An effective risk assessment approach for assessing the risk level of aviation emergency rescue is essential to aviation emergency management. Therefore, this study is aimed at extending a novel integrated multiattribute group decision-making (MAGDM) approach to conduct risk assessment in aviation emergency rescue. First, a combined improved Swiss cheese model and fault tree analysis method are used to build the index system for risk assessment. Next, the weight vector for risk assessment is calculated using the consensus-based improved analytic hierarchy process (IAHP). Then, based on the traditional technique for order preference by similarity to the ideal solution (TOPSIS) method, we improve the definition express of ideal solution and the standardized formula of indexes, thereby providing a consensus-based improved TOPSIS method to compute the evaluation matrix for risk assessment. Finally, the weight vector and evaluation matrix are combined to estimate the risk level of aviation emergency rescue. As aviation emergency rescue in a sudden natural disaster an example, we illustrate the feasibility of the proposed method and demonstrate its effectiveness by comparative analysis with some similar approaches. The proposed approach can evaluate the safety status of aviation emergency rescue operations, which provides a starting point for the improvement of aviation emergency rescue.