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This volume contains all the hearings of the Presidential Commission on the Space Shuttle Challenger accident from 26 February to 2 May 1986. Among others is the testimony of L. Mulloy, Manager, Space Shuttle Solid Rocket Booster Program, Marshall Space Flight Center and G. Hardy, Deputy Director, Science and Engineering, Marshall Space Flight Center.
Advanced analytical methods applied to airline digital flight records and ATC radar tracking data are providing new insights into atmospheric disturbances that cause serious operating problems for aircraft. Performance-based methods for estimating unmeasured flow angles and the possible influence of rain on lift and drag, and a state-estimation procedure for determining winds along the flightpath are reviewed. The methods are applied to data records from the Delta Flight 191 wind-shear accident at the Dallas/Ft. Worth Airport (August 2, 1985) which involved an L-1011 airliner on final approach. The results indicate that the aircraft encountered a strong downlow followed by a strong outflow accompanied by large and rapid changes in the vertical wind. This pattern of low-level winds is consistent with the model that treats a downburst as a vortex ring. Although rain was present in the downburst, the analysis showed no evidence of performance loss. The results obtained from analyses of airline turbulence encounters provide a means for simulating turbulence phenomena and for training pilots for future encounters.
The status of the implementation of the recommendations of the Presidential Commission on the Space Shuttle Challenger Accident is reported. The implementation of recommendations in the following areas is detailed: (1) solid rocket motor design; (2) shuttle management structure, including the shuttle safety panel and astronauts in management; (3) critical item review and hazard analysis; (4) safety organization; (5) improved communication; (6) landing safety; (7) launch abort and crew escape; (8) flight rate; and (9) maintenance safeguards. Supporting memoranda and communications from NASA are appended.
The natural circulation of a single-phase fluid in a scale-model pressurized water reactor system was studied during a postulated degraded core accident. A half section of a one-seventh scale model with a plexiglass adiabatic window was employed. Water and SF6 were used as the fluid. LDA was used to perform velocity measurements along the center plane of the model at five elevations. It was found that the recirculation flow patterns are nearly symmetric except near the hot legs and in the upper head and that the fluid in the upper plenum is well mixed.
The various analyses described here were aimed at obtaining a more comprehensive understanding and definition of the environments in the vicinity of the Radioisotope Thermal Generator (RTG) during certain Space Transportation System (STS) and Titan IV launch abort accidents. Addressed here are a number of issues covering explosion environments and General Purpose Heat Source Radioisotope Thermoelectric Generator (GPHS-RTG) responses to those environments.
A report is presented to describe some of the errors that pilots make during flight under IFR. The data indicate that there is less risk during the approach and landing phase of IFR flights, as compared to VFR operations. Single-pilot IFR accident rates continue to be higher than two-pilot IFR incident rates, reflecting the high work load of IFR operations.
Two recent airline accidents that underscored the value of cockpit resource management (CRM) to line operations, especially under stressful, high workload conditions are reviewed. An analysis of the verbal behavior of each crew was conducted to explore how catastrophic events impact upon the dynamics of crew interaction. In both cases the Captain stated that training in CRM contributed significantly to the overall effectiveness of the crews.
This final status report describes the actions taken by NASA in response to the recommendations of the Presidential Commission on the Space Shuttle Challenger Accident (Mission 51-L). The Commission recommendations and NASA's responses to them are summarized in the Executive Summary, which is accompanied by a schedule showing significant program milestones. A detailed discussion of the activities undertaken by NASA to implement each of the nine Commission recommendations is included and other related NASA actions required for safe return to flight are discussed. A copy of the interim plan submitted to the President one year ago and other significant reference documents are included as appendixes.
This report is a recounting of the German investigation of the crash of a commercial Junkers F 13 ge in England. The English report is examined and compared with the German interpretation of the accident.
On January 25, 1990, Avianca Flight 052 crashed after running out of fuel following a missed approach to New York's John F. Kennedy Airport. Weather was poor on the East Coast of the United States that day, and the flight had experienced several holding patterns enroute from Medellin, Colombia, to New York. The accident is analyzed in terms of Helmreich and Foushee's (1993) model of crew performance and Reason's (1990) model of latent pathogens in system operations.
Report presents study of flight-testing accidents, with emphasis on limitations imposed by human factors. Covers history of flight testing from early lighter-than-air craft (including balloons) to vertical take-off airplanes to space shuttle.
Weather is a contributing factor in approximately 25-30 percent of general aviation accidents. The lack of timely, accurate and usable weather information to the general aviation pilot in the cockpit to enhance pilot situational awareness and improve pilot judgment remains a major impediment to improving aviation safety. NASA Glenn Research Center commissioned this 120 day weather datalink market survey to assess the technologies, infrastructure, products, and services of commercial avionics systems being marketed to the general aviation community to address these longstanding safety concerns. A market survey of companies providing or proposing to provide graphical weather information to the general aviation cockpit was conducted. Fifteen commercial companies were surveyed. These systems are characterized and evaluated in this report by availability, end-user pricing/cost, system constraints/limits and technical specifications. An analysis of market survey results and an evaluation of product offerings were made. In addition, recommendations to NASA for additional research and technology development investment have been made as a result of this survey to accelerate deployment of cockpit weather information systems for enhancing aviation safety.
This paper presents viewgraphs on the development of the Weather Accident Prevention (WxAP) System architecture and Concept of Operation (CONOPS) activities. The topics include: 1) Background Information on System Architecture/CONOPS Activity; 2) Activity Work in Progress; and 3) Anticipated By-Products.
As part of the aero-thermodynamics team supporting the Columbia Accident Investigation Board (CAB), the Marshall Space Flight Center was asked to perform engineering analyses of internal flows in the port wing. The aero-thermodynamics team was split into internal flow and external flow teams with the support being divided between shorter timeframe engineering methods and more complex computational fluid dynamics. In order to gain a rough order of magnitude type of knowledge of the internal flow in the port wing for various breach locations and sizes (as theorized by the CAB to have caused the Columbia re-entry failure), a bulk venting model was required to input boundary flow rates and pressures to the computational fluid dynamics (CFD) analyses. This paper summarizes the modeling that was done by MSFC in Thermal Desktop. A venting model of the entire Orbiter was constructed in FloCAD based on Rockwell International s flight substantiation analyses and the STS-107 reentry trajectory. Chemical equilibrium air thermodynamic properties were generated for SINDA/FLUINT s fluid property routines from a code provided by Langley Research Center. In parallel, a simplified thermal mathematical model of the port wing, including the Thermal Protection System (TPS), was based on more detailed Shuttle re-entry modeling previously done by the Dryden Flight Research Center. Once the venting model was coupled with the thermal model of the wing structure with chemical equilibrium air properties, various breach scenarios were assessed in support of the aero-thermodynamics team. The construction of the coupled model and results are presented herein.
The Columbia Accident Investigation Board has identified about a dozen shuttle program safety concerns it will address in its final report, in addition to foam shedding from the Lockheed Martin external tank-believed by many board members to be the direct cause for the loss of Columbia and her crew. As new evidence narrows the location of Columbia's left-wing breach to a lower corner of reinforced carbon-carbon (RCC) Panel 8 and its adjoining T-seal, the board is broadening its penetration of other shuttle safety issues. As the board works in Houston, United Space Alliance technicians here at Kennedy last week sent the first six of 22 RCC panels from the orbiter Atlantis left wing to Vought Aircraft Industries Inc. in Dallas for extensive testing to assess their integrity. The move is a key step toward both returning the shuttle to flight with Atlantis and obtaining more data on RCC panels subjected to fewer flights, and less exposure to the weather, than the older panels used on Columbia.
This publication consists of papers presented at the Second Workshop on the Investigation and Reporting of Incidents and Accidents, IRIA 2003, sponsored by NASA Langley Research Center and the University of Virginia.
In support of the Columbia Accident Investigation, inviscid computations of the aerodynamic characteristics for various Shuttle Orbiter damage scenarios were performed using the FELISA unstructured CFD solver. Computed delta aerodynamics were compared with the reconstructed delta aerodynamics in order to postulate a progression of damage through the flight trajectory. By performing computations at hypervelocity flight and CF4 tunnel conditions, a bridge was provided between wind tunnel testing in Langley's 20-Inch CF4 facility and the flight environment experienced by Columbia during re-entry. The rapid modeling capability of the unstructured methodology allowed the computational effort to keep pace with the wind tunnel and, at times, guide the wind tunnel efforts. These computations provided a detailed view of the flowfield characteristics and the contribution of orbiter components (such as the vertical tail and wing) to aerodynamic forces and moments that were unavailable from wind tunnel testing. The damage scenarios are grouped into three categories. Initially, single and multiple missing full RCC panels were analyzed to determine the effect of damage location and magnitude on the aerodynamics. Next is a series of cases with progressive damage, increasing in severity, in the region of RCC panel 9. The final group is a set of wing leading edge and windward surface deformations that model possible structural deformation of the wing skin due to internal heating of the wing structure. By matching the aerodynamics from selected damage scenarios to the reconstructed flight aerodynamics, a progression of damage that is consistent with the flight data, debris forensics, and wind tunnel data is postulated.
An experimental investigation was conducted to study the effectiveness of Synthetic Vision Systems (SVS) flight displays as a means of eliminating Low Visibility Loss of Control (LVLOC) and Controlled Flight Into Terrain (CFIT) accidents by low time general aviation (GA) pilots. A series of basic maneuvers were performed by 18 subject pilots during transition from Visual Meteorological Conditions (VMC) to Instrument Meteorological Conditions (IMC), with continued flight into IMC, employing a fixed-based flight simulator. A total of three display concepts were employed for this evaluation. One display concept, referred to as the Attitude Indicator (AI) replicated instrumentation common in today's General Aviation (GA) aircraft. The second display concept, referred to as the Electronic Attitude Indicator (EAI), featured an enlarged attitude indicator that was more representative of a glass display that also included advanced flight symbology, such as a velocity vector. The third concept, referred to as the SVS display, was identical to the EAI except that computer-generated terrain imagery replaced the conventional blue-sky/brown-ground of the EAI. Pilot performance parameters, pilot control inputs and physiological data were recorded for post-test analysis. Situation awareness (SA) and qualitative pilot comments were obtained through questionnaires and free-form interviews administered immediately after the experimental session. Initial pilot performance data were obtained by instructor pilot observations. Physiological data (skin temperature, heart rate, and muscle flexure) were also recorded. Preliminary results indicate that far less errors were committed when using the EAI and SVS displays than when using conventional instruments. The specific data example examined in this report illustrates the benefit from SVS displays to avoid massive loss of SA conditions. All pilots acknowledged the enhanced situation awareness provided by the SVS display concept. Levels of pilot stress appear to be correlated with skin temperature measurements.