Search NASA⌕ Search

SEARCH · Search NASA

Results for “ACCIDENT INVESTIGATIONS”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 307 records · Page 17
All sourcesNASA NTRSDOE OSTI
NASA NTRS1981

Application of the epidemiological model in studying human error in aviation

An epidemiological model is described in conjunction with the analytical process through which aviation occurrence reports are composed into the events and factors pertinent to it. The model represents a process in which disease, emanating from environmental conditions, manifests itself in symptoms that may lead to fatal illness, recoverable illness, or no illness depending on individual circumstances of patient vulnerability, preventive actions, and intervention. In the aviation system the analogy of the disease process is the predilection for error of human participants. This arises from factors in the operating or physical environment and results in errors of commission or omission that, again depending on the individual circumstances, may lead to accidents, system perturbations, or harmless corrections. A discussion of the previous investigations, each of which manifests the application of the epidemiological method, exemplifies its use and effectiveness.

Cheaney, E. S.↗
NASA NTRS1980

A study of stall deterrent systems for general aviation aircraft

Stall deterrent concepts for general aviation aircraft have been investigated using simulation studies and flight test experiments. It was found that the simulator was suitable for the development of deterrent system concepts, but the simulator was unacceptable for pilot evaluation of system effectiveness under typical stall/spin accident conditions. A Cessna 319 was outfitted with sensors, servoactuators, and analog control logic necessary to investigate a wide range of stall deterrent systems. It was found that an acoustic stall sensor and an error control law were sufficient for stall deterrence. The pitch intervention control system prevented aircraft stall for all aircraft configurations and pilot inputs. The variable up elevator stop concept was found to be effective for slow decelerations to aircraft stall. The stall deterrent systems were evaluated by four professional pilots and three low time pilots.

Bennett, A. G.↗
NASA NTRS1991

Flight Checklists And Interruptions

Report examines relation between performances of flight checklists and interruptions. Based on study of simulated flights of Boeing 707 Airplane. During each flight series of overlapping problems introduced. Study investigated patterns of communication that in carrying out checklists, may contribute to accidents. Showed good crews had high continuity in following checklists and it is not number of interruptions but rather duration of interruptions associated with quality of performance. Suggests greater burden placed on memory by one long interruption than by several short ones.

Linde, C.↗
NASA NTRSDate not supplied

Moss Tolerance of Deep Space-Like Ionizing Radiation, Singular or Combined With Spaceflight Microgravity-Preparation for the BRIC-27 Experiment to the ISS

Understanding how terrestrial life perceives and tolerates deep space environments is essential to advancing human space exploration missions and searching for life beyond our solar system. Throughout evolution moss adapted to living in extreme environments from the edge of habitability. Moss inhabits areas with high UVB/UVC photon levels such as polar regions subject to ozone holes, high elevation mountain environments, and sites with elevated ionizing particle levels such as those found at nuclear plant accident sites, atomic bomb test sites or radioactive element-rich regions. We investigate if moss tolerance of ionizing radiation encounter terrestrially extends to resistance to deep space ionizing radiation. We exposed moss to high energy ion beams simulating Galactic Cosmic Ray (GCRSim) and Solar Particle Event (SPESim) (NSRL, BNL) that permeate deep space, and moss was unharmed. We also exposed moss to high doses of gamma rays as released in astrophysical events, and moss survived absorption of extremely high doses. Next, we ask if moss tolerance of deep space-like ionizing radiation observed terrestrially differs from that in other deep space environments. In the upcoming BRIC-27 spaceflight experiment we will sequentially expose Antarctic moss C.purpureus to GCRSim and SPESim followed by exposure to spaceflight microgravity and compare gene expression profiles in deep space-like ionizing radiation, singular or combined with spaceflight microgravity. Additionally, we will compare gene expression profiles in spaceflight microgravity, singular or combined with deep space-like ionizing radiation. Hence, BRIC-27 will advance our understanding of the combined effects of both deep space ionizing radiation and microgravity, which may have different and more profound effects on plant physiology and performance than each condition separately.

Agata Klaudia Zupanska↗
NASA NTRS2004

Investigation Organizer

Contents include the folloving:Overview of the Application; Input Data; Analytical Process; Tool's Output; and Application of the Results of the Analysis.The tool enables the first element through a Web-based application that can be accessed by distributed teams to store and retrieve any type of digital investigation material in a secure environment. The second is accomplished by making the relationships between information explicit through the use of a semantic network-a structure that literally allows an investigator or team to "connect -the-dots." The third element, the significance of the correlated information, is established through causality and consistency tests using a number of different methods embedded within the tool, including fault trees, event sequences, and other accident models. And finally, the evidence gathered and structured within the tool can be directly, electronically archived to preserve the evidence and investigative reasoning.

Panontin, Tina↗
NASA NTRS1983

Feasibility study of a procedure to detect and warn of low-level wind shear

The wind shear program is directed toward investigating the effects of wind shear on aerodynamic performance. Combining the Joint Airport Weather Studies wind shear data with the B-57B gust gradient data, the transient scales of motion involved in wind shear aircraft accidents or mishaps are being identified. The effect of variable winds having these time scales on the aerodynamic coefficients of moist airfoils were fully investigated. Transient and spatial variation of flow over the airfoil may cause premature stall or hysteresis effects which significantly impact the lift and drag (i.e., aerodynamic coefficients). Analysis of airfoil performance subject to 4-D variable flows will be carried out.

Frost, W.↗
NASA NTRS1990

Analysis of the National Transonic Facility mishap

The nonlinear dynamic finite element code DYnamic Crash Analysis of STructures (DYCAST) was used to model an accident scenario that occurred at the National Transonic Facility (NTF) wind tunnel. A post mishap investigation revealed that a total of five upstream bulkhead fairing plates were missing, three in one location and two in another. These plates were drawn into the wind tunnel's composite fan blades causing extensive damage. A DYCAST model was developed to determine if one-half of a small thermal shield flange clamp, weighing approximately 2.7 lbs., could have spun off the NTF drive shaft and impacted the bulkhead fairing plates with sufficient energy to cause failure of the attachment bolts. The clamp was presumed to have spun off at a tangent from the NTF drive shaft at a velocity of 1624 in/sec (drive shaft rotating at 580 rpm). The DYCAST analytical model predicts that impact of the 2.7 lbs projectile failed all of the bolts in two of the fairing plates allowing them to escape from the bulkhead ring with a low velocity of a few in/sec.

Fasanella, Edwin L.↗
NASA NTRS1993

Atmospheric entry of Mars-return nuclear-powered vehicles due to accidental termination of operations

The entry of nuclear reactors into Earth's atmosphere resulting from an accidental or inadvertent abort of a space vehicle powered by nuclear-thermal rockets is investigated. The study is made for a typical piloted Mars mission vehicle incapacitated by an accident or malfunction during the Earth-arrival phase of the Mars-return journey due to simultaneous, multiple failures of its component systems. A single accident/abort scenario resulting in three entry possibilities is considered for a nominal hyperbolic in-bound approach velocity of 8 km/sec. The most severe case involving a direct entry is then analyzed over a broad range of approach velocities extending to 12 km/sec to include sprint-type missions. The results indicate that the severe surface heating, stagnation pressures, and g-loads are greater than 150 kW/sq cm, 300 atm, and 800-g, respectively. The wall heat transfer rate exceeds the value that can be accommodated by a carbon heatshield through radiation equilibrium prior to sublimation at 5500 K. These conditions are beyond our previous experience in crew safety, structural design, and thermal protection.

Menees, Gene P.↗
NASA NTRS1929

Fire prevention on airplanes. Part II

This part of the report presents a detailed examination of spark prevention, fire extinguishers, and fuel tank location and design. A continued program of investigations and research is also proposed.

FIRE PREVENTION↗
NASA NTRS2026

NASA Talks: Space Shuttle Columbia - Lessons Learned: Columbia Reconstruction, Investigation, Causes and Key Takeaways

On February 25, 2026, this NASA Talk was held regarding the Space Shuttle Columbia (Columbia Launch & Recovery, Columbia Reconstruction, Investigation, Causes & Key Takeaways). Crew & Thermal System Division (EC) partnered with Kennedy Space Center (KSC) and Engineering Directorate (EA) to bring these talks to Johnson Space Center (JSC) centering on what led up to and transpired after the Space Shuttle Columbia accident. Some recovered debris was on exhibit during the talks. NASA Mishap Program Specialist David Erickson presented this talk. Mr. Erickson supports NASA mishap investigations and assists with the development of NASA's new Columbia Learning Center at KSC. This talk was timely and a solemn reminder of the critical importance of diligence, safety, and excellence in our work. EA Director Julie Kramer White welcomed the 400+ center-wide in-person audience, and EC Division Chief Rubik Sheth introduced the speakers. This event was held in the JSC Teague Auditorium, recorded, and executed by the EC in-house STAR Productions team. This record includes an mp4 video with a run time of 32 min. 31 sec.; in color; with sound.

NASA Talks↗
NASA NTRS2007

X-31 Mishap: Lessons Learned

The experimental X-31 High Angle of Attack Research Aircraft crashed during a 1995 test mission flight conducted by NASA at Edwards Air Force Base, California. The pilot lost control of the airplane and was forced to eject, sustaining a permanent back injury that ended his flying career. Prior to this incident the airplane had a perfect record of several hundred non-eventful flights supported by an experienced team. During the subsequent investigation by a mishap committee it was discovered that a series of cascading events contributed to this accident. Some of the identified contributing factors that resulted in this mishap are common to aircraft design and to flight-test in general. The mistakes and the solutions are presented here so that the flight-test community may consider and learn from them. The primary cause of the crash was icing and, ultimately, a complete blockage of the pitot-static nose probe. The icing was caused by a freak weather phenomenon that was neither expected nor known to exist on the day of the mishap. The normal probe had been replaced with a special Kiel probe to allow total pressure measurements of up to 70 degrees angle of attack for flight-test purposes. The Kiel probe did not include a heater, because it was assumed that the airplane would not be flown in the clouds or in conditions conducive to icing. This assumption was later proven to be incorrect. The iced Kiel probe caused incorrect gain scheduling in the flight control system, resulting in an unstable aircraft. This failure was essentially undetected because of a faulty design in the flight control system architecture. There were, however, also a number of other issues that lead up to this situation that never should have happened. This presentation discusses what the issues were that contributed to the incident. After the incident was investigated, some of these issues were addressed and some changes were made. The second X-31 aircraft flew the remainder of the flight tests, and the program was successfully completed without incident. This presentation also shows a video of the mishap including lessons learned, and the changes that were made to resume the flight-test program are presented.

Larson, Richard R.↗
NASA NTRS1971

The practical application of mishap data in Army aircraft system safety programs

The means are discussed by which the the United States Army Board for Aviation Accident Research (USABAAR) now utilizes the vast store of historical accident data in the application of the system safety concept for developmental aircraft. USABAAR serves as the central agency for the Army Accident Prevention Program which includes the receipt, processing, and analysis of all data and information related to Army aircraft accident experience. It is pointed out that methods which served the cause of accident prevention so well in the past are no longer adequate and that traditional parameters used to measure mishap experience have become obsolete. USABAAR has developed, and recently put into use, completely revised accident reporting forms which greatly expand the scope and detail of information provided as a result of investigation. This and other factors which have resulted in an improved data system are discussed in detail.

James T. Darrah, Jr↗
NASA NTRS2016

Evaluation of Observed and Modelled Aerosol Lifetimes Using Radioactive Tracers of Opportunity and an Ensemble of 19 Global Models

Aerosols have important impacts on air quality and climate, but the processes affecting their removal from the atmosphere are not fully understood and are poorly constrained by observations. This makes modelled aerosol lifetimes uncertain. In this study, we make use of an observational constraint on aerosol lifetimes provided by radionuclide measurements and investigate the causes of differences within a set of global models. During the Fukushima Dai-Ichi nuclear power plant accident of March 2011, the radioactive isotopes cesium-137 (Cs-137) and xenon-133 (Xe-133) were released in large quantities. Cesium attached to particles in the ambient air, approximately according to their available aerosol surface area. Cs-137 size distribution measurements taken close to the power plant suggested that accumulation mode (AM) sulfate aerosols were the main carriers of cesium. Hence, Cs-137 can be used as a proxy tracer for the AM sulfate aerosol's fate in the atmosphere. In contrast, the noble gas Xe-133 behaves almost like a passive transport tracer. Global surface measurements of the two radioactive isotopes taken over several months after the release allow the derivation of a lifetime of the carrier aerosol. We compare this to the lifetimes simulated by 19 different atmospheric transport models initialized with identical emissions of Cs-137that were assigned to an aerosol tracer with each model's default properties of AM sulfate, and Xe-133 emissions that were assigned to a passive tracer. We investigate to what extent the modelled sulfate tracer can reproduce the measurements, especially with respect to the observed loss of aerosol mass with time. Modelled Cs-137and Xe-133 concentrations sampled at the same location and times as station measurements allow a direct comparison between measured and modelled aerosol lifetime. The e-folding lifetime e, calculated from station measurement data taken between 2 and 9 weeks after the start of the emissions, is 14.3 days (95% confidence interval 13.1-15.7 days). The equivalent modelled e lifetimes have a large spread, varying between 4.8 and 26.7 days with a model median of 9.42.3 days, indicating too fast a removal in most models. Because sufficient measurement data were only available from about 2 weeks after the release, the estimated lifetimes apply to aerosols that have undergone long-range transport, i.e. not for freshly emitted aerosol. However, modelled instantaneous lifetimes show that the initial removal in the first 2 weeks was quicker (lifetimes between 1 and 5 days) due to the emissions occurring at low altitudes and co-location of the fresh plume with strong precipitation. Deviations between measured and modelled aerosol lifetimes are largest for the northernmost stations and at later time periods, suggesting that models do not transport enough of the aerosol towards the Arctic. The models underestimate passive tracer (Xe-133) concentrations in the Arctic as well but to a smaller extent than for the aerosol (Cs-137) tracer. This indicates that in addition to too fast an aerosol removal in the models, errors in simulated atmospheric transport towards the Arctic in most models also contribute to the underestimation of the Arctic aerosol concentrations.

Radioactive isotopes↗
NASA NTRS2026

NASA Talks: Space Shuttle Columbia - Lessons Learned

On February 25, 2026, two NASA Talks were held regarding the Space Shuttle Columbia (Columbia Launch & Recovery, Columbia Reconstruction, Investigation, Causes & Key Takeaways). Crew & Thermal System Division (EC) partnered with Kennedy Space Center (KSC) and Engineering Directorate (EA) to bring these talks to Johnson Space Center (JSC) centering on what led up to and transpired after the Space Shuttle Columbia accident. Some recovered debris was on exhibit during the talks. NASA Mishap Program Specialist David Erickson and retired NASA Columbia Vehicle Manager Scott Thurston presented these talks. Mr. Erickson supports NASA mishap investigations and assists with the development of NASA's new Columbia Learning Center at KSC. Mr. Thurston brought a wealth of knowledge from his mission experience. These talks were timely and a solemn reminder of the critical importance of diligence, safety, and excellence in our work. EA Director Julie Kramer White welcomed the 400+ center-wide in-person audience, and EC Division Chief Rubik Sheth introduced the speakers. This event was held in the JSC Teague Auditorium, recorded, and executed by the EC in-house STAR Productions team.

Space Shuttle Columbia↗
NASA NTRS1983

A simulation study of the low-speed characteristics of a light twin with an engine-out

Potential safety advantages provided by the two engines on a light twin aircraft are not realized in practice as evidenced by recent engine-failure accident statistics. These statistics showed twice the fatality rate from engine failure for twins as for single-engine aircraft. The statistics showed also that one-half of the fatal engine-out accidents involved a stall. An improvement of the low-speed engine-out characteristics is, therefore, needed. An investigation of the engine-out characteristics of light twin-engine aircraft is currently being conducted as part of the comprehensive stall/spin program for general aviation aircraft. The present study is concerned with the first phase of this program. The primary objective of this study is to advance the understanding of the basic flight dynamics and piloting problems for an engine-out condition. An all-digital computer system was used in the conducted simulation study.

Stewart, E. C.↗
NASA NTRS2004

CFD Support for STS-107 Ascent Investigation

The research described in this viewgraph presentation investigates the ascent of STS-107 and foam-debris impact, and contributes to understanding of the STS-107 accident using CFD tools. The goals of the research are to: 1) Quantify loads on foam bipod ramp during ascent; 2) Provide steady-state flow-fields to debris-transport simulations; 3) Simulate flight of foam debris using unsteady six-degree-of-freedom calculations; 4) Provide estimates of foam mass, velocity, and impact angle which correlate with video and film evidence.

Rogers, Stuart E.↗
NASA NTRS1980

An investigation of possible electrical hazards of carbon fiber composites

Results of an assessment of the public risk associated with the release of carbon fibers from crash-fire accidents of civil aircraft having carbon composite structures are presented. The overall national impact is shown to be extremely low in 1993. Personal injury is found to be extremely unlikely. Based on these findings, the risk of electrical failure from carbon fibers should not prevent the exploitation of composites in aircraft, and additional protection of aircraft avionics to guard aginst carbon fibers is unnecessary.

Huston, R. J.↗