NASA Office of Logic Design

A scientific study of the problems of digital engineering for space flight systems,
with a view to their practical solution.

2004 MAPLD International Conference

Ronald Reagan Building and International Trade Center
Washington, D.C.

September 8-10, 2004

Seminar: Aerospace Mishaps and Lessons Learned

"Aerospace Mishaps and Lessons Learned"  will be a full-day seminar  held on Tuesday, September 7, 2004, starting at 9:00 am.  Breakfast, break service, and lunch will be provided.   Program is preliminary at this time.

Abstract

This seminar will start with an introduction into failure mechanisms and root cause analysis.  Building from that base, a series of case studies will be examined in detail, exploring both the mechanisms and root causes and then discussing lessons learned from each of the mishaps.  For many of the segments as possible, people involved in either the system or the mishap investigation will be presenting.

Seminar Leader

Kevin Hames
NASA Johnson Space Center

Seminar Schedule (times approximate)

Time	Speaker	Affiliation	Mishap Title, Abstract, and Mishap Reports	Presentation
9:00	Richard Katz	NASA Office of Logic Design	Introduction	Introduction
9:15	Faith Chandler	NASA HQ	Using Root-Cause Analysis to Understand Failures	Root Cause (presentation) Video (NASA library) Video (klabs.org)
10:00	Jonathan F Binkley	Aerospace Corp.	The Space System Engineering Database (SSED)	SSED Demo (presentation) Video (NASA library) Video (klabs.org)
10:45	BREAK
11:00	Owen Brown	DARPA	Apollo 13 Mishap	Video (klabs.org)
12:00	Kathryn Anne Weiss	MIT	An Analysis of Causation in Aerospace Accidents	Causation (presentation)
12:45	LUNCH
1:30	Susan C. Lee	JHU/APL	The Near Earth Asteroid Rendezvous (NEAR) Rendezvous Burn Anomaly	NEAR (presentation) Video (NASA library) Video (klabs.org)
2:45	Rick Obenschain	NASA GSFC	SEASAT: Lessons Learned ... And Not Learned	SEASAT (presentation) Video (NASA library) Video (klabs.org)
3:30	BREAK
3:45	Keith E. Van Tassel	NASA JSC	STS-86/SAFER	SAFER (main) (presentation) SAFER (backup) Video (NASA library) Video (klabs.org)
4:30	Paul Cheng	Aerospace Corp	Aerospace 100 Questions That Should Be Asked During Technical Reviews	100 Questions (presentation) Video (NASA library) Video (klabs.org)
5:15	Keith Avery	Mission Research Corp.	STRV-1c/1d Mishap	STRV-1cd (presentation) Video (NASA library) Video (klabs.org)
6:00	SESSION ENDS
Backup	Richard Katz	NASA Office of Logic Design	The Failure of a Small Satellite and the Loss of a Space Science Mission	SMEX/WIRE Board Report, Intro Appendix F, Technical

Pictures from the seminar

Mishap Report Library

Lessons Learned Library

For more information please contact:

Richard B. Katz
National Aeronautics and Space Administration
mapld2004@klabs.org

2004 MAPLD International Conference Home Page

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Last Revised: February 03, 2010
Digital Engineering Institute
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