Introduction: A number of potential problems are associated with egres
s from the helicopter cockpit in the post-crash phase of a mishap. The
purpose of this study was to identify the egress problems experienced
by pilots in U.S. Navy/Marine Corp helicopter cockpits, and to propos
e a priority of preventive interventions. Method: Using Naval Safety C
enter data, we reviewed 1980-94 Class A helicopter mishap narratives.
We identified and categorized cockpit egress problems reported by pilo
ts. The data are described in terms of problem category, helicopter ty
pe, crash terrain, and time of day. Results: Of the 210 survivable mis
haps, 489 egress problems were reported in 128 mishaps, 61% involved a
ircrew factors, 16% environmental factors, 12% were related to helicop
ter factors, and 11% to cockpit factors. Of the 128 mishaps, 67.5% occ
urred during daytime, 32.5% at night, 64% in overwater crashes, 26% ov
er land, and 10% over flight decks. The most significant, but uncommon
, injuries involved the ''stroking seat.'' Conclusions: Egress hazards
can be minimized by the implementation of more intensive underwater e
gress training, crashworthy fuel systems, better design of cockpit exi
ts and hatches, better restraint systems, better crashworthy seats, un
derwater visual aids, and more streamlined personal equipment. Enginee
ring validation is needed before committing to suggested interventions
.