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All sourcesNASA NTRSDOE OSTI
NASA NTRS2019

Challenges and Opportunities of International Cooperation for Safety & Mission Assurance (SMA) on the European Service Module (ESM) of the Orion Program

ESA is providing the ESM to NASA for the Orion Program in accordance with the Implementing Arrangement (IA) established between the two Agencies in 2012. This IA is a barter agreement, in which ESA provides Service Module vehicles for the first two flights of Orion in exchange for two servicing missions to the ISS. This arrangement has provided opportunities and challenges to both communities. It represents an important opportunity for ESA to build on its experience in the development and operations of ATV and play an active role in the development and flight of a manned space vehicle. This paper will explore some of the unique aspects of this arrangement as it affects Safety & Mission Assurance (SMA).The assessment of ESM compliance with applicable safety requirements is the responsibility of the Joint Safety and Engineering Review Panel (JSERP). The JSERP has two features that are relatively unique amongst NASA safety panels. First, NASA Engineering and SMA organizations co-chair this Panel. Previously, Safety has chaired, with Engineering as a member of the Panel. Inclusion of Engineering as a co-chair has offered greater leverage within the technical community. Second, the JSERP includes a second set of co-chairs from ESA Engineering and ESA Product Assurance and Safety (PA/S) organizations. This recognizes the international arrangement as one of partnership.Another source of both opportunity and challenge is the differing experience base of ESA and NASA. NASA has decades of experience in manned spaceflight, dating back to the Mercury program and following through Gemini, Apollo, Apollo-Soyuz, Skylab, Shuttle and the International Space Station. The risk posture for manned missions is much more rigorous than for unmanned missions. ESA brings a wealth of knowledge as well, with their flights of Ariane and Automated Transfer Vehicle (ATV), development and operation of the Columbus module on ISS, and satellite programs. The result is that both parties have developed paradigms related to risk and failure that contribute to ESM discussions.Orion represents humanity's first venture beyond Low-Earth Orbit (LEO) in over fifty years. Much of that experience is captured in program documents, but first-hand knowledge is limited to a few spaceflight veterans. Missions to LEO have offered the opportunity of direct, near-instantaneous communications and assistance, and the ability to return to Earth within a matter of hours in case of emergency. Outward-bound missions do not have these features and will require a more autonomous spacecraft with attendant safety-related issues.This paper will explore these and other challenges as we approach the flight of the first Orion vehicle.

Ciancone, Michael L.↗
NASA NTRS2019

NASA's Journey to Safety Culture

One of the organizational causes of the Shuttle Columbia mishap found by the Columbia Accident Investigation Board (CAIB) Report was a "Broken Safety Culture". Since its release, NASA has strived to improve its Safety Culture In 2009, the Chief of the Office of Safety and Mission Assurance asked a member of the Air Force Safety Center and of the CAIB for assistance to develop a NASA Safety Culture Program. This presentation describes the journey that NASA personnel has taken developing a NASA Safety Culture Program to "repair" its Safety Culture.

Dillinger, Tracy↗
NASA NTRS2018

FUELEAP Model-Based System Safety Analysis

NASA researchers, in a partnership with Boeing, are investigating a fuel-cell powered variant of the X-57 “Maxwell” Mod-II electric propulsion aircraft, which is itself derived from a stock Tecnam P2006T. The “Fostering Ultra-Efficient Low-Emitting Aviation Power” (FUELEAP) project will replace the X-57 power subsystem with a hybrid Solid-Oxide Fuel Cell (SOFC) system to increase the potential range of the electric-propulsion aircraft while dramatically improving efficiency and emissions over stock internal-combustion engines. Our FUELEAP safety analysis faces two primary challenges. First, the Part 23 certificated Tecnam P2006T is undergoing significant modifications to host the hybrid electric-propulsion system, and the challenge is to assure that the safety inherent in the stock aircraft (and subsequently in X-57 Mod-II) is not compromised by changes in avionics, aircraft structural loading, weight and balance, or other considerations. Secondly, because the SOFC power system has little (if any) relevant in-service precedent, our challenge is to assure that we identify and mitigate all reasonably plausible hazards introduced by unique FUELEAP equipage. We are investigating and utilizing Model-Based Safety Analysis (MBSA) methods to help us address these FUELEAP safety challenges. We captured aircraft-level system hazard conditions using instances of a SysML hazard block via aircraft-level Functional Hazard Analysis (FHA). Then, using SysML models of the FUELEAP architecture, we related the hazard conditions to initiating system events and possible mitigations, such as design architecture modifications or operational constraints. We are continuing to define our approach to MBSA by developing a component-by-component inventory of local failure modes and tracing their possible contribution to hazard conditions. Finally, we are applying an argument-based approach to FUELEAP assurance. Through a FUELEAP “safety case,” we are providing an explicit argument for FUELEAP safety by associating assurance evidence with overarching safety claims through a structured argument.

Woodham, Kurt P.↗
NASA NTRSDate not supplied

Human Interfaces and Management of Information (HIMI) Challenges for “In-time” Aviation Safety Management Systems (IASMS)

The envisioned transformation of the National Airspace System to integrate an In-time Aviation Safety Management System(IASMS)to assure safety in Advanced Air Mobility(AAM)brings unprecedented challenges to the design of human interfaces and management of safety information. Safety in design and operational safety assurance are critical factors for how humans will interact with increasingly autonomous systems. The IASMS Concept of Operations builds from traditional commercial operator safety management and scales in complexity to AAM. The transformative changes in future aviation systems pose potential new critical safety risks with novel types of aircraft and other vehicles having different performance capabilities, flying in increasingly complex airspace, and using adaptive contingencies to manage normal and non-normal operations. These changes compel development of new and emerging capabilities that enable innovative ways for humans to interact with data and manage information. In-creasing complexity of AAM corresponds with use of predictive modeling, data analytics, machine learning, and artificial intelligence to effectively address known hazards and emergent risks. The roles of humans will dynamically evolve in increments with this technological and operational evolution. The interfaces for how humans will interact with increasingly complex and assured systems designed to operate autonomously and how information will need to be presented are important challenges to be resolved.

Lawrence J Prinzel↗
NASA NTRS2023

In-time Safety Management Capabilities for Wildland Fire Management Aircraft Operations - A Gap Assessment

This study assesses the in-time safety management services, functions, and capabilities (SFCs)being investigated by NASA’s System Wide Safety (SWS) project to determine applicability to the project’s planned safety demonstrator (SD-1) for wildland fire management. The purpose of this work is to evaluate how effectively existing SFCs address the different hazards presented by a safety demonstrator operating in a wildland fire management scenario. This will help inform decision makers which SFCs would provide the most cost-effective solutions to fill the hazard gaps for further research. Hazards for the safety demonstrator wildland fire management scenario were collated, and the SFCs were evaluated for each hazard based on how applicable and effective the unmodified SFCs are at addressing the hazard. The SFCs are also evaluated for the gap type that needs to be addressed to improve the SFC effectiveness for the given hazard. The key finding of this assessment is that all the existing SFCs require at least some research and development to adapt to the safety demonstrator. No single SFC fully addresses any of the safety demonstrator operation hazards. The result of this study will be used to determine the performance of current SFCs and suggest strategies to adapt existing SFCs or add new SFCs.

Patricia Revolinsky↗
NASA NTRSDate not supplied

Leveraging Human Performance Data to Change the Narrative that People are the Safety Problem

The study of errors and failure has a long and productive history in the behavioral sciences. By studying how systems fail, we rule out various mechanisms for how those systems might work, thereby refining our theories of how they actually work. Human performance, however, includes more than errors; human performance comprises both failures and successes. A systematic bias to collect and analyze data only on error affects the decisions we make as a community by promoting the narrative that “people are the safety problem.” This narrative manifests in both obvious and subtle ways in the design of systems intended for human use. When the only safety data that are available are about human failure, then “data-driven” designs can only consider that humans fail. Changing this narrative will depend on new data and new ways to examine data – specifically, data on the processes by which human create and contribute to safety. An alternate narrative is that people represent a primary source of safety, through their capability to anticipate, monitor for, respond to, and learn from expected and unexpected change. This presentation will describe research efforts to expand the range of safety-relevant events to include not just rare safety failures but frequent safety successes. These efforts include use of data from both operations and simulations to develop methods and metrics for learning from structured observation, self-report, and system data.

Jon Holbrook↗
NASA NTRSDate not supplied

A Model-Based Systems Engineering Evaluation of the Evolution to an In-Time Aviation Safety Management System

In 2018, as result of a recommendation from the National Academies, NASA began to prototype an In-Time Aviation Safety Management System(IASMS). The purpose of the IASMS is to enable innovative aviation operations and greater heterogeneity of the overall National Airspace (NAS) by automating much of the safety monitoring, assessment, and risk and hazard mitigation functionspresent in today’s Safety Management Systems (SMS). NASA has worked together with early industry collaborators to understand how such a system might work and has published several early Concepts of Operation (ConOps) and other technical memoranda that illustrate the primary considerations for selected aviation domains. The shift from an SMS to an IASMS is predicated on several assumptions, including: 1.) automating safety functions will decrease the amount of time necessary for risk and hazard identification and analysis, making it more likely that safety concerns are understood ‘in-time’ to mitigate them, and 2.) an IASMS will allow easier tailoring of safety management processes to the particular risks and hazards inherent to that aviation operation. In this paper, we begin to validate these assumptions through the use of Model-Based Systems Engineering (MBSE).

In-time Aviation Safety Management System↗
DOE OSTI2025

Non-dimensional performance and safety parameters for heat pipes

The use of heat pipes in safety-critical systems such as nuclear microreactors dictates the development of generalized, practical, scalable performance and safety parameters. Traditional dimensional metrics, while informative, lack the universality required for comparative analysis across varying designs and operating regimes. Here, this work introduces a comprehensive set of non-dimensional parameters to characterize heat pipe performance and safety, including capillary performance, effective thermal conductivity, response time, exergetic efficiency, allowable temperature gradients, allowable rate of temperature change, priming coefficients, and factor of safety. A reference heat pipe design representative of microreactor applications was analyzed via the developed parameters using both traditional analytical models and Sockeye simulations under transient and steady-state conditions. Sodium, potassium, and water were evaluated as working fluids to demonstrate the applicability of the framework across a broad temperature range. The proposed non-dimensional parameters effectively captured key thermal-hydraulic behaviors and safety concerns, as was demonstrated via Sockeye simulations. This framework supports the development of design optimization strategies, operational protocols, and safety assurance practices for advanced reactor systems and other high-reliability applications.

42 - ENGINEERING↗
DOE OSTI2025

Impact of Testing Method on Safety Assessment of Aged Li-Ion Cells: Part II – Aged Cells Without Li Plating

Understanding the safety profile of aged Li-ion batteries is essential for developing effective battery management and hazard mitigation strategies. However, most safety assessments have focused on fresh batteries, with just a few calorimetry studies on aged batteries with metal oxide positive electrodes. This study provides a broad assessment of commercial 18650-type Li-ion batteries with NCA, NMC, and LFP positive electrodes, both uncycled and aged under conditions that promoted solid electrolyte interphase (SEI) growth as the dominant degradation mechanism. The cells underwent mechanical (nail penetration, crush), electrical (overcharge, overdischarge), and thermal (accelerating rate calorimetry) abuse tests. Safety was rated on general characteristics such as mass loss, maximum temperature, and EUCAR (European Council for Automotive R&D) hazard level, as well as characteristics specific to individual abuse tests. Generally, aged cells with SEI growth exhibited similar or improved safety compared to uncycled cells, contrasting with our previous findings on NCA cells with Li plating as the dominant aging mechanism (Part I of this series). Yet, some tests and characteristics indicated reduced aged cell safety, such as earlier triggering of mechanical failure. These results emphasize the need to examine aged battery safety across diverse empirical techniques, degradation modes, and chemistries.

Lithium-ion cells↗
DOE OSTI2020

Distributed Solar Quality and Safety in India: Key Challenges and Potential Solutions

The quality and safety of solar systems and their installation has become a concern for investors, regulators, consumers, and Discoms in India. The push for low prices and lack of quality standards are driving project developers to install low quality products, with poor system design and execution on-site. Existing literature and stakeholder interviews point to the rampant use of low quality, sub-standard solar products in India. These products deliver less energy than expected, or have high detrition rates, or have lower product life–all of which are serious issues for developers whose return on investment depend on the amount of power generation from these solar systems for the expected life of the project. Equipment which does not conform to the minimum quality standards also creates safety risks for the distribution network. Performance and safety concerns lower investor and consumer confidence in solar products with the potential to threaten market development. This report formulates a set of recommendations to concerned authorities in India to improve the quality and safety of rooftop solar systems. Primary and secondary sources are employed to understand the current solar quality and safety scenario in India to provide the basis for future recommendations. An overview of international experiences and lessons learned on solar quality and safety issues is also conducted to understand potential solutions for India.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2023

Hand Calculation Methods for Nuclear Criticality Safety

This primer provides an overview of the most common hand calculation methods used for criticality safety calculations. The most widely used tools available to a nuclear criticality safety (NCS) practitioner are probably the common Monte Carlo or deterministic criticality safety codes, which can be used to model very complex systems. However, use of these codes can obscure the parameters to which a particular fissile system may be sensitive, whereas the hand calculation methods can be used to delve into the ways each parameter may affect the reactivity of a fissile material system. Furthermore, practitioners must avoid using computer codes as devices that take inputs and simply provide outputs (i.e., a “black box”). Many years ago, pioneers such as Joe Thomas, David Smith, and Hugh Paxton, among others in the field of nuclear criticality safety, took the time before the advent of high-speed desktop computers to create simple hand methods for criticality safety analyses. Some of the methods can be used for single fissile units; others are applicable to fissile units arranged into simple array configurations. This primer discusses the applicability of the various methods, illustrates how they are used, and provides an interpretation of the various results. The NCS practitioner will need to spend time to master the methods that could be most useful; however, they can provide the practitioner with fast and accurate answers to criticality safety problems if they are used correctly and if critical data exist for the problem at hand. Hand calculation methods can be used as a starting point for more advanced calculations, and in many circumstances, they can provide sensitivity and perturbation information more quickly than using a criticality code.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2025

Implications of Safety and Operational Features of Small, Advanced Reactors for the Evaluation of Important Human Actions

The design and operational characteristics of non-light water reactors are likely to change the role of human actions in safety function management and the types of human actions that are deemed important. The objectives of this report are to: • Identify the implications of small, advanced reactor design characteristics on human performance and the changing role of human actions in the management of safety functions. • Identify the methods that may be used to identify important human actions. • Identify how HFE safety reviewers can help ensure that the methods adequately model human actions to identify those that are important to safety. We identified the implications of small, advanced reactor characteristics on the role of personnel in safety function management. Then we addressed how designers can identify which human actions are important to safety using both probabilistic risk assessment (PRA) and deterministic analyses. PRA identifies important human actions using risk-importance criteria. Deterministically identified important human actions include those identified by analyses of situations such as transients and accidents and defense in depth. In all cases, the acceptability of the analyses is dependent on the modeling, quantification, and criterion selection to determine which human actions are important. How well the designers address these processes determines the acceptability of their methodology.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2025

NFPA Distributed Energy Resources Safety Training (DERST) For Emergency Responders

The National Fire Protection Association, with support from the Department of Energy, executed a multi-year initiative to develop, enhance, and disseminate Distributed Energy Resources Safety Training (DERST) tools for U.S. emergency responders. As Distributed Energy Resources (DER)—such as solar photovoltaics, battery energy storage systems (ESS), electric vehicles (EVs), and associated infrastructure—become increasingly prevalent, the NFPA identified a critical need for up-to-date standardized, accessible, and effective safety training tailored for the fire service and related public safety professionals. The project delivered a comprehensive suite of educational resources to improve responders’ abilities to safely manage DER-related incidents. This included: • Revised Modular Training Courses: Updated classroom-based DER safety courses, now modular and accessible nationwide through fire academies and the North American Fire Training Directors (NAFTD) network. • Live Burn Testing & Research: A full-scale controlled burn of a DER-equipped residential structure provided real-world data and insights, forming the basis for updated best practices. • A Gamified Simulation Tool – Firefighters Incident Response Simulation Tool (FIRST): A first-of-its-kind, multiplayer, scenario-based simulation using the Unreal Engine 5.0 to train responders in a realistic virtual, multi-DER incident environment. • Field Familiarization Software Tools & Prop Guide: Digital DER field familiarization evolutions software guide and a prop development manual to support field-based DER training exercises, enhancing responders' hands-on familiarity with DER infrastructure and collaboration on virtual incident responses. • National Dissemination Strategy: Strategic partnerships with NAFTD, Vector Solutions, and others enabled wide-scale distribution, with over 5,000 departments accessing resources and 1,100+ departments adopting the simulator in the first seven months. Also provided a web portal for easy access to all training and simulation programs developed under this grant for the U.S. responder community. Key findings from the project—particularly from the burn test—led to paradigm shifts in fire response tactics. For example, traditional approaches to garage fires may be hazardous if DERs are present, due to explosive off gassing and thermal runaway risks. The new training emphasizes scene assessment, stand-off approaches, thermal imaging verification, and careful post-incident cooling of DER components to prevent reignition. This initiative has had a significant national impact, raising awareness, enhancing preparedness, and supporting safer DER incident response practices. Significant engagement from the media, public safety organizations, and PBS coverage has further amplified the reach and adoption of NFPA’s DER safety training, tools, and simulations.

14 SOLAR ENERGY↗
NASA NTRS2013

Large-Scale Spacecraft Fire Safety Experiments in ISS Resupply Vehicles

Our understanding of the fire safety risk in manned spacecraft has been limited by the small scale of the testing we have been able to conduct in low-gravity. Fire growth and spread cannot be expected to scale linearly with sample size so we cannot make accurate predictions of the behavior of realistic scale fires in spacecraft based on the limited low-g testing to date. As a result, spacecraft fire safety protocols are necessarily very conservative and costly. Future crewed missions are expected to be longer in duration than previous exploration missions outside of low-earth orbit and accordingly, more complex in terms of operations, logistics, and safety. This will increase the challenge of ensuring a fire-safe environment for the crew throughout the mission. Based on our fundamental uncertainty of the behavior of fires in low-gravity, the need for realistic scale testing at reduced gravity has been demonstrated. To address this concern, a spacecraft fire safety research project is underway to reduce the uncertainty and risk in the design of spacecraft fire safety systems by testing at nearly full scale in low-gravity. This project is supported by the NASA Advanced Exploration Systems Program Office in the Human Exploration and Operations Mission Directorate. The activity of this project is supported by an international topical team of fire experts from other space agencies to maximize the utility of the data and to ensure the widest possible scrutiny of the concept. The large-scale space flight experiment will be conducted on three missions; each in an Orbital Sciences Corporation Cygnus vehicle after it has deberthed from the ISS. Although the experiment will need to meet rigorous safety requirements to ensure the carrier vehicle does not sustain damage, the absence of a crew allows the fire products to be released into the cabin. The tests will be fully automated with the data downlinked at the conclusion of the test before the Cygnus vehicle reenters the atmosphere. The international topical team is collaborating with the NASA team in the definition of the experiment requirements and performing supporting analysis, experimentation and technology development.

Combustion↗
NASA NTRS2016

Aviation Safety Concerns for the Future

The Future Aviation Safety Team (FAST) is a multidisciplinary international group of aviation professionals that was established to identify possible future aviation safety hazards. The principle was adopted that future hazards are undesirable consequences of changes, and a primary activity of FAST became identification and prioritization of possible future changes affecting aviation. Since 2004, FAST has been maintaining a catalogue of "Areas of Change" (AoC) that could potentially influence aviation safety. The horizon for such changes is between 5 to 20 years. In this context, changes must be understood as broadly as possible. An AoC is a description of the change, not an identification of the hazards that result from the change. An ex-post analysis of the AoCs identified in 2004 demonstrates that changes catalogued many years previous were directly implicated in the majority of fatal aviation accidents over the past ten years. This paper presents an overview of the current content of the AoC catalogue and a subsequent discussion of aviation safety concerns related to these possible changes. Interactions among these future changes may weaken critical functions that must be maintained to ensure safe operations. Safety assessments that do not appreciate or reflect the consequences of significant interaction complexity will not be fully informative and can lead to inappropriate trade-offs and increases in other risks. The FAST strongly encourages a system-wide approach to safety risk assessment across the global aviation system, not just within the domain for which future technologies or operational concepts are being considered. The FAST advocates the use of the "Areas of Change" concept, considering that several possible future phenomena may interact with a technology or operational concept under study producing unanticipated hazards.

emerging risks↗
NASA NTRS2017

Real Time Safety Monitoring: Concept for Supporting Safe Flight Operations

A number of organizations are working on processes, procedures, regulations, and technologies to maintain or improve the safety of the National Airspace System (NAS). In this paper, we describe a Real Time Safety Monitoring (RTSM) system that benefits from these efforts to define a set of safety metrics that are automatically monitored in real-time. In addition to providing information about current potentially adverse conditions to a variety of users, from those who need a broad overview of a day's flight operations to those who need to decide on a control tactic to employ in the next five minutes, the RTSM system predicts conditions within a specified prediction horizon. Its intelligent interface alerts the user, presenting the information as appropriate considering the current context and circumstances. We illustrate the system concept with five conceptual use cases, describing which safety metrics may be of the most interest to five user groups and suggesting a multi-modal display format. We posit that having access to information about adverse conditions in time to make efficient preemptive decisions without sacrificing safety will improve the already high level of safety and aid in the expansion planned for the NAS under the Next Generation Air Transportation System (NextGen).

safety↗
NASA NTRSDate not supplied

A Model-Based Systems Engineering Evaluation of the Evolution to an In-Time Aviation Safety Management System

In 2018, as result of a recommendation from the National Academies, NASA began to prototype an In-Time Aviation Safety Management System (IASMS). The purpose of the IASMS is to enable innovative aviation operations and greater heterogeneity of the overall National Airspace (NAS) by automating much of the safety monitoring, assessment, and risk and hazard mitigation function present in today’s Safety Management Systems (SMS). NASA has worked together with early industry collaborators to understand how such a system might work and has published several early Concepts of Operation (ConOps) and other technical memoranda that illustrate the primary considerations for selected aviation domains. The shift from an SMS to an IASMS is predicated on several assumptions, including: 1.) automating safety functions will decrease the amount of time necessary for risk and hazard identification and analysis, making it more likely that safety concerns are understood ‘in-time’ to mitigate them, and 2.) an IASMS will allow easier tailoring of safety management processes to the particular risks and hazards inherent to that aviation operation. In this paper, we begin to validate these assumptions through the use of Model-Based Systems Engineering (MBSE).

IASMS↗
NASA NTRSDate not supplied

A Survey Protocol to Assess Meaningfulness and Usefulness of Automated Topic Finding in the NASA Aviation Safety Reporting System

Context: The NASA Aviation Safety Reporting System (ASRS) is a voluntary confidential aviation safety reporting system. The ASRS receives reports from pilots, air traffic controllers, flight attendants and other involved in aviation operations. The reports are de-identified and coded by ASRS expert safety analysts and a short descriptive synopsis is written to describe the safety issue. The de-identified reports are then disseminated to the aviation community in a number of ways including entry into an online database, Safety Alert Bulletins and For Your Information Notices, and the CALLBACK newsletter. Key to these publications are the timely processing (de-identification, coding and summarization) of new reports, which is currently done by ASRS expert safety analysts. Thus, we believe topic modelling could decrease effort in ASRS, if topics are comprehensible. Aim: We propose a methodology to evaluate whether automated topic finding using topic modelling provides meaningful and useful topics. Method: We extend the total error survey methodology to evaluate user topic comprehension of machine learning outputs. To accomplish this we performed a literature review to identify existing methods and define a construct for topic comprehension, utilizing existing ASRS synopsis writing practices to more precisely define meaningfulness and usefulness. Results: A survey protocol was created that addresses the limitations of other survey protocols found in the literature review, which we found lacking in rationale and clear protocol definition. Conclusion: The surveying of user understanding in machine learning outputs presents challenges due to the explosion of parameters to control for and the lack of systematic approach presented in the literature. More reproducible work and survey protocols are needed in the literature and our work is one step towards that direction.

topic finding↗