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At least 145 records · Page 8
All sourcesNASA NTRSDOE OSTI
NASA NTRS2002

Predicting System Accidents with Model Analysis During Hybrid Simulation

Standard discrete event simulation is commonly used to identify system bottlenecks and starving and blocking conditions in resources and services. The CONFIG hybrid discrete/continuous simulation tool can simulate such conditions in combination with inputs external to the simulation. This provides a means for evaluating the vulnerability to system accidents of a system's design, operating procedures, and control software. System accidents are brought about by complex unexpected interactions among multiple system failures , faulty or misleading sensor data, and inappropriate responses of human operators or software. The flows of resource and product materials play a central role in the hazardous situations that may arise in fluid transport and processing systems. We describe the capabilities of CONFIG for simulation-time linear circuit analysis of fluid flows in the context of model-based hazard analysis. We focus on how CONFIG simulates the static stresses in systems of flow. Unlike other flow-related properties, static stresses (or static potentials) cannot be represented by a set of state equations. The distribution of static stresses is dependent on the specific history of operations performed on a system. We discuss the use of this type of information in hazard analysis of system designs.

Malin, Jane T.↗
NASA NTRS2011

An Examination of Commercial Aviation Accidents and Incidents Related to Integrated Vehicle Health Management

The Integrated Vehicle Health Management (IVHM) Project is one of the four projects within the National Aeronautics and Space Administration's (NASA) Aviation Safety Program (AvSafe). The IVHM Project conducts research to develop validated tools and technologies for automated detection, diagnosis, and prognosis that enable mitigation of adverse events during flight. Adverse events include those that arise from system, subsystem, or component failure, faults, and malfunctions due to damage, degradation, or environmental hazards that occur during flight. Determining the causal factors and adverse events related to IVHM technologies will help in the formulation of research requirements and establish a list of example adverse conditions against which IVHM technologies can be evaluated. This paper documents the results of an examination of the most recent statistical/prognostic accident and incident data that is available from the Aviation Safety Information Analysis and Sharing (ASIAS) System to determine the causal factors of system/component failures and/or malfunctions in U.S. commercial aviation accidents and incidents.

Reveley, Mary S.↗
NASA NTRS2020

Information Management to Mitigate Loss of Control Airline Accidents

Loss of control inflight continues to be the leading contributor to airline accidents worldwide and unreliable airspeed has been a contributing factor in many of these accidents. Airlines and the FAA developed training programs for pilot recognition of these airspeed events and many checklists have been designed to help pilots troubleshoot. In addition, new aircraft designs incorporate features to detect and respond in such situations. NASA has been using unreliable airspeed events while conducting research recommended by the Commercial Aviation Safety Team. Even after significant industry focus on unreliable airspeed, research and other evidence shows that highly skilled and trained pilots can still be confused by the condition and there is a lack of understanding of what the associated checklist(s) attempts to uncover. Common mode failures of analog sensors designed for measuring airspeed continue to confound both humans and automation when determining which indicators are correct. This paper describes failures that have occurred in the past and where/how pilots may still struggle in determining reliable airspeed when confronted with conflicting information. Two latest generation aircraft architectures will be discussed and contrasted. This information will be used to describe why more sensors used in classic control theory will not solve the problem. Technology concepts are suggested for utilizing existing synoptic pages and a new synoptic page called System Interactive Synoptic (SIS). SIS details the flow of flight critical data through the avionics system and how it is used by the automation. This new synoptic page as well as existing synoptics can be designed to be used in concert with a simplified electronic checklist (sECL) to significantly reduce the time to configure the flight deck avionics in the event of a system or sensor failure.

Etherington, Timothy J.↗
NASA NTRSDate not supplied

Analyses of the Boeing 737-MAX Accidents: Formal Models and Psychological Perspectives

Two fatal accidents involving the B737MAX resulted from the flight crews’ inability to overcome the effects of the Maneuvering Characteristics Augmentation System (MCAS). MCAS was designed to mimic the control column feel pressure and pitching behavior of the B737NG, which was the certification basis for the B737MAX. We briefly describe the potential role of formally modeling different perspectives during system design, and how such modeling can reveal gaps and conflicts between perspectives. We also discuss some of the relevant human factors issues involved in these accidents and how the aircraft’s behavior may have affected the pilots’ psychological states. Implications for automation design are considered.

5737MAX↗
NASA NTRS2017

Analysis of Alerting System Failures in Commercial Aviation Accidents

The role of an alerting system is to make the system operator (e.g., pilot) aware of an impending hazard or unsafe state so the hazard can be avoided or managed successfully. A review of 46 commercial aviation accidents (between 1998 and 2014) revealed that, in the vast majority of events, either the hazard was not alerted or relevant hazard alerting occurred but failed to aid the flight crew sufficiently. For this set of events, alerting system failures were placed in one of five phases: Detection, Understanding, Action Selection, Prioritization, and Execution. This study also reviewed the evolution of alerting system schemes in commercial aviation, which revealed naive assumptions about pilot reliability in monitoring flight path parameters; specifically, pilot monitoring was assumed to be more effective than it actually is. Examples are provided of the types of alerting system failures that have occurred, and recommendations are provided for alerting system improvements.

aviation accidents↗
NASA NTRS1974

Review of hydrogen accidents and incidents in NASA operations

Safety, as a major factor in the development of a power economy based on hydrogen produced by nuclear- or solar-energy operated water electrolysis, is considered in terms of the safety problems involved in the production, handling, transportation, and use of liquid and gaseous hydrogen. These problems are reviewed through the records of accidents and incidents that have occurred in the development and operation of NASA's propulsion and power systems. Areas of research and development are suggested for increased safety and for the development of techniques to reduce the consequences of any mishaps.

Ordin, P. M.↗
NASA NTRS1976

Accident investigation: Analysis of aircraft motions from ATC radar recordings

A technique was developed for deriving time histories of an aircraft's motion from air traffic control (ATC) radar records. This technique uses the radar range and azimuth data, along with the downlinked altitude data (from an onboard Mode-C transponder), to derive an expanded set of data which includes airspeed, lift, thrust-drag, attitude angles (pitch, roll, and heading), etc. This method of analyzing aircraft motions was evaluated through flight experiments which used the CV-990 research aircraft and recordings from both the enroute and terminal ATC radar systems. The results indicate that the values derived from the ATC radar records are for the most part in good agreement with the corresponding values obtained from airborne measurements. In an actual accident, this analysis of ATC radar records can complement the flight-data recorders, now onboard airliners, and provide a source of recorded information for other types of aircraft that are equipped with Mode-C transponders but not with onboard recorders.

Wingrove, R. C.↗
NASA NTRS1979

Comparative analysis of PA-31-350 Chieftain (N44LV) accident and NASA crash test data

A full scale, controlled crash test to simulate the crash of a Piper PA-31-350 Chieftain airplane is described. Comparisons were performed between the simulated crash and the actual crash in order to assess seat and floor behavior, and to estimate the acceleration levels experienced in the craft at the time of impact. Photographs, acceleration histories, and the tested airplane crash data is used to augment the accident information to better define the crash conditions. Measured impact parameters are presented along with flight path velocity and angle in relation to the impact surface.

Hayduk, R. J.↗