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The Challenger Disaster: Causes, Failures and Recommendations

Essay 2012 10 Seiten

BWL - Unternehmensforschung, Operations Research

Leseprobe

Table of Contents

1 Introduction

2 Chronology of events
2.1 Pre-Launch
2.2 Launch day

3 The Root Causes
3.1 Technical
3.2 Human
3.3 Organisational

4 Recommendations

5 Conclusion

6 References

1 Introduction

This report looks into the causes leading to the challenger disaster from different perspectives and in the final part possible solutions are explored which could have prevented the disaster. The disaster has been found to be the consequence of inefficient communication and public pressure.

illustration not visible in this excerpt

Figure 1-1: Shuttle launch phases, no problems (source: own design)

2 Chronology of events

2.1 Pre-Launch

In January 1985, Roger Boisjoly, an engineer at Thiokol, a NASA-contractor for the Solid Rocket Boosters (SRBs)1, identifies a critical failure on mission 51C’s O-rings (Everett and Burke-Ward, 2006). This component ensures that the combustion engine and the solid fuel tank segments are hermetically sealed-off from the nearby hydrogen tank (Martz and Zimmer, 1992). Boisjoly analyses the failure and concludes that the exceptional cold launch conditions were the cause for the malfunction (Day, 2000 , Vaughan, 1996).

The problem is brought to the attention of Thiokol’s management. The risk is deemed together with NASA to be acceptable (Day, 2000).

August 1985, a taskforce at Thiokol is set up to investigate the defect and concludes that the O- Rings becomes brittle at low temperatures (Everett and Burke-Ward, 2006).

2.2 Launch day

Mission 51L, has been moved 4 times prior to Tuesday, January 28, 1986. Weather forecast predicts the temperature to drop to -7 degrees Celsius. Thiokol and NASA set up a meeting to discuss the O-Ring-memo. Thiokol’s presentation was rushed but the recommendation clear: “no launch”. NASA was under pressure to be on schedule, since 12 more flights were planned for the year (Everett and Burke-Ward, 2006). Thiokol’s management team then ignored the recommendation and agreed that the data was inconclusive.

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Figure 2-1: Challenger Launch chain of events leading to explosion (source: own design)

11:38:00.010 EST, the Shuttle lifts off (see Figure 1-1 (1 and 2)). 73 seconds later hot gas leaks from the SRB-sealing, pierces the fuel tank (3), ignites the pressurized hydrogen tank and causes it to explode and destroy the Challenger (4).

3 The Root Causes

3.1 Technical

The disaster had one major design flow at its core, namely the temperature sensitive SRB O-ring sealing. Two O-rings sealed the SRBs and this component was therefore classified as critical but redundant . The main implication was that the priority to fix this problem was lower than for critical and unique parts (Gouran et al., 1986).

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Figure 3-1: Joints of Solid Rocket Booster segment and O-Ring sealing (source: Blumberg (2011))

Since both sealings would perform equally unpredictable at low temperatures, it should have been classified as unique. The low temperature on launch day was the catalyst for the incident, it was not the cause but it rendered the flawed O-ring design fatal (Romzek and Dubnick, 1987).

3.2 Human

The causes leading to the incident were in part human error and misjudgement. However no instance of protocol breach, is to be found (Gouran et al., 1986).

A lack of efficient and timely communication is responsible for the “go” decision. Misjudgement and flawed priorities are the cause for the lack of action. Thiokol’s management misjudged the O-ring problem when it was brought to its attention, and did not explain the implications to NASA, due to inefficient communication. No meaningful measures to fix the problem were taken, possibly due to NASA’s assessment that the risk was acceptable and unilateral action by Thiokol would have been against NASA’s wishes. NASA conversely did not look for solutions following the memo (Gouran et al., 1986).

[...]


1 Solid Rocket boosters are the primary source of thrust during lift-off, these rockets are then detached once the vehicle leaves the atmosphere, then collected and reused - MARTZ, H. F. and ZIMMER, W. J. (1992) The Risk of Catastrophic Failure of the Solid Rocket Boosters on the Space Shuttle. The American Statistician, 46 (1), 42-47.

Details

Seiten
10
Jahr
2012
ISBN (Buch)
9783656357469
Dateigröße
1.1 MB
Sprache
Englisch
Katalognummer
v208006
Institution / Hochschule
University of Bradford
Note
1
Schlagworte
challenger disaster causes failures recommendations

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Titel: The Challenger Disaster: Causes, Failures and Recommendations