NASA
Breaking the Mishap Chain: Human Factors Lessons Learned from Aerospace Accidents and Incidents in Research, Flight Test, and Development
Peter W. Merlin, Gregg A. Bendrick, Dwight A. Holland
Engineering & Transportation
Breaking the Mishap Chain: Human Factors Lessons Learned from Aerospace Accidents and Incidents in Research, Flight Test, and Development
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Description
Contents
Reviews

This volume contains a collection of case studies of mishaps involving experimental aircraft, aerospace vehicles, and spacecraft in which human factors played a significant role. In all cases the engineers involved, the leaders and managers, and the operators (i.e., pilots and astronauts) were supremely qualified and by all accounts superior performers. Such accidents and incidents rarely resulted from a single cause but were the outcome of a chain of events in which altering at least one element might have prevented disaster. As such, this work is most certainly not an anthology of blame. It is offered as a learning tool so that future organizations, programs, and projects may not be destined to repeat the mistakes of the past. These lessons were learned at high material and personal costs and should not be lost to the pages of history.

Language
English
ISBN
9781780398495
About the Authors
Acknowledgments
Introduction
Part 1: Design Factors
Chapter 1: “It May Not Be Hooked Up”
Chapter 2: Habit Pattern Transfer During the First Flight of the M2-F2 Lifting Body
Chapter 3: Pilot-Induced Oscillation During Space Shuttle Approach and Landing Tests
Part 2: Physiological Factors
Chapter 4: Screening Versus Design
Chapter 5: Six Million Dollar Man
Chapter 6: Almost-Loss of Consciousness in the F-22A Raptor
Part 3: Organizational Factors
Chapter 7: Decision Chain Leading to the XB-70/F-104 Midair Collision
Chapter 8: Mission Management and Cockpit Resource Management in the B-1A Mishap
Chapter 9: Collision in Space: Human Factors in the Mir-Progress Mishap
Conclusions
Bibliography
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