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Review of Significant Incidents and Close Calls in Human Spaceflight from a Human Factors PerspectiveThis project aims to identify poor human factors design decisions that led to error-prone systems, or did not facilitate the flight crew making the right choices; and to verify that NASA is effectively preventing similar incidents from occurring again. This analysis was performed by reviewing significant incidents and close calls in human spaceflight identified by the NASA Johnson Space Center Safety and Mission Assurance Flight Safety Office. The review of incidents shows whether the identified human errors were due to the operational phase (flight crew and ground control) or if they initiated at the design phase (includes manufacturing and test). This classification was performed with the aid of the NASA Human Systems Integration domains. This in-depth analysis resulted in a tool that helps with the human factors classification of significant incidents and close calls in human spaceflight, which can be used to identify human errors at the operational level, and how they were or should be minimized. Current governing documents on human systems integration for both government and commercial crew were reviewed to see if current requirements, processes, training, and standard operating procedures protect the crew and ground control against these issues occurring in the future. Based on the findings, recommendations to target those areas are provided.
Document ID
Acquisition Source
Johnson Space Center
Document Type
Conference Paper
Silva-Martinez, Jackelynne
(NASA Johnson Space Center Houston, TX, United States)
Ellenberger, Richard
(NASA Johnson Space Center Houston, TX, United States)
Dory, Jonathan
(NASA Johnson Space Center Houston, TX, United States)
Date Acquired
September 12, 2017
Publication Date
September 25, 2017
Subject Category
Man/System Technology And Life Support
Administration And Management
Report/Patent Number
Meeting Information
Meeting: International Astronautical Congress
Location: Adelaide
Country: Australia
Start Date: September 25, 2017
End Date: September 29, 2017
Sponsors: International Astronautical Federation
Distribution Limits
Work of the US Gov. Public Use Permitted.
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