My SH one does exactly that, the menu gives various signals available.It might be possible to make the hailer output close a relay, although some additional electronics may be necessary to match the hailer output to the relay coil ,that will in turn power the air horn ... They draw quite a few amps,
I take it the attraction is that the system within the Icom will sound the appropriate signal automatically at the appropriate time intervals. I'd be surprised if there is not a "little box of tricks" that will do that independently.