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At least 37 records · Page 2

What Happened, and Why: Toward an Understanding of Human Error Based on Automated Analyses of Incident Reports

The objective of the Aviation System Monitoring and Modeling project of NASA's Aviation Safety and Security Program was to develop technologies to enable proactive management of safety risk, which entails identifying the precursor events and conditions that foreshadow most accidents. Information about what happened can be extracted from quantitative data sources, but the experiential account of the incident reporter is the best available source of information about why an incident happened. In Volume I, the concept of the Scenario was introduced as a pragmatic guide for identifying similarities of what happened based on the objective parameters that define the Context and the Outcome of a Scenario. In this Volume II, that study continues into the analyses of the free narratives to gain understanding as to why the incident occurred from the reporter s perspective. While this is just the first experiment, the results of our approach are encouraging and indicate that it will be possible to design an automated analysis process guided by the structure of the Scenario that can achieve the level of consistency and reliability of human analysis of narrative reports.

Ferryman, Thomas A.

Method of Testing and Predicting Failures of Electronic Mechanical Systems

A method employing a knowledge base of human expertise comprising a reliability model analysis implemented for diagnostic routines is disclosed. The reliability analysis comprises digraph models that determine target events created by hardware failures human actions, and other factors affecting the system operation. The reliability analysis contains a wealth of human expertise information that is used to build automatic diagnostic routines and which provides a knowledge base that can be used to solve other artificial intelligence problems.

Iverson, David L.

Stochastic Models of Human Errors

Humans play an important role in the overall reliability of engineering systems. More often accidents and systems failure are traced to human errors. Therefore, in order to have meaningful system risk analysis, the reliability of the human element must be taken into consideration. Describing the human error process by mathematical models is a key to analyzing contributing factors. Therefore, the objective of this research effort is to establish stochastic models substantiated by sound theoretic foundation to address the occurrence of human errors in the processing of the space shuttle.

Elshamy, Maged

Pitfalls and Precautions When Using Predicted Failure Data for Quantitative Analysis of Safety Risk for Human Rated Launch Vehicles

Launch vehicle reliability analysis is largely dependent upon using predicted failure rates from data sources such as MIL-HDBK-217F. Reliability prediction methodologies based on component data do not take into account risks attributable to manufacturing, assembly, and process controls. These sources often dominate component level reliability or risk of failure probability. While consequences of failure is often understood in assessing risk, using predicted values in a risk model to estimate the probability of occurrence will likely underestimate the risk. Managers and decision makers often use the probability of occurrence in determining whether to accept the risk or require a design modification. Due to the absence of system level test and operational data inherent in aerospace applications, the actual risk threshold for acceptance may not be appropriately characterized for decision making purposes. This paper will establish a method and approach to identify the pitfalls and precautions of accepting risk based solely upon predicted failure data. This approach will provide a set of guidelines that may be useful to arrive at a more realistic quantification of risk prior to acceptance by a program.

Hatfield, Glen S.

Pitfalls and Precautions When Using Predicted Failure Data for Quantitative Analysis of Safety Risk for Human Rated Launch Vehicles

Launch vehicle reliability analysis is largely dependent upon using predicted failure rates from data sources such as MIL-HDBK-217F. Reliability prediction methodologies based on component data do not take into account system integration risks such as those attributable to manufacturing and assembly. These sources often dominate component level risk. While consequence of failure is often understood, using predicted values in a risk model to estimate the probability of occurrence may underestimate the actual risk. Managers and decision makers use the probability of occurrence to influence the determination whether to accept the risk or require a design modification. The actual risk threshold for acceptance may not be fully understood due to the absence of system level test data or operational data. This paper will establish a method and approach to identify the pitfalls and precautions of accepting risk based solely upon predicted failure data. This approach will provide a set of guidelines that may be useful to arrive at a more realistic quantification of risk prior to acceptance by a program.

Hatfield, Glen S.

Towards automatic Markov reliability modeling of computer architectures

The analysis and evaluation of reliability measures using time-varying Markov models is required for Processor-Memory-Switch (PMS) structures that have competing processes such as standby redundancy and repair, or renewal processes such as transient or intermittent faults. The task of generating these models is tedious and prone to human error due to the large number of states and transitions involved in any reasonable system. Therefore model formulation is a major analysis bottleneck, and model verification is a major validation problem. The general unfamiliarity of computer architects with Markov modeling techniques further increases the necessity of automating the model formulation. This paper presents an overview of the Automated Reliability Modeling (ARM) program, under development at NASA Langley Research Center. ARM will accept as input a description of the PMS interconnection graph, the behavior of the PMS components, the fault-tolerant strategies, and the operational requirements. The output of ARM will be the reliability of availability Markov model formulated for direct use by evaluation programs. The advantages of such an approach are (a) utility to a large class of users, not necessarily expert in reliability analysis, and (b) a lower probability of human error in the computation.

Liceaga, C. A.

A Framework for Reliability and Safety Analysis of Complex Space Missions

Long duration and complex mission scenarios are characteristics of NASA's human exploration of Mars, and will provide unprecedented challenges. Systems reliability and safety will become increasingly demanding and management of uncertainty will be increasingly important. NASA's current pioneering strategy recognizes and relies upon assurance of crew and asset safety. In this regard, flexibility to develop and innovate in the emergence of new design environments and methodologies, encompassing modeling of complex systems, is essential to meet the challenges.

Safety Analysis

A Comparison of Probabilistic and Deterministic Campaign Analysis for Human Space Exploration

Human space exploration is by its very nature an uncertain endeavor. Vehicle reliability, technology development risk, budgetary uncertainty, and launch uncertainty all contribute to stochasticity in an exploration scenario. However, traditional strategic analysis has been done in a deterministic manner, analyzing and optimizing the performance of a series of planned missions. History has shown that exploration scenarios rarely follow such a planned schedule. This paper describes a methodology to integrate deterministic and probabilistic analysis of scenarios in support of human space exploration. Probabilistic strategic analysis is used to simulate "possible" scenario outcomes, based upon the likelihood of occurrence of certain events and a set of pre-determined contingency rules. The results of the probabilistic analysis are compared to the nominal results from the deterministic analysis to evaluate the robustness of the scenario to adverse events and to test and optimize contingency planning.

Merrill, R. Gabe

An Efficient Approach for the Reliability Analysis of Phased-Mission Systems with Dependent Failures

We consider the reliability analysis of phased-mission systems with common-cause failures in this paper. Phased-mission systems (PMS) are systems supporting missions characterized by multiple, consecutive, and nonoverlapping phases of operation. System components may be subject to different stresses as well as different reliability requirements throughout the course of the mission. As a result, component behavior and relationships may need to be modeled differently from phase to phase when performing a system-level reliability analysis. This consideration poses unique challenges to existing analysis methods. The challenges increase when common-cause failures (CCF) are incorporated in the model. CCF are multiple dependent component failures within a system that are a direct result of a shared root cause, such as sabotage, flood, earthquake, power outage, or human errors. It has been shown by many reliability studies that CCF tend to increase a system's joint failure probabilities and thus contribute significantly to the overall unreliability of systems subject to CCF.We propose a separable phase-modular approach to the reliability analysis of phased-mission systems with dependent common-cause failures as one way to meet the above challenges in an efficient and elegant manner. Our methodology is twofold: first, we separate the effects of CCF from the PMS analysis using the total probability theorem and the common-cause event space developed based on the elementary common-causes; next, we apply an efficient phase-modular approach to analyze the reliability of the PMS. The phase-modular approach employs both combinatorial binary decision diagram and Markov-chain solution methods as appropriate. We provide an example of a reliability analysis of a PMS with both static and dynamic phases as well as CCF as an illustration of our proposed approach. The example is based on information extracted from a Mars orbiter project. The reliability model for this orbiter considers the various phases of Launch, Cruise, Mars Orbit Insertion, and Orbit. Some of the CCF for the orbiter in this mission include environmental effects, such as micrometeoroids, human operator errors, and software errors.

reliability analysis

Comparison of Exploration Oxygen Recovery Technology Options Using ESM and LSMAC

In preparation for long duration manned space flight, numerous technology development efforts are ongoing in the area of environmental control and life support (ECLS). In cooperation with international, industry, and academic partners, NASA seeks to leverage the International Space Station as a testbed for technologies targeted for Exploration-class missions. In recent years, Equivalent Systems Mass (ESM) analyses have been conducted to evaluate the relative breakeven points and to compare technologies as part of ECLS architectural trades. While these studies have provided important data pertaining to key engineering metrics, additional considerations are important to more fully understand the potential impacts and costs associated with selecting a specific architecture. A tool, called the Life Support Multi-Dimensional Assessment Criteria (LSMAC), was recently proposed by Sierra Nevada Corporation in an attempt to incorporate influences of these additional considerations including Maintainability, Risk Analysis, Technology Readiness Level, Radiation Impacts, Manufacturing Costs, Reliability, Human Factors, and Un-Crewed Operations. As a first step toward evaluating and implementing this tool, LSMAC was used to revisit the ISS oxygen recovery trade from the 1990’s wherein Sabatier was selected over Bosch technology. Second, the tool was used to compare oxygen recovery developmental technologies currently in work. The results of these studies as well as a comparison with standalone ESM analyses are reported. Further, a discussion of the potential application of the tool across the ECLS portfolio and its potential use in future technology selection for ISS flight demonstrations is provided.

Morgan B Abney

Mission Operations and Command Assurance: Flight Operations Quality Improvements

Flight mission operations systems place human operators in demanding, high risk environments. The objective of Mission Operations and Command Assurance (MO&CA) is to help improve the operational reliability of flight projects by reducing error -- Pareto Analysis shows that the human is the largest error category. MO&CA is a system level task reporting to project flight management and JPL Systems Assurance Division. MO&CA provides direct transfer of knowledge, continuous process improvement, and communication facilitation.

mission

An automated environment for multiple spacecraft engineering subsystem mission operations

Flight operations at the Jet Propulsion Laboratory (JPL) are now performed by teams of specialists, each team dedicated to a particular spacecraft. Certain members of each team are responsible for monitoring the performances of their respective spacecraft subsystems. Ground operations, which are very complex, are manual, labor-intensive, slow, and tedious, and therefore costly and inefficient. The challenge of the new decade is to operate a large number of spacecraft simultaneously while sharing limited human and computer resources, without compromising overall reliability. The Engineering Analysis Subsystem Environment (EASE) is an architecture that enables fewer controllers to monitor and control spacecraft engineering subsystems. A prototype of EASE has been installed in the JPL Space Flight Operations Facility for on-line testing. This article describes the underlying concept, development, testing, and benefits of the EASE prototype.

Bahrami, K. A.

[MaRS Project]

The Space Exploration Division of the Safety and Mission Assurances Directorate is responsible for reducing the risk to Human Space Flight Programs by providing system safety, reliability, and risk analysis. The Risk & Reliability Analysis branch plays a part in this by utilizing Probabilistic Risk Assessment (PRA) and Reliability and Maintainability (R&M) tools to identify possible types of failure and effective solutions. A continuous effort of this branch is MaRS, or Mass and Reliability System, a tool that was the focus of this internship. Future long duration space missions will have to find a balance between the mass and reliability of their spare parts. They will be unable take spares of everything and will have to determine what is most likely to require maintenance and spares. Currently there is no database that combines mass and reliability data of low level space-grade components. MaRS aims to be the first database to do this. The data in MaRS will be based on the hardware flown on the International Space Stations (ISS). The components on the ISS have a long history and are well documented, making them the perfect source. Currently, MaRS is a functioning excel workbook database; the backend is complete and only requires optimization. MaRS has been populated with all the assemblies and their components that are used on the ISS; the failures of these components are updated regularly. This project was a continuation on the efforts of previous intern groups. Once complete, R&M engineers working on future space flight missions will be able to quickly access failure and mass data on assemblies and components, allowing them to make important decisions and tradeoffs.

Aruljothi, Arunvenkatesh

Reliability Analysis and Standardization of Spacecraft Command Generation Processes

center dot In order to reduce commanding errors that are caused by humans, we create an approach and corresponding artifacts for standardizing the command generation process and conducting risk management during the design and assurance of such processes. center dot The literature review conducted during the standardization process revealed that very few atomic level human activities are associated with even a broad set of missions. center dot Applicable human reliability metrics for performing these atomic level tasks are available. center dot The process for building a "Periodic Table" of Command and Control Functions as well as Probabilistic Risk Assessment (PRA) models is demonstrated. center dot The PRA models are executed using data from human reliability data banks. center dot The Periodic Table is related to the PRA models via Fault Links.

human errors.

The cleanroom case study in the Software Engineering Laboratory: Project description and early analysis

This case study analyzes the application of the cleanroom software development methodology to the development of production software at the NASA/Goddard Space Flight Center. The cleanroom methodology emphasizes human discipline in program verification to produce reliable software products that are right the first time. Preliminary analysis of the cleanroom case study shows that the method can be applied successfully in the FDD environment and may increase staff productivity and product quality. Compared to typical Software Engineering Laboratory (SEL) activities, there is evidence of lower failure rates, a more complete and consistent set of inline code documentation, a different distribution of phase effort activity, and a different growth profile in terms of lines of code developed. The major goals of the study were to: (1) assess the process used in the SEL cleanroom model with respect to team structure, team activities, and effort distribution; (2) analyze the products of the SEL cleanroom model and determine the impact on measures of interest, including reliability, productivity, overall life-cycle cost, and software quality; and (3) analyze the residual products in the application of the SEL cleanroom model, such as fault distribution, error characteristics, system growth, and computer usage.

Green, Scott

Analysis of pilot-aircraft performance and reliability via the application of man-machine models

The present approach to analytic modeling, which utilizes human response theory together with modern control theory, is discussed. Analytic modeling of human performance has progressed to the point where it can be used with some confidence in the design and performance analysis of man-machine systems. An example of its use in helping design a flight director for the hover control of a VTOL vehicle is described. How the method could be used for analysis of human response to system failure is sketched.

Kleinman, D. L.

Quantitative assessment of human motion using video motion analysis

In the study of the dynamics and kinematics of the human body, a wide variety of technologies was developed. Photogrammetric techniques are well documented and are known to provide reliable positional data from recorded images. Often these techniques are used in conjunction with cinematography and videography for analysis of planar motion, and to a lesser degree three-dimensional motion. Cinematography has been the most widely used medium for movement analysis. Excessive operating costs and the lag time required for film development coupled with recent advances in video technology have allowed video based motion analysis systems to emerge as a cost effective method of collecting and analyzing human movement. The Anthropometric and Biomechanics Lab at Johnson Space Center utilizes the video based Ariel Performance Analysis System to develop data on shirt-sleeved and space-suited human performance in order to plan efficient on orbit intravehicular and extravehicular activities. The system is described.

Probe, John D.

Cost-Effective High Reliability for Space Life Support Requires Using Storage

Cost-effective high reliability can be achieved in future space life support systems through careful systems analysis and design. This paper outlines a comprehensive approach. Potential future human space missions are described. The mission parameter impacts on life support system design and reliability requirements are discussed. Not all human space missions require high reliability life support. The potential reliability and cost of storage and of recycling life support systems are investigated. Simple storage systems can provide cost-effective high reliability life support where it is needed. More complex recycling systems with lower reliability and higher cost can be used when suitable.

Jones, Harry W.