Mission Success First: Lessons Learned (APPEL-MSF:LL)
This course is for engineers, technical managers, and program/project managers engaged in the development or oversight of aerospace systems and components who wish to gain wisdom from NASA's lessons learned.
This course is designed to provide an insight into the causes of aerospace system mishaps and near-misses. At the completion of the course, participants will be able to analyze the detailed case histories of previous mishaps to identify system-specific lessons, and translate these lessons into concrete strategies that will minimize or eliminate root causes.
This two-day course is facilitated by former NASA engineering managers with space system development experience and firsthand knowledge about dozens of the engineering mishaps and near-misses examined in the course. Rare archival photographs and videos are included in the multimedia presentation, along with informative personal anecdotes. Participants will review and critique these incidents, perform critical analysis of actual events, and, learn to use this knowledge within their own current projects.
Upon completion of this course, participants will be able to:
- Identify system-specific lessons from selected historical cases.
- Describe the root causes of well known case histories, such as the Apollo 13 oxygen tank and the space shuttle Challenger "normalization of deviance" concept, as well as lesser-known examples from NASA archives.
- Demonstrate how normalization of deviance can affect decision points, and how to avoid it.
- Translate extracted lessons into concrete strategies for eliminating root causes of problems and use these in daily work.
- Support the importance of communicating lessons learned, including mining the NASA lessons learned database as appropriate and capturing and sharing their own successes and failures as official lessons learned.
Competencies and Technical Areas Addressed
- Assessment of historical aerospace mishaps to learn system-specific lessons and root causes
- Analysis of "normalization of deviance" concept
- Critical thinking, engineering design and analysis processes, technical decision making, and project principles
- Nonanalytical aspects of design
- Application of concrete strategies to eliminate root causes of problems