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DIARY: February 22, 2003 08:56 AM Saturday; Rod Welch

Columbia space shuttle failed after warnings of problems ignored.

1...Summary/Objective


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SUBJECTS
Columbia Space Shuttle Breaks Apart During Approach to Land Loss of 7
Columbia Explodes During Re-entry on Approach to Landing After Comple
Management Failures Reported Lack Documented Surveillance Contract Pe
Contract Requirements for Reporting Production Progress and Performan
Surveillance Shall Avoid Action Inconsistent with Contract Requiremen
Alignment Showing Audit Trail Traceability to Original Sources Docume
Intelligence Proactive Management Only SDS and Com Metrics Support In
Bumbling Small Details Later Cause Major Problems Need Proactive Disc
Document Surveillance Contract Performance Failed
Bumbling Complex Information Communication Need Alignment on Challeng
Warnings of Problems in Email Ignored by Management
Columbia Space Shuttle Explodes On Returning to Base in Florida
Management Failure Columbia Space Shuttle Explodes On Returning to Ba
Management Ignores Warnings Columbia Space Shuttle Explodes On Return

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3916 -    ..
3917 - Summary/Objective
3918 -
391801 - Follow up ref SDS 26 0000. ref SDS 25 0000.
391802 -
391803 - Article published by Reuters today reports that email correspondence
391804 - by NASA staff warned about damage during take-off that later caused
391805 - failure of the Columbia Space Shuttle, ref OF 3 0001, as shown in the
391806 - record on 030201. ref SDS 25 0001
391808 -  ..
391809 - The email said....
391810 -
391811 -   1.  "We can't imagine why getting information is being treated like
391812 -       the plague. Apparently the thermal folks have used words like
391813 -       they think things are survivable, but marginal," ref OF 3 HI9J
391815 -  ..
391816 - NASA has said that higher-ups in the agency did not see the email
391817 - messages, ref OF 3 TX6H, which aligns with the report by the
391818 - Washington Post on 030202 that NASA failed to use good management in
391819 - this case. ref SDS 26 529J
391820 -
391821 -      Resistance to improve because fixing little problems seems like
391822 -      unnecessary overkill was reported on 980307, reviewing Andy
391823 -      Grove's book, ref SDS 8 Q477, and cited earlier by Morris Jones
391824 -      at Chips and Technologies on 921127. ref SDS 2 0674
391825 -
391826 -         [On 030304 NASA management objects to criticism among the
391827 -         public about failure to heed warnings in email, saying that
391828 -         email is informal and emotional.  NASA needs to produce the
391829 -         formal, unemotional analysis that justifies ignoring warnings
391830 -         discussed in email. ref SDS 27 KV6K
391832 -  ..
391833 - Correspondence indicates concern that ice breaking loose from the main
391834 - fuel tank and striking the left wing during take-off, rather than
391835 - insulation, may have caused damage severe enough to disable the
391836 - Shuttle for re-entry.....
391837 -
391838 -   2.  In a Feb. 5 e-mail, NASA engineer Dennis Bushnell said ice
391839 -       damage from the 150-foot-tall external fuel tanks has long
391840 -       afflicted the left side of space-bound shuttles, but nothing was
391841 -       done about it. ref OF 3 AL4N
391843 -        ..
391844 -   3.  "We (the agency) should have done more analysis of this whole
391845 -       situation/taken it more seriously as well as repositioned that
391846 -       tank dump line to minimize ice impingement," he wrote.
391847 -       ref OF 3 KL5I
391849 -        ..
391850 -   4.  Another NASA engineer, Daniel Mazanek, wrote that a study of
391851 -       video taken during launch indicated that Columbia was struck
391852 -       three times by debris that was most likely ice. ref OF 3 PL6J
391854 -        ..
391855 -   5.  The impact, he said, "would be the equivalent of a 500 pound
391856 -       safe hitting the wing at 365 miles per hour." ref OF 3 EM6O
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