Investigation of the Challenger Accident

PANEL ON TECBRICAL EVALUATION OF RASA'S PPOPOSED BZDESICII

PANEL ON TECBRICAL EVALUATION OF RASA'S PPOPOSED BZDESICII

OF TEE SPACE 8WRI.l SOLID R O C R T BOOSTER

NAE D r . H. Guyford S t e v e r , CHAIRMAN Dr. Alan N. Cent . NAS F o r e i g n S e c r e t a r y P r o f e s s o r of Polymer P h y s i c s

N a t i o n a l Academy of Engineering The I n s t i t u t e o € Polymer S c i e n c e

2101 C o n s t i t u t i o n Avenue, N.W (NAS 307) U n i v e r s i t y o f Akron

Washington, DC 20418 Auburn S c i e n c e B u i l d i n g , Room 325

Akron, Ohio 44325

U r . Laurence J. Adam8 ( R e t i r e d Former P r e s i d e n t , U r . Dean K. Hanink Martin m r i e t t a Corporation) ( R e t i r e d Manager of E n g i n e e r i n g 13401 B e a l l Creek Court Operations. R e t r o i t D i e s e l ) Potomac, M) 20854 145 Uaple C r e s t Drive Carmel, I N 46032

Dr. David Altman NAE Dr. James W. Uar ( R e t i r e d Manager o f Engineering Jerome C. Hunsaker P r o f e s s o r o f U n i t e d Technologies Company) Aerospace Education 1670 Oak Avenue Dept. of A e r o n a u t i c s h A s t r o n a u t i c s Uenlo P a r k , CA 94025 U a s s a c h u s e t t s I n s t i t u t e of Technology One Surf Way, Apt. 119 Uonterey, CA 93940 U r . R o t e r t C. Anderson ( R e t i r e d Vice P r e s i d e n t , '72 HIT O f f i c e : TRW Energy Development Group, E l e c t r o n i c s b Defense S e c t o r ) P r o f e s s o r Edward W. P r i c e E n g i n e e r i n g and Uanagement C o n s u l t a n t Regents ' P r o f e s s o r 840 5 5 t h Avenue, N.W. School of Aerospace E n g i n e e r i n g Salem, Oregon 97304 Georgia I n s t i t u t e of Technology A t l a n t a , GA 30332

D r . J a c k L. Blumenthal Chief E n g i n e e r Ur. Robert D. Watt TRW ( R e t i r e d Group Leader, U a t e r i a l s and Chemistry Applicakions Stanford Linear Accelerator Center)1 For the purpose of this report, a procedure is a formal set of instructions designed to guide and assist in the performance of a technical or management function. g8 mid., July 24, 1986, p. 11. Space P a r k , B u i l d i n g 01, Room 2010 11117 P a l o s Verde D r i v e Redondo Beach, CA 90278 C u p e r t i n o , CA 95014

D r . Robert C. Forney NRC S t a f f

E x e c u t i v e Vice P r e s i d e n t

€ . I . duPont de Nemours 6 Co., I n c . N a t i o n a l R e s e a r c h C o u n c i l , JH b15

A d m i n i s t r a t i o n Department 2101 C o n s t i t u t i o n Avenue, N.W. DuPont B u i l d i n g , Room 9000 Washington, DC 20418

Wilmington, DE 19898

D r . R o b e r t H. Korkegi (Co-Director)

D r . Hyron F. Uman (Co-Director)

u s . V i v i a n e S c o t t (Adm. A s s i s t a n t )

VI-c

loace aev.1 For the purpose of this report, a procedure is a formal set of instructions designed to guide and assist in the performance of a technical or management function. g8 mid., July 24, 1986, p. 11. I I

I Failure Mace Effccts analvsis I 2 I Rp-zsm I I I Sucmiczal h i e c u i e :1 For the purpose of this report, a procedure is a formal set of instructions designed to guide and assist in the performance of a technical or management function. g8 mid., July 24, 1986, p. 11. I I I submit updates a t 6-wnth intervals r i t h s u t ~ ~ i t t a l linked t o n e a e s t sckedule CIL I I FSR submittal. I ! II Conwacr S W rieierencr: iI II Exhibit 4. 3.3.3 I use:

  • Ercireeriro Succort I I I

II To identify c r i t i c a l f a i l u r e motes t o be used as a b a s i s f o r sucpor: o f : (1) I

I I Additional Design Action; (2) SPfeCY A n a l y s i s ; and ( 3 ) Mission U n t i n ~ e n c yPlanning. I I , I I I I inrerzeiatisnsnip: I I I I I I I I - c , p e - i o n c e n t s - r o ~ a t - ~ a i n K ~ n a n c - i J v e r e n tiuxnrsneo 0at3: I I I 1. Sccoe/Cmtmts -

Failure mooe e f f e c t s analysis w i l l be preiarad f o r each Criuier venicle Suosystm, including the following: I I

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  • a. Systern/Subsystem/Assembly/It~~ i c e n t i f i c 3 t i o n o f X s n f o r rnicn the mEj\ is being ccnducted. I I

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b. - Preca?o/Approved a y i d e n t i f i c a t i o n of anaiyst *no PerforTed the FWEA and I indiviccals responsible ?or overall FVE4 e i f o r : . I

1 I c. Revisicn - Oat2 i n d i v i l u a l ?ages arz izvis2d. I I d. Item Identification: I I I (1) Name I I I I I

(2) - i d e n t i i f c a t i c n Number Drawing numoer by rniCn the Ccntzactor l d e n t i f i e s and describes eacn ccmponent o r mccule. I I

I I I ( 3 ) Drawing ileference Cesisnaticn

module on the sccernatic. - I c e n t i f i c a t i c n of the ccmponent or I

I I I I (4) Quantit.{ - Total ncmcer C J ~i:ems i n the s ~ c s y s i o a . I I I e. FWm Numcei - A nmcer t h a t uniguely i c e n t i f k s tne sucsysten, c:rnpcnent,

and f a i l u r e moce. I

I I I I f. Funccicn - Ccccise statenent of :x f w c z x n per'zrnea. I

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NTPJ4l'ICN AEZUIXXNT O E C X i T I C N

I iiue: iOacs iiev. I I I I I Feilurs Moce Effects Analvsis I W-267E3 I I

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I 2. Cccoe/Ccntents (Cmntlnced) -- '

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n. - Remartts/Hazmls Statement o f my remarks, reccrmendatians, and Fotential hazards a s required. I I I

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  1. Vehicle Effectivity - Identification of the vehicle e f f e c t i v i t y for the failurr? made identifizd. I I I

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-- I 3. Format To be preparzd in mntzact3r's fornat. I

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I 4. Haintenancs To be maintained by paqe ;evision/total reissuance, as aPPlicable.1 I

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  • I 5 . Coverrment Furnished Data Not ZppliC2ble. I -

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I I I I I I I Pese 3 JI'3 NASA, "Report to the President Actions to Implement the Recommendations of the Presi- dential Commission on the Space Shuttle Challenger Accident," July 14, 1986. (Hereafter r e ferred to as NASA Response to Rogers Commission.) j

324

i Failure mce Effects Analysis I 2 IRA-26N I I 1 suopzcza l - t i s u m i t updates a t 6-nonth intervals rith s a i t t a l linked t o nearest schedule CIL i I m submtttal. I

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I I I a n t - a c c s n Reference:

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I Exhibit A, 5.3.3 I use: - Eroineerino Succcrt I I I I I To identify c:itical fatlure modes t o be used a s a b a s i s for support of: (1) I I Additional Oesign .%%.ion; (2) S a f e g Analysis; and (3) Mission Continpncy P l a n i n g . I I I I I I incerreiatiwsnrp: I I I I I I I I Sc;peicncencs-r-ormat-~~ntenancsijverrmentiunrsneo gata: I I I I 1. SccoeKontents I - Failure moce e f f e c t s analysis w i l l be proparod for eactl Crater venicle Suosystsm, including the follcwing: I I I I I a. Systm/Subsystem/Assembly/I~s! - I d e n t i f i a t i o n of it&! f o r which the FMEA II is being ccnductel. I I I I I tl- - Preparea/Approved a y Identification of ma:yst wno perforned t h e FMEA a d I indiviouals rrsponsible for overall FYEA aiforr. I I I

I c. Revision - Date indiViZUal ?aCes aro revissl.1 For the purpose of this report, a procedure is a formal set of instructions designed to guide and assist in the performance of a technical or management function. g8 mid., July 24, 1986, p. 11.

I I I d- Item Identification: I I I I (1) Name I I I (2) Identi?icaticn NUmOef - Ornwing numoer by wnicn t h e Ccntractor LlentiPLes and b e s c n b e s eacn CcmFonent or mcculs. I I I I I I (3) Drawing ileference Cesisnaticn mocule on the schenatic. - 1centi:icatian 01' the ccmponent cr I I I I I I I (a) Quantity - TcWl numcer of itzms in the ;~Csysiern. I

I e. FMEA Number - A number that unicuely i c e n t i f i e s w e sucsystea, cCmccnent, ana f a i l u r e moce. I I I I I I r. Fw,cricn - Ccccise s t i t e n e n t o f :ne f m c t i c n per'zraea. I I I I I I I I I I I I I P a p 1 cf 3 !

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(Sac2 iiev. II F s i l u r a Moce Effects Analvsfs I ?A-267€3 I I

I ' I 2. SccoeKcntmts (Ccntinued) . I I I n. - Renarks/Hazmis Statament of any remarks, rxcnmendaticns, and p o t e n t i a l hazards a s required. I I I 0. Vehicle Effectivity - Identification of the venicle effectivit'/ f o r the f a i l u r a mode l d f f l t i f k d . I I I 3. - To t e Dreparsd in Csnrractir's fomat.

I *. Halntenancs - To be maintained 3y page r e v f s i o n / t o t l l raissuanca, a s applicable. I I 1 - 5. Coverment Furnished Data - Not applicible. I I I I I I I I

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VI-D

Date: January 31. 1984 Page 1 o f 34 Approved:- RELIABILITY V.P. Ostrander. Mgr., R e l i a b i l i t y DESK INSTRUCTION Space S h u t t l e Pro- NO. 100-26

FLIGHT HAROUARE FAILURE WOE EFFECTS ANALYSIS (FMEA)

i

CRITICAL ITEMS LIST (CIL)

_(. References: ( 1 ) EOM 70 1-5.1.1.1

70 2-6.3.1 ( 2 ) R e l i a b i l i t y Desk Instruction No. 100-1 Eva1 uati on - Reliability

( 3 ) R e l i a b i l i t y Desk Instructlon No. 100-12 Element Interface - Shuttle

INIROOUCTION

R e l i a b i l i t y of t h e design is t h e ultimate r e s p o n s i b i l i t y of Design. However.' i t i s incunbent on o t h e r Engineering functions. Including R e l i a b i l i t y . t o support t h e design engineer i n d l x h a r g i n g h i s r e s p o n s i b i l l t i e s . The Failure Mode Effect Analysis (FMEAI Is p r l m r y r e 1 i a b I l i t y technique f o r providlng design and program support and c o n s t i t u t e s a documented record of the design s t a t u s and coordinated declSiOnS.

1.0 PURPOSE

This desk Instruction defines t h e procedures f o r generating. documenting and . maintainlng F a i l u r e Mode Effects Analyses (FMEA) and C r i t i c a l Items Lists (CIL) f o r t h e Space S h u t t l e Orbiter subsystems i n o r d e r t o v e r i f y design adequacy w i t h respect t o inherent r e l i a b i l i t y .

7-

2.0 DEFINITIONS

  1. -- is t h e l n a b l l l t y of a system. subsystem, component. o r p a r t t o perform its required function within specified lirits uider specified

conditions f o r a specified duration.1 For the purpose of this report, a procedure is a formal set of instructions designed to guide and assist in the performance of a technical or management function. g8 mid., July 24, 1986, p. 11.

01 #O. 100-26 Page 2 34 of

  1. F a i l u r e Mode - a description o f the manner i n which an ftem can f a i l . 3. Hazard - i s the presence of a potential r i s k s i t u a t i o n caused by an unsafe a c t o r condition.
  1. Redundancy (depth o f ) - describes the a v a i l a b l e (number o f ) ways of performing a function.

'' 5. - Backup Mode of Operation describes t h e a v a i l a b l e ways of performing a function u t i l i z i n g 'like" ( i d e n t i c a l ) hardware.

    • Alternate Mode of Operation describes any additional ways o f performing a function u t i l i z i n g "unlike" hardware.
  1. Criticality - i s the categorization of a hardware item by t h e worst case potential d i r e c t e f f e c t of f a i l u r e of t h a t item. In assigning hardware c r i t i c a l i t y , t h e a v a i l a b i l i t y of redundancy (backup o r a l t e r n a t e ) modes of operation i s considered. Assignment of functional c r i t i c a l i t y , however, assumes the loss of a l l redundant (backup or a l t e r n a t e ) hardwari Inments. The d e f i n i t i o n of c r i t i c a l i t y i s shown i n Table 2.0. Table 2.0 - C r i t i c a l i t y Definition