodology, issues with approaches to problematic locations, fatigue issues, with certain aircraft types or with training can be identified for further investigation by specialists. An example of using FDM data to identify normality is an ongoing UK CAA project to define enhanced HTAWS warning envelopes for offshore operations .
Using FDM as a compliance tool tends to treat each event as a singular event with little widespread learning. Further analysis of the FDM data can be used to map turbulence around a helideck. Mapping the turbulence environment will provide a feedback loop to the Helideck Landing Limitations and CFD/wind tunnel modelling done when the installation or ship was commissioned. The military spend large amounts of money on Ship Helicopter Operating Limitations (SHOL) trials, which are by necessity a snap-shot of conditions over the period of the trial. Using FDM data provides the equivalent of an ongoing SHOL which captures all conditions over the life of the vessel with minimal additional cost.
FDM can be used to record systems faults or inappropriate combinations of autopilot modes. One operator recorded autopilot faults and found that crews had only reported around 10% of the dropouts, indicating that they had normalised the issue. By comparing recorded faults to the safety reports submitted about those issues gives a good indication of the reporting culture in that organisation. The reporting rate versus events captured in FDM should be a KPI for every operator. Measuring the way that autopilot modes are used can indicate the compliance rate with SOPs, which has been a factor in both aeroplane and helicopter automation related accidents.
By additional analysis of the FDM data the actual risks the operations encounter can be quantified, providing a feedback loop to the organisation’s Safety Management System (SMS). In the example of the autopilot faults above, the actual failure rate was many times higher than that assumed in the Predictive Risk Assessment and so the true risk to the organisation was much higher than initially assessed and needed action.
Operational data provides a means to optimise operations. How many operators measure their operations against KPIs such as seat cost per mile? With the offshore helicopter market under such tight cost pressures are they sure that their aircraft are being operated in an efficient and effective way? By optimising the departure times of the flights, cruise altitude and airspeed savings can be made. Some fleets such as the S92 have a large variation in their Declared Operating Mass of greater than a 1,000 lbs between old aircraft and the newer heavier versions. Are the lighter aircraft being used on the longer flights where they can maximise the client payload?
Tech Log and Supply Chain data can be used for component reliability modelling. Most operators leave it to the OEMs, but smart customers will be able to resolve issues quicker if they identify problems at an early stage rather than sitting back and waiting for OEM action. Part M requires organisations to “assign responsibility for co-ordinating action on airworthiness occurrences and for initiating any necessary further investigation and follow-up activity to a suitably qualified person with clearly defined authority and status”, but how many do it effectively with no room for improvement?
Safety Reports can provide a wealth of information, but how well are they analysed? Tools such as Cluster Analysis can draw out areas for further investigation by specialists.
Of course there is a worry that Big Data = Big Cost, but this need not be the case. The additional analyses discussed above are not mandated and are about gaining extra insight into the company data, it does not have to run in real-time or be safety critical. Start small and gradually build up a capability. After all simple Machine Learning and Text Mining can be done in Excel, Open Source tools in languages like Python can also be extremely powerful and yet low cost, running on a stand-alone laptop with analyses being run every few weeks; after all the hidden trends are not likely to change quickly. Virtually all standard systems can export data as flat files in formats such as csv which Open Source tools exploit.
However, any company wanting to start this process will have to work with their IT Department, where the first barrier to innovation is likely to be met. Large IT Departments love “Enterprise Systems” which allegedly reduce risk to the business, whilst in reality they initially reduce risk to the IT Department as they can buy in a system and contractors to do the work. Start the analysis as a trial using free tools and when the benefits are seen, by all means upgrade to a full Business Intelligence system, but it is not necessary to spend a lot at the outset.
Of course smarter use of data is not a silver bullet. However, improved insight of what data is telling a company should help the specialist improve their areas, where complex patterns are often missed due to workload or insufficient visibility of the underlying trends. British Cycling has dominated the last few Olympic Games by the “aggregation of marginal gains”. If everything you do is improved by 1% then those small gains add up to remarkable improvement (and lots of gold medals). So try breaking down those data silos and aggregate the gains that will come from improved information and insight.
 http://publicapps.caa.co.uk/modalapplication.aspx catid=1&pagetype=65&appid=11&mode=detail&id=7887