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At least 415 records · Page 23
All sourcesNASA NTRSDOE OSTI
NASA NTRS2009

Aircraft Accident Prevention: Loss-of-Control Analysis

The majority of fatal aircraft accidents are associated with loss-of-control . Yet the notion of loss-of-control is not well-defined in terms suitable for rigorous control systems analysis. Loss-of-control is generally associated with flight outside of the normal flight envelope, with nonlinear influences, and with an inability of the pilot to control the aircraft. The two primary sources of nonlinearity are the intrinsic nonlinear dynamics of the aircraft and the state and control constraints within which the aircraft must operate. In this paper we examine how these nonlinearities affect the ability to control the aircraft and how they may contribute to loss-of-control. Examples are provided using NASA s Generic Transport Model.

Kwatny, Harry G.↗
NASA NTRS2010

Development of NASA's Accident Precursor Analysis Process Through Application on the Space Shuttle Orbiter

Accident Precursor Analysis (APA) serves as the bridge between existing risk modeling activities, which are often based on historical or generic failure statistics, and system anomalies, which provide crucial information about the failure mechanisms that are actually operative in the system. APA docs more than simply track experience: it systematically evaluates experience, looking for under-appreciated risks that may warrant changes to design or operational practice. This paper presents the pilot application of the NASA APA process to Space Shuttle Orbiter systems. In this effort, the working sessions conducted at Johnson Space Center (JSC) piloted the APA process developed by Information Systems Laboratories (ISL) over the last two years under the auspices of NASA's Office of Safety & Mission Assurance, with the assistance of the Safety & Mission Assurance (S&MA) Shuttle & Exploration Analysis Branch. This process is built around facilitated working sessions involving diverse system experts. One important aspect of this particular APA process is its focus on understanding the physical mechanism responsible for an operational anomaly, followed by evaluation of the risk significance of the observed anomaly as well as consideration of generalizations of the underlying mechanism to other contexts. Model completeness will probably always be an issue, but this process tries to leverage operating experience to the extent possible in order to address completeness issues before a catastrophe occurs.

Maggio, Gaspare↗
NASA NTRS2011

Cavity Heating Experiments Supporting Shuttle Columbia Accident Investigation

The two-color thermographic phosphor method has been used to map the local heating augmentation of scaled idealized cavities at conditions simulating the windward surface of the Shuttle Orbiter Columbia during flight STS-107. Two experiments initiated in support of the Columbia Accident Investigation were conducted in the Langley 20-Inch Mach 6 Tunnel. Generally, the first test series evaluated open (length-to-depth less than 10) rectangular cavity geometries proposed as possible damage scenarios resulting from foam and ice impact during launch at several discrete locations on the vehicle windward surface, though some closed (length-to-depth greater than 13) geometries were briefly examined. The second test series was designed to parametrically evaluate heating augmentation in closed rectangular cavities. The tests were conducted under laminar cavity entry conditions over a range of local boundary layer edge-flow parameters typical of re-entry. Cavity design parameters were developed using laminar computational predictions, while the experimental boundary layer state conditions were inferred from the heating measurements. An analysis of the aeroheating caused by cavities allowed exclusion of non-breeching damage from the possible loss scenarios being considered during the investigation.

Everhart, Joel L.↗
NASA NTRS2005

The Space Shuttle Columbia Accident Investigation and Reconstruction: Two Years Later

The Space Shuttle Columbia was lost during re-entry over two years ago. Since the release of the official materials-related findings in August of 2003, additional testing and analysis of select pieces of debris has continued. Microanalytical techniques, including EMPA, ESCA, and x-ray elemental dot mapping, were employed during the initial investigation; the results related the microstructural characteristics of deposit layers to the breach location in the leading edge of the left wing. Such characteristics included deposition order, composition, and distribution. Subsequent to the original efforts, new analytical data and information, not available at the time of the primary investigation, has been generated. This data was obtained via a low-vacuum SEM, fitted not only with a light-element EDS detector, but an XRF tube as well. Essentially, for elements up to sodium, classic EDS was utilized; above sodium, XRF was used. Predominantly, the elements of interest were aluminum, titanium, chromium, iron, nickel, and copper. The findings of both old and new data are compared, and their application to the overall accident investigation detailed.

McDanels, Steven J.↗
NASA NTRS2004

Microscopic and Metallurgical Aspects of the Space Shuttle Columbia Accident Investigation and Reconstruction

The Space Shuttle Columbia was descending for a landing at the Kennedy Space Center (KSC) on February 1, 2003. Approximately 20 minutes prior to touchdown, the Columbia began disintegrating over the western United States; the majority of debris eventually impacted in eastern Texas and western Louisiana. A monumental effort eventually recovered approximately 84,000 pieces of debris, approximately 38% of the Orbiter's original dry weight. The debris was transported to KSC, where the items were catalogued and evaluated. Critical areas of interest, such as the left and right leading edge surfaces and the underside of the ship, were placed upon a grid to aid in the reconstruction. Items of interest included metallic structures, reinforced carbon-carbon composites, and ceramic heat insulation tiles. Many of the leading edge elements had re-solidified metallic deposits spattered on them. These deposits became known as slag and were one of the main focuses of the investigation. In order to help determine the sequence of events inside the left wing during the accident, the slag's composition, layering order, and directionality of deposition were studied. A myriad of analytical tests were performed in an attempt to ascertain the compositional and depositional characteristics of selected slag deposits, including the ordering of deposited layers within each individual slag deposit harvested. Initially, Scanning Electron Microscopy and Energy Dispersive X-Ray Spectroscopy (SEM/EDX) were performed to quickly characterize the overall composition of individual slag deposits: SEM utilizes a narrowlyfocused high-energy electron beam impinging upon a specimen. The incident beam excites and liberates lower energy secondary electrons, which are detected and analyzed, providing a visual representation of the sample's surface topography. EDX also relies on an incident electron beam, except an EDX unit measures X-ray energies generated by the impinging beam. Each element generates a unique X-ray signature; the EDX detector measures these discreet energies. EDX actually penetrates approximately 2 microns into the bulk of the sample. However, random examination of various portions of slag, coupled with the semiquantitative nature of the SEM/EDX analysis, did not yield convincingly pertinent data. Therefore, X-ray dot mapping was conducted, which provided more understandable data, both in terms of slag layering and composition. An X-ray dot map is generated by performing numerous EDX scans for individual elements, then compiling the scans in a visual representation. Eventually, specimens consisting of not only the slag, but of the adjacent RCC substrate as well were cross-sectioned. X-Ray dot mapping of the materialographicallymounted and -polished cross- sections provided a visual representation of both the layering sequence and compositional characteristics of the slag. Contemporaneously, Electron Spectroscopy for Chemical Analysis/X-Ray Photoelectron Spectroscopy (ESCA/XPS) and powdered X-Ray Diffraction (XRD) were performed to further characterize the deposits and to attempt to identify what, if any, compounds were present. The ESCA/XPS analysis allowed the analyst to "sputter" into the sample with an electron gun, aiding in the identification of the layering sequence. XPS uses photons, rather than electrons, which impinge upon the surface of the sample. XPS measures the electrons emitted from within the first 5 nm of the sample's surface. The XRD measures the scatter angles of incident X-rays; the angle and intensity of scatter depend upon the crystalline structure of the pulverized sample. XRD is considered a qualitative rather than quantitative technique. ESCA/XPS revealed that the final layer to deposit was predominantly carbonaceous. XRD was successful in identifying specific compounds, such as Al 2O3, Al and/or Al3 21SiO47, mullite (3(Al2)O3 -SiO2), and nickel-aluminides. Eventually, Electron MicroProbe Analysis (EMPA) was conducted on the marialographically-prepared cross- sections of selected slag deposits. Microprobe combines SEM and Wavelength Dispersive X-Ray Spectroscopy (WDS), and, like EDX, uses a narrowly-focused high-energy electron beam impinging upon a specimen to elicit, in the case of EPMA, characteristic X-rays with specific wavelengths. This quantitative, analytical tool proved the most useful in determining depositional layering and composition of the slag deposits. This information was utilized in verifying the location of the breach in the left leading edge of the wing of the Columbia.

McDaniels, Steven J.↗
NASA NTRS2006

The Role of Materials Degradation and Analysis in the Space Shuttle Columbia Accident Investigation

The efforts following the loss of the Space Shuttle Columbia included debris recovery, reconstruction, and analysis. The debris was subjected to myriad quantitative and semiquantitative chemical analysis techniques, ranging from examination via the scanning electron microscope (SEM) with energy dispersive spectrometer (EDS) to X-Ray diffraction (XRD) and electron probe micro-analysis (EPMA). The results from the work with the debris helped the investigators determine the location where a breach likely occurred in the leading edge of the left wing during lift off of the Orbiter from the Kennedy Space Center. Likewise, the information evidenced by the debris was also crucial in ascertaining the path of impinging plasma flow once it had breached the wing. After the Columbia Accident Investigation Board (CAIB) issued its findings, the major portion of the investigation was concluded. However, additional work remained to be done on many pieces of debris from portions of the Orbiter which were not directly related to the initial impact during ascent. This subsequent work was not only performed in the laboratory, but was also performed with portable equipment, including examination via portable X-Ray fluorescence (XRF) and Fourier transform infrared spectroscopy (FTIR). Likewise, acetate and silicon-rubber replicas of various fracture surfaces were obtained for later macroscopic and fractographic examination. This paper will detail the efforts and findings from the initial investigation, as well as present results obtained by the later examination and analysis of debris from the Orbiter including its windows, bulkhead structures, and other components which had not been examined during the primary investigation.

McDanels, Steven J.↗
NASA NTRS2012

NASA-ONERA Collaboration on Human Factors in Aviation Accidents and Incidents

This is the first annual report jointly prepared by NASA and ONERA on the work performed under the agreement to collaborate on a study of the human factors entailed in aviation accidents and incidents, particularly focused on the consequences of decreases in human performance associated with fatigue. The objective of this agreement is to generate reliable, automated procedures that improve understanding of the levels and characteristics of flight-crew fatigue factors whose confluence will likely result in unacceptable crew performance. This study entails the analyses of numerical and textual data collected during operational flights. NASA and ONERA are collaborating on the development and assessment of automated capabilities for extracting operationally significant information from very large, diverse (textual and numerical) databases; much larger than can be handled practically by human experts.

Srivastava, Ashok N.↗
NASA NTRS2012

First Annual Report: NASA-ONERA Collaboration on Human Factors in Aviation Accidents and Incidents

This is the first annual report jointly prepared by NASA and ONERA on the work performed under the agreement to collaborate on a study of the human factors entailed in aviation accidents and incidents particularly focused on consequences of decreases in human performance associated with fatigue. The objective of this Agreement is to generate reliable, automated procedures that improve understanding of the levels and characteristics of flight-crew fatigue factors whose confluence will likely result in unacceptable crew performance. This study entails the analyses of numerical and textual data collected during operational flights. NASA and ONERA are collaborating on the development and assessment of automated capabilities for extracting operationally significant information from very large, diverse (textual and numerical) databases much larger than can be handled practically by human experts. This report presents the approach that is currently expected to be used in processing and analyzing the data for identifying decrements in aircraft performance and examining their relationships to decrements in crewmember performance due to fatigue. The decisions on the approach were based on samples of both the numerical and textual data that will be collected during the four studies planned under the Human Factors Monitoring Program (HFMP). Results of preliminary analyses of these sample data are presented in this report.

Srivastava, Ashok↗
NASA NTRS2013

Human Factors in Accidents Involving Remotely Piloted Aircraft

This presentation examines human factors that contribute to RPA mishaps and provides analysis of lessons learned. RPA accident data from U.S. military and government agencies were reviewed and analyzed to identify human factors issues. Common contributors to RPA mishaps fell into several major categories: cognitive factors (pilot workload), physiological factors (fatigue and stress), environmental factors (situational awareness), staffing factors (training and crew coordination), and design factors (human machine interface).

Merlin, Peter William↗
NASA NTRS2011

Accident Case Study of Organizational Silence Communication Breakdown: Shuttle Columbia, Mission STS-107

This report has been developed by the National Aeronautics and Space Administration (NASA) ESMD Risk and Knowledge Management team. This document provides a point-in-time, cumulative, summary of key lessons learned derived from the official Columbia Accident Investigation Board (CAIB). Lessons learned invariably address challenges and risks and the way in which these areas have been addressed. Accordingly the risk management thread is woven throughout the document. This report is accompanied by a video that will be sent at request

Lessons Learned↗
NASA NTRS2016

Cerebrovascular Accident Incidence in the NASA Astronaut Population

The development of atherosclerosis is strongly associated with an increased risk for cerebrovascular accidents (CVA), including stroke and transient ischemic attacks (TIA). Certain unique occupational exposures that individuals in the NASA astronaut corps face, specifically high-performance aircraft training, SCUBA training, and spaceflight, are hypothesized to cause changes to the cardiovascular system. These changes, which include (but are not limited to) oxidative damage as a result of radiation exposure and circadian rhythm disturbance, increased arterial stiffness, and increased carotid-intima-media thickness (CIMT), may contribute to the development of atherosclerosis and subsequent CVA. The purpose of this study was to review cases of CVA in the NASA astronaut corps and describe the comorbidities and occupational exposures associated with CVA.

LaPelusa, Michael B.↗
NASA NTRS2014

An Updated Examination of Aviation Accidents Associated with Turbulence, Wind Shear and Thunderstorm

One of the technical challenges within the Atmospheric Environment Safety Technologies (AEST) Project of the Aviation Safety Program was to "improve and expand remote sensing and mitigation of hazardous atmospheric environments and phenomena"1. In 2012, the author performed an analysis comparing various characteristics of accidents associated with different types of atmospheric hazard environments2. This document reports an update to that analysis which was done in preparation for presenting these findings at the 2015 annual meeting of the Transportation Research Board. Specifically, an additional three years of data were available, and a time-trend analysis was added.

Evans, Joni K.↗
NASA NTRS2015

Transformational Phenomena as Predictors of Aircraft Accidents: What Goes Around Comes Around

Flight crew confusion, excessive stressworkload, and ineffective Crew Resource Management among other issues arising from dependence on automated systems on the flight deck have been identified as major causal factors in multiple fatal accidents, significant incidents and near misses. Many Loss of Control events have been traced to display of erroneous flight data and auto-flight system mode status to the crew. Safety was compromised by not having sufficiently obvious and unambiguous information available in order to permit quick diagnosis of aircraft status and then appropriate action to regain control of the aircraft energy state or trajectory. Continually evolving training and operational requirements related to aircraft automation have also presented critical challenges to commercial aviation. During times of high demand and low supply of experienced pilots (which is today the case in South-East Asia, for instance), basic training in manual flight may be minimal and as low as a few hundred flight hours on light aircraft before beginning training on advanced, highly automated aircraft. Predominant use of automation may cause aircrew trained in this way to have trouble performing traditionally simple operations such as manually switching to other runways or overriding the autopilot in tight situations. Inadequate crew training andor experience coupled with attempted manual flight in highly automated airplanes may more easily lead to loss of aircraft control in unusual situations such as high-altitude stallsupsets, traffic avoidance or maneuvering. Loss of basic piloting skills through increasing dependence on automation may exacerbate this problem. Finally, design changes by nature take a long time and are very costly. Incorporating novel automated functionality into new aircraft designs is technically feasible and desirable. However, it may take many years for these changes to have a significant impact on tomorrows fleet, given the time it takes to develop a new aircraft and for these aircraft to become a significant fraction of the fleet. This paper will review and summarize the findings and recommendations from a 2004 study of the topic, Increasing reliance on flight deck automation conducted by the Future Aviation Safety Team at the behest of the Joint Safety Strategy Initiative (JSSI) within the Joint Aviation Authorities (JAA) organization that existed at the time. Although this study was conducted more than ten years ago, its findings and recommendations are as relevant now as then and into the future.

safety↗
DOE OSTI2021

The U.S. Accident Tolerant Fuels Program — Update on a National Initiative

In 2012 the U.S. Congress directed the Department of Energy’s (DOE) Office of Nuclear Energy to give priority to developing enhanced fuels and cladding for light water reactors to improve safety in the event of accidents in the reactor or spent fuel pools. DOE developed a plan with a goal to insert a Lead Test Assembly (LTA) into a commercial light water reactor by the end of FY 2022. Three of the leading commercial nuclear fuel vendors, in concert with several participating commercial nuclear utilities, are now seriously engaged in this initiative and have exceeded initial expectations by having met DOE’s goal this year, three years ahead of schedule. The early successes of the ATF program are due in part to a strong collaboration by the DOE national laboratories with both commercial nuclear fuel vendors and the U.S. Nuclear Regulatory Commission. This undertaking has recently been expanded to incorporate an effort to extend burnup from the current U.S. regulatory limit of 62 GWD/MTU and increase enrichment as necessary to support routine utilization of fuel at >75 GWD/MTU. This effort provides a critical economic incentive to accelerate the deployment of ATF technologies. This paper reviews the DOE-sponsored, industry-led ATF concepts currently under development and highlights the contributions made by the DOE laboratories in support of these ATF concepts, including: 1) steady-state irradiation testing in the Advanced Test Reactor (ATR) and High Flux Isotope Reactor (HFIR); 2) transient irradiation testing in the Transient Reactor Test Facility (TREAT); 3) fabrication process development and characterization of high density fuels, Cr-coated Zry cladding, FeCrAl cladding, and SiC cladding; and 4) post-irradiation examination of lead test rods irradiated in commercial reactors.

Goldner, Frank J.↗