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Review of Significant Incidents and Close Calls in Human Spaceflight from a Human Factors Perspective

This project aims to identify poor human factors design decisions that led to error-prone systems, or did not facilitate the flight crew making the right choices; and to verify that NASA is effectively preventing similar incidents from occurring again. This analysis was performed by reviewing significant incidents and close calls in human spaceflight identified by the NASA Johnson Space Center Safety and Mission Assurance Flight Safety Office. The review of incidents shows whether the identified human errors were due to the operational phase (flight crew and ground control) or if they initiated at the design phase (includes manufacturing and test). This classification was performed with the aid of the NASA Human Systems Integration domains. This in-depth analysis resulted in a tool that helps with the human factors classification of significant incidents and close calls in human spaceflight, which can be used to identify human errors at the operational level, and how they were or should be minimized. Current governing documents on human systems integration for both government and commercial crew were reviewed to see if current requirements, processes, training, and standard operating procedures protect the crew and ground control against these issues occurring in the future. Based on the findings, recommendations to target those areas are provided.

Silva-Martinez, Jackelynne↗

International Data Collaboration for Risk-Based Safety and Mission Assurance

Some of the topics being discussed during this presentation are How things are being collaborating now, the Benefits from more data collaboration, the Opportunities for data collaboration and How can they share data. Additional information will be discussed through out the presentation slide deck.

Fischer, Gerd M.↗

Gateway Program Safety And Mission Assurance Integration - The Future Of Safe Deep Space Human Exploration

This next wave of lunar exploration will be fundamentally different than the past. The goal today is long term human presence in Earth orbit, exploration around the Moon, exploration anywhere on the Moon, and challenging exploration missions beyond the Moon. Sustainability is the key to enabling human expansion across the solar system and bringing back to Earth new knowledge and opportunities, and requires the early engagement of scientific, international, and U.S. commercial interests, innovations, and new approaches. The Gateway’s agile acquisition strategy will shape the entire system life cycle, from design and analysis through production, verification, launch, logistics and operations. This strategy will encourage new ways of doing business to accommodate new techniques, technologies and approaches; improving affordability and maximizing Gateway utility. The full range of acquisition authorities and contracting mechanisms available to NASA will be considered and appropriately tailored in response to the unique demands of each procurement activity. Gateway will provide scientific and research benefits, in addition to providing a sustainable staging location for crewed lunar surface landings and technology demonstrations that help NASA develop the knowledge and technology needed for Mars missions. These payloads are expected to provide operational and scientific benefit for the duration of their stay on Gateway, as the hardware will provide data during the transit to the Gateway and while in lunar orbit as changes in solar activity occur over time. Gateway is designed to support a variety of utilization activities during both crewed and uncrewed periods and is planned for continuous operations throughout its lifetime. These operations include demonstrating key exploration capabilities in a relevant deep space environment, conducting science beyond the influence of Earth, and providing opportunities for Gateway partners and customers for deep space exploration. Located in cislunar orbit, the Gateway capabilities can be further leveraged to enhance lunar and Mars exploration. With the Gateway and other elements of the Artemis Program, NASA is encouraging new ways of doing business to accommodate new techniques, technologies and approaches, consider affordability, and encourage innovation from U.S. industry.

Helen Vaccaro↗

Gateway Program Safety and Mission Assurance IAASS Conference Keynote Presentation

This next wave of lunar exploration will be fundamentally different than the past. The goal today is long term human presence in Earth orbit, exploration around the Moon, exploration anywhere on the Moon, and challenging exploration missions beyond the Moon. Sustainability is the key to enabling human expansion across the solar system and bringing back to Earth new knowledge and opportunities, and requires the early engagement of scientific, international, and U.S. commercial interests, innovations, and new approaches. The Gateway’s agile acquisition strategy will shape the entire system life cycle, from design and analysis through production, verification, launch, logistics and operations. This strategy will encourage new ways of doing business to accommodate new techniques, technologies and approaches; improving affordability and maximizing Gateway utility. The full range of acquisition authorities and contracting mechanisms available to NASA will be considered and appropriately tailored in response to the unique demands of each procurement activity. Gateway will provide scientific and research benefits, in addition to providing a sustainable staging location for crewed lunar surface landings and technology demonstrations that help NASA develop the knowledge and technology needed for Mars missions. These payloads are expected to provide operational and scientific benefit for the duration of their stay on Gateway, as the hardware will provide data during the transit to the Gateway and while in lunar orbit as changes in solar activity occur over time. Gateway is designed to support a variety of utilization activities during both crewed and uncrewed periods and is planned for continuous operations throughout its lifetime. These operations include demonstrating key exploration capabilities in a relevant deep space environment, conducting science beyond the influence of Earth, and providing opportunities for Gateway partners and customers for deep space exploration. Located in cislunar orbit, the Gateway capabilities can be further leveraged to enhance lunar and Mars exploration. With the Gateway and other elements of the Artemis Program, NASA is encouraging new ways of doing business to accommodate new techniques, technologies and approaches, consider affordability, and encourage innovation from U.S. industry.

Terri Castillo↗

Workshop on the Role of Design Assurance in System-Wide Safety’s Safety Demonstrator Series

This report summarizes a three-hour hybrid in-person/online workshop on June 7, 2024 on the topic of design assurance and the Safety Demonstrator Series (SDS), which was held at NASA Ames Research Center. The SDS provides an operational demonstration of, and recommendations for, requirements and standards necessary to monitor, assess, and mitigate risks to assure safety in disaster-oriented operations. Over sixty NASA personnel participated in the workshop. Four main topics were discussed: (1) assurance needs for the Safety Demonstrator Series, (2) assurance and the In-Time Aviation Safety Management System (IASMS), (3) in-time assurance: existing efforts and future opportunities, and (4) demonstrating assurance tools in the Safety Demonstrators. Key takeaways are as follows: 1. Design assurance tools can be used to assure an In-Time Aviation Safety Management System, the systems that comprise it, and other systems or missions. Assurance must consider both systems and components and include the interactions between elements in both a systems/aircraft context and a systems-of-systems/airspace context. 2. Design-time assurance activities can support the identification of monitors needed for operational assurance activities (i.e., the “monitor” function in the monitor-assess-mitigate paradigm at the heart of the IASMS concept). 3. A major opportunity for design-time assurance tools to contribute to the IASMS concept is to support rapid re-validation of systems. This will be particularly important for (1) supporting novel operations in the IASMS, where operational data may disprove design-time assumptions (motivating re-analysis of system safety) and (2) adapting technologies (e.g., AI/ML for autonomous operations) to new operational domains, where there may be new or different safety considerations not included in the initial scope of operations. 4. There are several design assurance tools under development in the System-Wide Safety project that can support assurance of Services, Functions, and Capabilities (SFCs) in the Safety Demonstrators. Transitioning these tools from one-off research projects into a functioning part of IASMS assurance will require closer integration between these tools. 5. It is not clear whether the role of design assurance tools is primarily as a part of IASMS architecture or as an external check on IASMS. The workshop consisted of four discussion topics initiated via four lightning talks by System-Wide Safety researchers. Discussions utilized Mural to engage both in-person and online participants in the hybrid format. Polls and surveys were also utilized to gather participant input. The workshop closed with a reflection activity for participants, as well as new ideas for collaboration and coordination of ongoing System-Wide Safety research.

design assurance↗

NASA’s Safety, Reliability, and Mission Assurance Digital Future

The evolution from “document-centric” to “data-centric” and “model-centric” information leveraging structured data and model-based approaches is at the heart of digital engineering transformational efforts underway across industry and government. It is these approaches that pave the way for data lakes, Authoritative Sources of Truth (ASOTs), and systems- of-systems interoperability and the corresponding transformational benefits thereof. Such benefits include increased data availability, data access equity, data traceability, real-time analytics, batch analytics, and (most importantly) acceleration of the time-to-value and time-to-insights associated with engineering products and analyses. The longer-term benefits of reusability, customization and traceability are even more promising. For Safety and Mission Assurance (SMA), and Mission Success (SMS) activities; realization of such benefits is essential to provide engineers and analysts alike vital information when needed to support critical decision making throughout the entire life cycle. The SMA community often operate in parallel with engineering activities, for which information exchange with relevant context is paramount. Far too often, such information lags key decision points and/or is absent of the robust, integrated, knowledge needed, given inherent barriers associated with traditional document-centric means to data sharing, analysis, and reporting. This paper provides an overview of how NASA’s Office of Safety and Mission Assurance (OSMA) is evolving its policies, standards, guidance, and training to transform to eliminate such barriers, thus realizing the benefits emerging in this new digital era. A roadmap for achieving this digital future is presented along with key building blocks involving use and implementation of concepts such as: Objectives-Hierarchies, Objective-Driven Requirements, Accepted Standards, Safety and Assurance Cases, data digitization (i.e., ontologies, structured data, and model-centric data), FAIR (Findable, Accessible, Interoperable, & Reusable) and/or FAIRUST (Findable, Accessible, Interoperable, Reusable, Understandable, Secure, and Trusted) principles [1]. This paper also describes how OSMA, leveraging the Agency’s overall commitment to Digital Transformation (DT), is using the power of Policy, “Digital” Domain representation, Product Evolution, and Community Outreach and Engagement as part of a strategic vision and roadmap to evolve and transform its SMA organizations to become better able to serve its stakeholders and customers. Future publications will elaborate on these building blocks and deeper concepts.

Authoritative Source of Truth (ASOT),↗

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↗

Safety, Reliability, and Quality Assurance Provisions for the Office of Aeronautics, Exploration and Technology Centers

This Handbook establishes general safety, reliability, and quality assurance (SR&QA) guidelines for use on flight and ground-based projects conducted at the Ames, Langley, and Lewis Research Centers, hereafter identified as the Office of Aeronautics, Exploration and Technology (OAET) Centers. This document is applicable to all projects and operations conducted at these Centers except for those projects covered by more restrictive provisions such as the Space Shuttle, Space Station, and unmanned spacecraft programs. This Handbook is divided into two parts. The first (Chapters 1 and 2) establishes the SR&QA guidelines applicable to the OAET Centers, and the second (Appendices A, B, C, and D) provides examples and definitions for the total SR&QA program. Each center should implement SR&QA programs using these guidelines with tailoring appropriate to the special projects conducted by each Center. This Handbook is issued in loose-leaf form and will be revised by page changes.

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