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NIOSH Publication No. 2002-115:

Surveillance and Prevention of Occupational Injuries in Alaska:
A Decade of Progress, 1990-1999

 

 

Contents

Main Page  
Introduction  
Methods and Approach to the Problem  
Overview of Alaska's Work-related Fatalities  
Helicopter Logging  
Commercial Fishing  
Commercial Aviation  
Nonfatal Injuries to Alaska Workers  
Conclusions and Future Direction  
References  
List of Acronyms  
 

This section will describe a successful partnership, developed in the early to mid1990s, that resulted in increased safety for a high-risk occupation. The first major focused prevention effort of NIOSH came during the establishment of the Alaska Occupational Injury Surveillance System (AOISS) in 1992. Because of increasing and changing environmental restrictions on road building in Alaska’s national forests in the late 1980s, helicopters emerged as a major transportation mode for moving cut logs by the early 1990s. Amid the rapid growth of this new industry in Alaska, between January 1, 1992, and June 30, 1993, there were 6 helicopter crashes (see Table 2), with 9 fatal injuries (including 4 pilots) and 10 severe nonfatal injuries, out of only 25 helicopters flying in logging operations. These events led to an extraordinarily high annual crash rate of 16 percent and a catastrophic pilot fatality rate of 5,000/100,000/year. 12 Investigation revealed that all crashes involved improper operation and/or maintenance practices.

Table 2: Alaska Helicopter Logging Incidents, 1/1/92-6/30/93
Date Number Killed Number Injured Type of Helicopter Logging Company
2/23/1992 6 (Co-pilot and 5 loggers) 5 (Pilot and 4 loggers) Manufacturer A Type A Single engine Company A
3/6/1992 0 2 (Pilot and Co-Pilot) Manufacturer A Type A Single engine Company A
11/10/1992 0 0 Manufacturer A Type B Single engine Company A
2/19/1993 2 (Pilot and Co-Pilot) 0 Manufacturer A Type A Single engine Company B
5/2/1993 1 (Solo Pilot) 1 (Ground Crew Logger) Manufacturer A Type C Single engine Company B
5/8/1993 0 2 (Pilot and Co-Pilot) Manufacturer A Type A Single engine Company B

After the occurrence of two serious helicopter logging crashes during one week in May 1993, NIOSH began a series of urgent consultations, culminating in convening an emergency session of the Alaska Interagency Working Group for the Prevention of Occupational Injuries in early July 1993. Prior to this meeting, the first helicopter logging matrix was developed to identify risk factors contributing to these events. (See Table 3.) Based on the collaborative efforts of the Working Group, there were tangible outcomes:

  1. All parties had rough agreement on what had happened in these events
  2. The US Forest Service knew the timber sale locations, AKDOL knew the ramp (maintenance) and hangar locations, and both agencies were willing to share this information with the FAA and to collaborate and share costs in making site visits to each in the ensuing weeks. [Due to a peculiarity of CFR Part 133, the regulation for aerial lift-load operations, the FAA only had the chief pilot/headquarter location for each operation, and all of these were out of state.]
  3. The Working Group arrived at preliminary consensus recommendations.

Table 3: Potential Risk Factors of Alaska Helicopter Logging Events
  Host/Human Agent/Vehicle Environment
Pre-event/ Pre-injury Pilot
Training
Experience
Fatigue
Stress
Alcohol
Ground crew
Training
Experience
Helicopter design
Lift & durability
Maintenance & repairs
Engines & controls
Ergonomics
Unstable work platform
Surplus/improvised
equipment
Terrain
Weather
Landing zones
Oversight
FAA (CFR pt 133)
Industry
Event/Injury Pilot
Reaction to emergency situation
(i.e.,autorotation)
Task overload
Ground Crew
Reacting & avoiding
Helicopter
Autorotation performance Deformation on impact Fires & explosions
Terrain
Weather
Post-event Types of injury Severity   Little assistance available EMS not available

photo 5
Photo 5: A helicopter crash at Dora Bay, Alaska

The prevention–matrix approach resulted in recommendations including more vigorous oversight; development of rigorous voluntary industry standards of equipment, maintenance, and training; exclusive use of multi–engine motor craft; and more stringent controls on alcohol and drug use in this industry. (See Table 4.)

Table 4: Alaska Helicopter Logging Injury Recommended Countermeasures
(From Alaska Interagency Working Group for the Prevention of Occupational Injuries, July 1993)
  Host/Human Agent/Vehicle Environment
Pre-event/ Pre-injury Increased training for pilots and ground crew
Improved work/ rest cycles
Maintenance per manufacturer's recommendation
Impact (g)- resistant seats
NTSB - to prohibit
surplus equipment
Improved interagency communication
Increased FAA oversight
Event/Injury Practical training in autorotation   Emergency (backup) landing zones
Post-event      

By late July 1993, all helicopter logging sites and ramps in the state had been visited by the jurisdictional agencies, with a number of these operations being curtailed or entirely shut down for irregularities. Since that intervention and the implementation of the Working Group’s recommendations during July 1993, there were no additional helicopter logging crashes or fatalities in Alaska until July 1996, when a single crash occurred, with one fatality. (See Figure 8.) There have been no more since (through December 2001), despite continuation of large-scale helicopter logging in Alaska.

photo 6
Photo 6: A long line load of logs being lifted by a multi-engine, heavy-lift helicopter

figure 8
Figure 8: Crashes, Fatalities, and Nonfatal Injuries in Alaska Helicopter Logging Operations, 1990-1999 (By 6-Month Intervals)
July 8, 1993, Interagency Intervention

This effective application of surveillance data in an interagency intervention for helicopter logging-related crashes has continued. In March 1995, the Alaska Interagency Working Group for the Prevention of Occupational Injuries and NIOSH cosponsored a Helicopter Logging Safety Workshop. An additional prevention matrix was developed to further refine safety countermeasures in the industry. (See Table 5.)

Table 5: Alaska Helicopter Logging Injury Countermeasures
  Host/Human Agent/Vehicle Environment
Pre-event/ Pre-injury Qualified second pilot
Flight/duty time limits
Drug/alcohol/ testing
Availability of alcohol/drug rehabilitation
Multi-engine only Dual drive train
Improved controls
Improved crash worthiness
Limit to certified parts with valid FAA history
Industry SOPs for maintenance safety culture & management
Education by helicopter logging association
Improve communications among management & crews
Event/Injury Qualified second pilot Crash-resistant fuel tanks
Controlled deformation
 
Post-event   EPIRBs (emergency position indicating radio beacons) Improve EMS availability CPR/first aid training for crews

Additional workshops were held in 1996 and 1997. (The proceedings of these workshops have been combined and published in one volume.)13 Building on Alaska’s leadership in this area, a Helicopter Logging Safety Committee was formed under the auspices of the Helicopter Association International (HAI), "...to help promote the safe use of helicopters in all aspects of the helicopter logging industry." The committee has established its own "Helicopter Logging Guidelines," which address four issues: (1) general helicopter safety for forestry operations; (2) integration of ground and flight activities; (3) helicopter specific planning; and (4) a pre-accident plan (HAI, 1997).14 More detailed accounts of these data, events, and interventions have been published elsewhere.13,15,16The insurance industry has also played a major role in progress made in helicopter logging by substantially discounting helicopter insurance costs for operators adhering to standards developed by the Helicopter Logging Safety Committee.

The partnership developed among government agencies, HAI, and insurance underwriters has demonstrated the value of joint efforts to address specific occupational safety problems to workers in Alaska.

 

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Overview of Alaska's Work-related Fatalities
Commercial Fishing