IHST (India) has been diligently working to improve safety culture focusing on SMS implementation in that country. After analysis using JHSAT methodology, the intervention strategies have been in the areas of Safety Management training, Systems-Equipment and Information, Maintenance, Regulatory, and Infrastructure. IHST India has been conducting training courses, capsules, safety audits, and using IHST Toolkits.

In August 2008 Japan IHST was established. In April 2010 Japan JHSAT was built up and accident analysis was initiated. Heli Japan occurred in November of 2010 and the Japan IHST adopted the U.S. JHSAT Process Handbook. Japan IHST is currently pushing forward IHST activities with support from the IHST.