Official investigation report



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  • Official investigation report

  • IEEE Spectrum investigation report

  • Official report on project management at NASA



  • Spacecraft and its mission

  • Mission failure

  • Failure causes

    • root cause
    • contributing causes
  • NASA’s mission planning paradigm



  • Spacecraft and its mission

  • Mission failure

  • Failure causes

    • root cause
    • contributing causes
  • NASA’s mission planning paradigm



The first weather satellite for another planet

  • The first weather satellite for another planet

    • profile Martian atmosphere
    • map Martian surface
    • Mars Polar Lander support
    • relay for future missions


  • Assymetric solar array

  • Attitude control

    • coarse: jet thrusters
    • fine: 3x flywheels
  • Single onboard computer

    • IBM PowerPC 20MHz
    • 128MB RAM
    • no tape or solid-state recorder
    • 18MB flash




  • Spacecraft and its mission

  • Mission failure

  • Failure causes

    • root cause
    • contributing causes
  • NASA’s mission planning paradigm



went off course by 100 km

  • went off course by 100 km

    • hit the atmosphere and burned ?
    • passed the atmosphere and went on ?
  • $125.000.000 loss



  • Spacecraft and its mission

  • Mission failure

  • Failure causes

    • root cause
    • contributing causes
  • NASA’s mission planning paradigm



  • In NASA nomenclature a root cause is:

  • Along a chain of events leading to a mishap, the first causal action or failure to act that could have been controlled by policy/practice/procedure

  • Root Cause – failure to use metric system in ground software files used in trajectory models





  • In NASA nomenclature a contributing cause is:

  • A factor, event or circumstance which led directly or indirectly to the dominant root cause or which contributed to the severity of the mishap





  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Contributing causes

    • undetected mismodelling of velocity changes
    • navigation team unfamilliar with spacecraft
    • failure to perform emergency trajectory correction
    • poor system engineering process
    • informal communication of project teams
    • insufficient staff training
    • insufficient navigation team stuffing
    • poor verification of ground software


  • Spacecraft and its mission

  • Mission failure

  • Failure causes

    • root cause
    • contributing causes
  • NASA’s mission planning paradigm



  • „Faster, better, cheaper“ approach





  • „Mission success first“ approach

    • defining a minimum set of mission success criteria
    • sufficient analysis and verification prior to launch
    • assurance and robustness of the design
    • ability to learn from failure


  • „Mission success first“ approach

    • defining a minimum set of mission success criteria
    • sufficient analysis and verification prior to launch
    • assurance and robustness of the design
    • ability to learn from failure


  • „Mission success first“ approach

    • defining a minimum set of mission success criteria
    • sufficient analysis and verification prior to launch
    • assurance and robustness of the design
    • ability to learn from failure


  • „Mission success first“ approach

    • defining a minimum set of mission success criteria
    • sufficient analysis and verification prior to launch
    • assurance and robustness of the design
    • ability to learn from failure


  • Thank you!



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