Results for “FAILURE MODES” — Page 41

NASA NTRS1993

Design for testability and diagnosis at the system-level

The growing complexity of full-scale systems has surpassed the capabilities of most simulation software to provide detailed models or gate-level failure analyses. The process of system-level diagnosis approaches the fault-isolation problem in a manner that differs significantly from the traditional and exhaustive failure mode search. System-level diagnosis is based on a functional representation of the system. For example, one can exercise one portion of a radar algorithm (the Fast Fourier Transform (FFT) function) by injecting several standard input patterns and comparing the results to standardized output results. An anomalous output would point to one of several items (including the FFT circuit) without specifying the gate or failure mode. For system-level repair, identifying an anomalous chip is sufficient. We describe here an information theoretic and dependency modeling approach that discards much of the detailed physical knowledge about the system and analyzes its information flow and functional interrelationships. The approach relies on group and flow associations and, as such, is hierarchical. Its hierarchical nature allows the approach to be applicable to any level of complexity and to any repair level. This approach has been incorporated in a product called STAMP (System Testability and Maintenance Program) which was developed and refined through more than 10 years of field-level applications to complex system diagnosis. The results have been outstanding, even spectacular in some cases. In this paper we describe system-level testability, system-level diagnoses, and the STAMP analysis approach, as well as a few STAMP applications.

Simpson, William R.↗

NASA NTRS1974

Behavior of ceramics at 1200 C in a simulated gas turbine environment

This report summarizes programs at the NASA Lewis Research Center evaluating several classes of commercial ceramics, in a high gas velocity burner rig simulating a gas turbine engine environment. Testing of 23 ceramics in rod geometry identified SiC and Si3N4 as outstanding in resistance to oxidation and thermal stress and identified the failure modes of other ceramics. Further testing of a group of 15 types of SiC and Si3N4 in simulated vane shape geometry has identified a hot pressed SiC, a reaction sintered SiC, and hot pressed Si3N4 as the best of that group. SiC and Si3N4 test specimens were compared on the basis of weight change, dimensional reductions, metallography, fluorescent penetrant inspection, X-ray diffraction analyses, and failure mode.

Sanders, W. A.↗

NASA NTRS1977

CTS TEP thermal anomalies: Heat pipe system performance

A part of the investigation is summarized of the thermal anomalies of the transmitter experiment package (TEP) on the Communications Technology Satellite (CTS) which were observed on four occasions in 1977. Specifically, the possible failure modes of the variable conductance heat pipe system (VCHPS) used for principal thermal control of the high-power traveling wave tube in the TEP are considered. Further, the investigation examines how those malfunctions may have given rise to the TEP thermal anomalies. Using CTS flight data information, ground test results, analysis conclusions, and other relevant information, the investigation concentrated on artery depriming as the most likely VCHPS failure mode. Included in the study as possible depriming mechanisms were freezing of the working fluid, Marangoni flow, and gas evolution within the arteries. The report concludes that while depriming of the heat pipe arteries is consistent with the bulk of the observed data, the factors which cause the arteries to deprime have yet to be identified.

Marcus, B. D.↗

NASA NTRS1990

Model authoring system for fail safe analysis

The Model Authoring System is a prototype software application for generating fault tree analyses and failure mode and effects analyses for circuit designs. Utilizing established artificial intelligence and expert system techniques, the circuits are modeled as a frame-based knowledge base in an expert system shell, which allows the use of object oriented programming and an inference engine. The behavior of the circuit is then captured through IF-THEN rules, which then are searched to generate either a graphical fault tree analysis or failure modes and effects analysis. Sophisticated authoring techniques allow the circuit to be easily modeled, permit its behavior to be quickly defined, and provide abstraction features to deal with complexity.

Sikora, Scott E.↗

NASA NTRS1993

The initial flight anomalies of Skylab 1

At approximately 63 seconds into the flight of Skylab 1 on May 14, 1973, an anomaly occurred which resulted in the complete loss of the meteoroid shield around the orbital workshop. This was followed by the loss of one of the two solar array systems on the workshop and a failure of the inter stage adapter to separate from the S-II stage of the Saturn V launch vehicle. The investigation reported herein identified the most probable cause of this flight anomaly to be the breakup and loss of the meteoroid shield due to aerodynamic loads that were not accounted for in its design. The breakup of the meteoroid shield, in turn, broke the tie downs that secured one of the solar array systems to the workshop. Complete loss of this solar array system occurred at 593 seconds when the exhaust plume of the S-II stage retro-rockets impacted the partially deployed solar array system. Falling debris from the meteoroid shield also damaged the S-II inter stage adapter ordnance system in such a manner as to preclude separation. Of several possible failure modes of the meteoroid shield that were identified, the most probable in this particular flight was internal pressurization of its auxiliary tunnel which acted to force the forward end of the meteoroid shield away from the shell of the workshop and into the supersonic air stream. The pressurization of the auxiliary tunnel was due to the existence of several openings in the aft region of the tunnel. Another possible failure mode was the separation of the leading edge of the meteoroid shield from the shell of the workshop (particularly in the region of the folded ordnance panel) of sufficient extent to admit ram air pressures under the shield.

Source record↗

DOE OSTI2016

Ultra-High-Performance Concrete And Advanced Manufacturing Methods For Modular Construction

Small modular reactors (SMR) allow for less onsite construction, increase nuclear material security, and provide a flexible and cost-effective energy alternative. SMR can be factory-built as modular components, and shipped to desired locations for fast assembly. This project successfully developed a new class of ultra-high performance concrete (UHPC), which features a compressive strength greater than 22 ksi (150 MPa) without special treatment and self-consolidating characteristics desired for SMR modular construction. With an ultra-high strength and dense microstructure, it will facilitate rapid construction of steel plate-concrete (SC) beams and walls with thinner and lighter modules, and can withstand harsh environments and mechanical loads anticipated during the service life of nuclear power plants. In addition, the self-consolidating characteristics are crucial for the fast construction and assembly of SC modules with reduced labor costs and improved quality. Following the UHPC material development, the capacity of producing self-consolidating UHPC in mass quantities was investigated and compared to accepted self-consolidating concrete standards. With slightly adjusted mixing procedure using large-scale gravity-based mixers (compared with small-scale force-based mixer), the self-consolidating UHPC has been successfully processed at six cubic yards; the product met both minimum compressive strength requirements and self-consolidating concrete standards. Steel plate-UHPC beams (15 ft. long, 12 in. wide and 16 in. deep) and wall panels (40 in. X 40 in. X 3 in.) were then constructed using the self-consolidating UHPC without any external vibration. Quality control guidelines for producing UHPC in large scale were developed. When the concrete is replaced by UHPC in a steel plate concrete (SC) beam, it is critical to evaluate its structural behavior with both flexure and shear-governed failure modes. In recent years, SC has been widely used for buildings and nuclear containment structures to resist lateral forces induced by severe earthquakes and heavy winds. SC modules have good potential for SMR because of their cost-effectiveness and reduced construction time. However, the minimum shear reinforcement (i.e. cross tie) ratio needs to be determined for the steel plate-UHPC (S-UHPC) beams to exhibit a ductile failure mode. In this project, S-UHPC beams were designed and constructed. The beams were tested to evaluate structural capacity and identify the minimum cross ties ratios. In addition, as the bond between UHPC and steel plate is essential for ensuring structural integrity under shear and flexure, it was measured and examined in this project through digital image correlation system and smart piezoelectric aggregate sensors. Large-scale testing and finite element simulation were also performed on S-UHPC wall panels. New bond slip-based constitutive models of steel plate were developed for S-UHPC, which were used in finite element analysis program to predict S-UHPC behavior under shear. The results were well validated through experimental data. The long-term durability of UHPC were established in this project. UHPC specimens were tested under free shrinkage, restrained shrinkage, elevated temperature, water permeation, chloride diffusion, corrosion, and alkali silica reaction. UHPC has demonstrated significantly improved durability compared with control concrete specimens. This research led to a new generation of steel plate-UHPC modules for SMR that can provide large benefits to the electric power industry. Taking advantage of the high strength and durability of UHPC, their modularity and ease of assembly can address the high cost barriers of typical nuclear power plants.

42 ENGINEERING↗

NASA NTRS2016

Forward Skirt Structural Testing on the Space Launch System (SLS) Program

Structural testing was performed to evaluate heritage forward skirts from the Space Shuttle program for use on the Space Launch System (SLS) program. One forward skirt is located in each solid rocket booster. Heritage forward skirts are aluminum 2219 welded structures. Loads are applied at the forward skirt thrust post and ball assembly. Testing was needed because SLS ascent loads are roughly 40% higher than Space Shuttle loads. Testing objectives were to determine margins of safety, demonstrate reliability, and validate analytical models. Two forward skirts were structurally tested using the test configuration. The test stand applied loads to the thrust post. Four hydraulic actuators were used to apply axial load and two hydraulic actuators were used to apply radial and tangential loads. The first test was referred to as FSTA-1 (Forward Skirt Structural Test Article) and was performed in April/May 2014. The purpose of FSTA-1 was to verify the ultimate capability of the forward skirt subjected to ascent ultimate loads. Testing consisted of two liftoff load cases taken to 100% limit load followed by an ascent load case taken to 110% limit load. The forward skirt was unloaded to no load after each test case. Lastly, the forward skirt was tested to 140% limit and then to failure using the ascent loads. The second test was referred to as FSTA-2 and performed in July/August of 2014. The purpose of FSTA-2 was to verify the ultimate capability of the forward skirt subjected to liftoff ultimate loads. Testing consisted of six liftoff load cases taken to 100% limit load followed by the six liftoff cases taken to 140% limit load. Two ascent load cases were then tested to 100% limit load. The forward skirt was unloaded to no load after each test case. Lastly, the forward skirt was tested to 140% limit and then to failure using the ascent loads. The forward skirts on FSTA-1 and FSTA-2 successfully carried all applied liftoff and ascent load cases. Both FSTA-1 and FSTA-2 were tested to failure by increasing the ascent loads. Failure occurred in the forward skirt thrust post radius. The forward skirts on FSTA-1 and FSTA-2 had nearly identical failure modes. FSTA-1 failed at 1.72 times limit load and FSTA-2 failed at 1.62 times limit load. This difference is primarily attributed to variation in material properties in the thrust post region. Test data were obtained from strain gages, deflection gages, ARAMIS digital strain measurement, acoustic emissions, and high-speed video. Strain gage data and ARAMIS strain were compared to finite element (FE) analysis predictions. Both the forward skirt and tooling were modeled. This allows the analysis to simulate the loading as close as possible to actual test configuration. FSTA-1 and FSTA-2 were instrumented with over 200 strain gages to ensure all possible failure modes could be captured. However, it turned out that three gages provided critical strain data. One was located in the post bore and two on the post radius. More gages were not specified due to space limitations and the desire to not interfere with the use of the ARAMIS system on the post radius. Measured strains were compared to analysis results for the load cycle to failure. Note that FSTA-1 gages were lost before failure was reached. FSTA-2 gages made it to the failure load but one of the radius gages was lost before testing began. This gage was not replaced because of the time and cost associated with disassembly of the test structure. Correlation to analysis was excellent for FSTA-1. FSTA-2 was not quite as good because there was more residual strain from previous load cycles. FSTA-2 was loaded and unloaded with 12 liftoff cases and two ascent cases before taking the skirt to failure. FSTA-1 only had two liftoff cases and one ascent case before taking the skirt to failure. The ARAMIS system was used to determine strain at the post radius by processing digital images of a speckled paint pattern. Digital cameras recorded images of the speckled paint pattern. ARAMIS strain results for FSTA-2 just prior to failure. Note a high strain location develops near the left side. This high strain compares well to analysis prediction for both FSTA-1 and FSTA-2. The strain at this location was also plotted versus limit load. Both FSTA-1 and FSTA-2 had excellent correlation between ARAMIS and analysis strains. Acoustic emission (AE) sensors were used to monitor for damage formation that may occur during testing (e.g., crack formation and growth or propagation). AE was very important because after disassembly of FSTA-1, a crack was observed in the ball fitting radius. The ball fitting did not crack on FSTA-2. AE data was used to reconstruct when the crack occurred. The AE energy versus time plot for FSTA. The energy increased considerably at 850 seconds (152% limit load), indicating a crack could have formed at this point. The only visual evidence found that could have corresponded to this was the crack that initiated in the ball fitting. The cracks in the forward skirt aluminum structures would likely have been lower energy due to a lower modulus and all that were found after failure correlated to occurring after the initial crack in the post radius. This was verified by high-speed cameras used to record the failure.

Lohrer, J. D.↗

NASA NTRS2019

Characterization of IM7/8552 Thin-Ply and Hybrid Thin-Ply Composites

Composite materials have increasingly been used for aerospace applications due to improved performance and reduced weight compared to their metallic counterparts. Inclusion of thin-ply material, plies with cured thickness half or less than standard composites, have potential to improve performance and reduce structural weight. Limited characterization of thin-ply IM7/8552 material in 30 and 70 grams per square meter fiber areal weights has been carried out using a series of selected American Society for Testing and Materials (ASTM) tests. Tests included unnotched tension, unnotched compression, v-notched rail shear, open-hole tension, and open-hole compression. Unidirectional, cross-ply, quasiisotropic and hybrid hard laminates were included in the study, and were compared to standard-ply laminates. Properties compared include fiber volume, laminate moduli, and failure strength, with failure modes also being examined. The thin-ply specimens exhibited similar or superior performance to standard ply laminates in many of the cases compared. Improvements in strength for laminates containing thin-ply material were seen for unidirectional laminates under unnotched tension, quasi-isotropic laminates under unnotched tension and compression, and hard laminates under open hole tension. Additional investigation is required to determine appropriate ply stacking rules for hybrids of thin and standard plies to avoid undesirable failure modes such as axial splitting. However, the observed performance improvements demonstrated by the conducted ASTM tests of hybrid thin-ply hard laminates could have benefits for improved structural weight in aircraft.

Lovejoy, Andrew E.↗

DOE OSTI2017

Interface-correlated bonding properties for a roll-bonded Ti/Al 2-ply sheet

Highlights: • The feasible post roll-bonding annealing condition of Ti/Al clad was deduced. • The optimum thickness of the TiAl{sub 3} IMC diffusive layer is about 200 nm. • A ‘zipper-like’ failure mode at the interface yields the maximum bonding strength. - Abstract: We investigated the influence of annealing conditions on the interface-correlated microstructural evolution and subsequent bonding properties of a warm roll-bonded Ti/Al clad sheet. A TiAl{sub 3} intermetallic compound layer with a thickness of 160 nm was initially generated at the joint interface between the Ti and Al alloys by warm rolling. When the annealing time and temperature were increased to a maximum of 6 h and 650 °C, respectively, the thickness of the TiAl{sub 3} layer increased to 320 nm. The feasible annealing conditions for the optimum bonding strength were within 550 °C-6 h and 600 °C-3 h. An improvement in the bonding strength between Ti and Al is strongly correlated with the generation of considerable metallurgical bonding. This is manifested in the zipper-like failure mode that occurs at the TiAl{sub 3} joint interface for a layer thickness of less than 300 nm.

36 MATERIALS SCIENCE↗

NASA NTRS2020

Bioinspired multilayered cellular composites with enhanced energy absorption and shape recovery

Inspired by the multiscale configuration of the microstructure of cork, the paper describes the design, 3D printing, and evaluation of a new type of multilayered cellular composite (MCC) structure composed of hard brittle and soft flexible phases. The mechanical behavior of 3D printed MCC structures have been investigated both experimentally and numerically. The experiments show that the MCC structure absorbs four times the amount of energy of a conventional cellular configuration under compressive strains up to 70%. Finite element simulations and 2D digital image correlation (DIC) also show that the multilayered architecture provides a more uniform strain distribution and higher stress transfer efficiency, with a resulting progressive failure mode rather than a catastrophic one. Cyclic loading tests demonstrate that the MCC structure also possesses exceptional shape recoverability under compressive deformations up to 40%. These remarkable performance characteristics result from synergies between the properties of the two constituent materials and the chosen multilayered cellular microstructure. The soft phase, in particular, plays a pivotal role in absorbing elastic energy during loading and then releasing the stored energy while unloading. The volume fraction of the soft phase is also essential to control energy absorption and the transition of failure modes. The deformation mechanisms demonstrated here are robust and applicable to other architected cellular materials across multiple length scales and suggest new ways to design lightweight and high-resilience structural materials.

bioinspired composites↗

DOE OSTI2014

A computer aided treatment event recognition system in radiation therapy

Purpose: To develop an automated system to safeguard radiation therapy treatments by analyzing electronic treatment records and reporting treatment events. Methods: CATERS (Computer Aided Treatment Event Recognition System) was developed to detect treatment events by retrieving and analyzing electronic treatment records. CATERS is designed to make the treatment monitoring process more efficient by automating the search of the electronic record for possible deviations from physician's intention, such as logical inconsistencies as well as aberrant treatment parameters (e.g., beam energy, dose, table position, prescription change, treatment overrides, etc). Over a 5 month period (July 2012–November 2012), physicists were assisted by the CATERS software in conducting normal weekly chart checks with the aims of (a) determining the relative frequency of particular events in the authors’ clinic and (b) incorporating these checks into the CATERS. During this study period, 491 patients were treated at the University of Iowa Hospitals and Clinics for a total of 7692 fractions. Results: All treatment records from the 5 month analysis period were evaluated using all the checks incorporated into CATERS after the training period. About 553 events were detected as being exceptions, although none of them had significant dosimetric impact on patient treatments. These events included every known event type that was discovered during the trial period. A frequency analysis of the events showed that the top three types of detected events were couch position override (3.2%), extra cone beam imaging (1.85%), and significant couch position deviation (1.31%). The significant couch deviation is defined as the number of treatments where couch vertical exceeded two times standard deviation of all couch verticals, or couch lateral/longitudinal exceeded three times standard deviation of all couch laterals and longitudinals. On average, the application takes about 1 s per patient when executed on either a desktop computer or a mobile device. Conclusions: CATERS offers an effective tool to detect and report treatment events. Automation and rapid processing enables electronic record interrogation daily, alerting the medical physicist of deviations potentially days prior to performing weekly check. The output of CATERS could also be utilized as an important input to failure mode and effects analysis.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

DOE OSTI2014

Ultra Barrier Topsheet Film for Flexible Photovoltaics with 3M Company

In this DOE sponsored program, 3M achieved the critical UBT features to enable durable flexible high efficiency modules to be produced by a range of customers who have now certified the 3M UBT and are actively developing said flexible modules. The specific objectives and accomplishments of the work under this program were; Scale-up the current Generation-1 UBT from 12” width, as made on 3M’s pilot line, to 1+meter width full-scale manufacturing, while maintaining baseline performance metrics (see table below); This objective was fully met; Validate service life of Generation-1 UBT for the 25+ year lifetime demanded by the photovoltaic market; Aggressive testing revealed potential failure modes in the Gen 1 UBT. Deficiencies were identified and corrective action taken in the Gen 2 UBT; Develop a Generation-2 UBT on the pilot line, targeting improved performance relative to baseline, including higher %T (percent transmission), lower water vapor transmission rate (WVTR) with targets based on what the technology needs for 25 year lifetime, proven lifetime of 25 years in solar module construction in the field, and lower cost; Testing of UBT Gen 2 under a wide range of conditions presented in this report failed to reveal any failure mode. Therefore UBT Gen 2 is known to be highly durable. 3M will continue to test towards statistically validating a 25 year lifetime under 3M funding; Transfer Generation-2 UBT from the pilot line to the full-scale manufacturing line within three years; and This objective was fully met.

14 SOLAR ENERGY↗

NASA NTRS2014

Can Cell to Cell Thermal Runaway Propagation be Prevented in a Li-ion Battery Module?

Increasing cell spacing decreased adjacent cell damage center dotElectrically connected adjacent cells drained more than physically adjacent cells center dotRadiant barrier prevents propagation when fully installed between BP cells center dotBP cells vent rapidly and expel contents at 100% SOC -Slower vent with flame/smoke at 50% -Thermal runaway event typically occurs at 160 degC center dotLG cells vent but do not expel contents -Thermal runaway event typically occurs at 200 degC center dotSKC LFP modules did not propagate; fuses on negative terminal of cell may provide a benefit in reducing cell to cell damage propagation. New requirement in NASA-Battery Safety Requirements document: JSC 20793 Rev C 5.1.5.1 Requirements - Thermal Runaway Propagation a. For battery designs greater than a 80-Wh energy employing high specific energy cells (greater than 80 watt-hours/kg, for example, lithium-ion chemistries) with catastrophic failure modes, the battery shall be evaluated to ascertain the severity of a worst-case single-cell thermal runaway event and the propensity of the design to demonstrate cell-to-cell propagation in the intended application and environment. NASA has traditionally addressed the threat of thermal runaway incidents in its battery deployments through comprehensive prevention protocols. This prevention-centered approach has included extensive screening for manufacturing defects, as well as robust battery management controls that prevent abuse-induced runaway even in the face of multiple system failures. This focused strategy has made the likelihood of occurrence of such an event highly improbable. b. The evaluation shall include all necessary analysis and test to quantify the severity (consequence) of the event in the intended application and environment as well as to identify design modifications to the battery or the system that could appreciably reduce that severity. In addition to prevention protocols, programs developing battery designs with catastrophic failure modes should take the steps necessary to assess the severity of a possible thermal runaway event. Programs should assess whether there are reasonable design changes that could appreciably affect the severity of the outcome. Evaluation should include environmental effects to surrounding hardware (i.e., temperature, pressure, shock), contamination effects due to any expelled contaminates, and venting propulsive effects when venting overboard.

Jeevarajan, Judith↗

DOE OSTI2012

An Overview of Project Planning for Hot-Isostatic Pressure Treatment of High-Level Waste Calcine for the Idaho Cleanup Project - 12289

The Calcine Disposition Project is responsible for retrieval, treatment by hot-isostatic pressure, packaging, and disposal of highly radioactive calcine stored at the Idaho Nuclear Technology and Engineering Center at the Idaho National Laboratory Site in southeast Idaho. In the 2009 Amended Record of Decision: Idaho High-Level Waste and Facilities Disposition Final Environmental Impact Statement the Department of Energy documented the selection of hot-isostatic pressure as the technology to treat the calcine. The Record of Decision specifies that the treatment results in a volume-reduced, monolithic waste form suitable for transport outside of Idaho by a target date of December 31, 2035. That target date is specified in the 1995 Idaho Settlement Agreement to treat and prepare the calcine for transport out of Idaho in exchange for allowing storage of Navy spent nuclear fuel at the INL Site. The project is completing the design of the calcine-treatment process and facility to comply with Record of Decision, Settlement Agreement, Idaho Department of Environmental Quality, and Department of Energy requirements. A systems engineering approach is being used to define the project mission and requirements, manage risks, and establish the safety basis for decision making in compliance with DOE O 413.3B, 'Program and Project Management for the Acquisition of Capital Assets'. The approach draws heavily on 'design-for-quality' tools to systematically add quality, predict design reliability, and manage variation in the earliest possible stages of design when it is most efficient. Use of these tools provides a standardized basis for interfacing systems to interact across system boundaries and promotes system integration on a facility-wide basis. A mass and energy model was developed to assist in the design of process equipment, determine material-flow parameters, and estimate process emissions. Data generated from failure modes and effects analysis and reliability, availability, maintainability, and inspectability analysis were incorporated into a time and motion model to validate and verify the capability to complete treatment of the calcine within the required schedule. The Calcine Disposition Project systems engineering approach, including use of industry-proven design-for-quality tools and quantitative assessment techniques, has strengthened the project's design capability to meet its intended mission in a safe, cost-effective, and timely manner. Use of these tools has been particularly helpful to the project in early design planning to manage variation; improve requirements and high-consequence risk management; and more effectively apply alternative, interface, failure mode, RAMI, and time and motion analyses at the earliest possible stages of design when their application is most efficient and cost effective. The project is using these tools to design and develop HIP treatment of highly radioactive calcine to produce a volume-reduced, monolithic waste form with immobilization of hazardous and radioactive constituents. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

DOE OSTI2016

TH-EF-BRC-00: TG-100 Workshop

This Hands-on Workshop will be focused on providing participants with experience with the principal tools of TG 100 and hence start to build both competence and confidence in the use of risk-based quality management techniques. The three principal tools forming the basis of TG 100’s risk analysis: Process mapping, Failure-Modes and Effects Analysis and fault-tree analysis will be introduced with a 5 minute refresher presentation and each presentation will be followed by a 30 minute small group exercise. An exercise on developing QM from the risk analysis follows. During the exercise periods, participants will apply the principles in 2 different clinical scenarios. At the conclusion of each exercise there will be ample time for participants to discuss with each other and the faculty their experience and any challenges encountered. Learning Objectives: To review the principles of Process Mapping, Failure Modes and Effects Analysis and Fault Tree Analysis. To gain familiarity with these three techniques in a small group setting. To share and discuss experiences with the three techniques with faculty and participants. Director, TreatSafely, LLC. Director, Center for the Assessment of Radiological Sciences. Occasional Consultant to the IAEA and Varian.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

TH-EF-BRC-01: Process Mapping

This Hands-on Workshop will be focused on providing participants with experience with the principal tools of TG 100 and hence start to build both competence and confidence in the use of risk-based quality management techniques. The three principal tools forming the basis of TG 100’s risk analysis: Process mapping, Failure-Modes and Effects Analysis and fault-tree analysis will be introduced with a 5 minute refresher presentation and each presentation will be followed by a 30 minute small group exercise. An exercise on developing QM from the risk analysis follows. During the exercise periods, participants will apply the principles in 2 different clinical scenarios. At the conclusion of each exercise there will be ample time for participants to discuss with each other and the faculty their experience and any challenges encountered. Learning Objectives: To review the principles of Process Mapping, Failure Modes and Effects Analysis and Fault Tree Analysis. To gain familiarity with these three techniques in a small group setting. To share and discuss experiences with the three techniques with faculty and participants. Director, TreatSafely, LLC. Director, Center for the Assessment of Radiological Sciences. Occasional Consultant to the IAEA and Varian.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

TH-EF-BRC-02: FMEA

This Hands-on Workshop will be focused on providing participants with experience with the principal tools of TG 100 and hence start to build both competence and confidence in the use of risk-based quality management techniques. The three principal tools forming the basis of TG 100’s risk analysis: Process mapping, Failure-Modes and Effects Analysis and fault-tree analysis will be introduced with a 5 minute refresher presentation and each presentation will be followed by a 30 minute small group exercise. An exercise on developing QM from the risk analysis follows. During the exercise periods, participants will apply the principles in 2 different clinical scenarios. At the conclusion of each exercise there will be ample time for participants to discuss with each other and the faculty their experience and any challenges encountered. Learning Objectives: To review the principles of Process Mapping, Failure Modes and Effects Analysis and Fault Tree Analysis. To gain familiarity with these three techniques in a small group setting. To share and discuss experiences with the three techniques with faculty and participants. Director, TreatSafely, LLC. Director, Center for the Assessment of Radiological Sciences. Occasional Consultant to the IAEA and Varian.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

TH-EF-BRC-03: Fault Tree Analysis

This Hands-on Workshop will be focused on providing participants with experience with the principal tools of TG 100 and hence start to build both competence and confidence in the use of risk-based quality management techniques. The three principal tools forming the basis of TG 100’s risk analysis: Process mapping, Failure-Modes and Effects Analysis and fault-tree analysis will be introduced with a 5 minute refresher presentation and each presentation will be followed by a 30 minute small group exercise. An exercise on developing QM from the risk analysis follows. During the exercise periods, participants will apply the principles in 2 different clinical scenarios. At the conclusion of each exercise there will be ample time for participants to discuss with each other and the faculty their experience and any challenges encountered. Learning Objectives: To review the principles of Process Mapping, Failure Modes and Effects Analysis and Fault Tree Analysis. To gain familiarity with these three techniques in a small group setting. To share and discuss experiences with the three techniques with faculty and participants. Director, TreatSafely, LLC. Director, Center for the Assessment of Radiological Sciences. Occasional Consultant to the IAEA and Varian.

60 APPLIED LIFE SCIENCES↗