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ESMD Risk Management Workshop Systems Engineering & Integration Risks L. Dale Thomas, Ph.D., P.E. October 12, 2005 https://ntrs.nasa.gov/search.jsp?R=20150009322 2020-03-17T20:03:43+00:00Z

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Page 1: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

ESMD Risk Management Workshop Systems Engineering & Integration

Risks

L. Dale Thomas, Ph.D., P.E.October 12, 2005

https://ntrs.nasa.gov/search.jsp?R=20150009322 2020-03-17T20:03:43+00:00Z

Page 2: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

2 October 12, 2005 MSFC/Dale Thomas

Overview

The Systems Engineering Process Risks Identified During SE&I RFP Development

A Couple of Relevant Historical Anecdotes

Selected SE&I Process Deficiencies & Their Consequences Remarks

Page 3: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

3 October 12, 2005 MSFC/Dale Thomas

EIA-632 MIL STD 499C (draft)

Understand User Requirements, Develop

System Concept and Acceptance Plan

Develop System Performance Specification

And System Verification Plan

Expand Performance Specifications into CI “Design-to” Specifications and CI Verification

Plan

Evolve “Design-to” Specifications into “Build-to”

Documentation and Inspection Plan

Fab, Assemble, and Code to “Build-to” Documentation

Inspect to “Build-to”

Documentation

Assemble CIs and perform CI Verification

to CI “Design-to” Specifications

Integrate System and Perform System Verification to

Performance Specifications

Demonstrate and Validate System to

User Acceptance PlanSystem Design

System Design

Syst

em V

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Syst

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& Ve

rific

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& Ve

rific

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System DevelopmentSystem Development

… …

Success Criteria/Verification RequirementsSuccess Criteria/Verification Requirements

Requirements ValidationRequirements Validation..

..

..

Understand User Requirements, Develop

System Concept and Acceptance Plan

Develop System Performance Specification

And System Verification Plan

Expand Performance Specifications into CI “Design-to” Specifications and CI Verification

Plan

Evolve “Design-to” Specifications into “Build-to”

Documentation and Inspection Plan

Fab, Assemble, and Code to “Build-to” Documentation

Inspect to “Build-to”

Documentation

Assemble CIs and perform CI Verification

to CI “Design-to” Specifications

Integrate System and Perform System Verification to

Performance Specifications

Demonstrate and Validate System to

User Acceptance PlanSystem Design

System Design

Syst

em V

alid

atio

n

Syst

em V

alid

atio

n

& Ve

rific

atio

n

& Ve

rific

atio

n

System DevelopmentSystem Development

… …

Success Criteria/Verification RequirementsSuccess Criteria/Verification Requirements

Requirements ValidationRequirements Validation..

..

..

NASA SP-6105 ISO/IEC 15288

Many models of the Systems

Engineering process, and many

definitions of systems

engineering.

ProjectProcesses

Planning Process

Assessment Process

Control Process

Decision MakingProcess

Risk ManagementProcess

Configuration Management Process

Enterprise Processes

Enterprise Management Process

Investment Management Process

System Life Cycle Management Process

Resource ManagementProcess

AgreementProcesses

Acquisition Process

Supply Process

Technical ProcessesStakeholder Needs Definition Process

Requirements AnalysisProcess

Architectural Design Process

Implementation Process

Integration Process

Verification Process

Transition Process

Validation Process

Operation and MaintenanceProcess

Disposal Process

IEEE-1220

Systems Engineering Process Models

Page 4: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

4 October 12, 2005 MSFC/Dale Thomas

The NASA Systems Engineering Process

Design Processes applied to each product down and across product structure

Realization Processes applied to each product up and across product structure

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

k h ldDesign Processes

Technical Management Processes

Realization Processes

Design Output Realization Input

Design Input

Realization Output

qReqFeedback Iteration Loops

Feedback Iteration Loops

Page 5: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

5 October 12, 2005 MSFC/Dale Thomas

The Pre-ESAS Exploration Architecture

2005 2010 2020 2015 2025 - Crewed Access to Low Earth Orbit - Robotic Exploration, Lunar

- Crewed Exploration, Lunar Extended Duration - Robotic Exploration, Mars

nnn,nn, -Crewed Exploration, Lunar Long Duration - Robotic Exploration, Mars

-Other Potential Capabilities

-Crewed Exploration, Mars Surface

CO

NST

ELLA

TIO

N S

YSTE

MS

R&

T D

EVEL

OPM

ENT

ESR

T PN

ST

HSR

T ESRT: Exploration Systems Research & Technology PNST: Prometheus Nuclear Systems Technology HRST: Human System Research & Technology

TBD

MSD Programs &

Projects

Mission System Development Programs &

Projects

R&TD Programs &

Projects

R&TD Programs &

Projects

R&TD Programs &

Projects

Architecture driven by evolution of enabling technologies.

Page 6: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

6 October 12, 2005 MSFC/Dale Thomas

Scope of SE&I RFP

Under previous ESMD AA, it had been planned to contract the Constellation Systems Engineering & Integration. This strategy has since been abandoned.

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

ESMD Requirements

Mission Configurations

Constellation Element Requirements

Constellation Elements

The SE&I Task was (1) definition of the overall architecture & definition of the elements in concert with technology development & maturity, and (2) integration of the elements to form mission systems.

Page 7: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

7 October 12, 2005 MSFC/Dale Thomas

Elements of the Exploration Architecture (as defined by the ESAS)

The SE&I Challenge – assure this set of elements successfully performs the Exploration Missions.

Page 8: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

8 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks

Reviewed risks identified during SE&I RFP development Of 14 major risks, 7 largely mitigated; the following, in my view, remain:

Human Rating Requirements Technical Standards Long Term Interoperability Modeling & Simulation Standards Integration Complexity Requirements Changes beyond Phase A Technology Maturity

All these risks will manifest themselves as changes to the technical baseline & associated contracts with associated cost & schedule impacts.

Page 9: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

9 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks (con’t)

Human Rating Requirements Was a source of considerable requirements uncertainty for the Space Launch Initiative and Orbital Space Plane Program, simply because NASA has never developed a Human-Rated space flight system under it’s guidance.

Technical Standards

Different Centers within NASA will levy different technical standards on different contracts for elements of the Exploration Architecture that must be integrated.

Page 10: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

10 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks (con’t)

Long Term Interoperability Selected inter-generational elements of the architecture must be interoperable. For example, the Lunar Lander must be interoperable with the CEV, which will drive requirements in the block upgrade of the CEV, which will still be required to be interoperable with the Crew Launch Vehicle.

Modeling & Simulation Standards

Need Exploration-wide model verification, validation, & accreditation guidance such that models & simulations developed by different organizations can be integrated. Need this soon so that it can be levied on contracts at their inception.

Page 11: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

11 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks (con’t)

Integration Complexity “Another important design rule, which we have not discussed as often as we should, reads: Minimize functional interfaces between complex pieces of hardware. In this way, two organizations can work on their own hardware relatively independently. Examples in Apollo include the interfaces between the spacecraft and launch vehicle and between the command module and the lunar module. Only some 100 wires link the Saturn launch vehicle and the Apollo spacecraft, and most of these have to do with the emergency detection system. The reason that this number could not be even smaller is twofold: Redundant circuits are employed, and the electrical power always comes from the module or stage where a function is to be performed. For example, the closing of relays in the launch vehicle could, in an automatic abort mode, fire the spacecraft escape motor. But the electrical power to do this, by design, originates in the spacecraft batteries. The main point is that a single man can fully understand this interface and can cope with all the effects of a change on either side of the interface. If there had been 10 times as many wires, it probably would have taken a hundred (or a thousand?) times as many people to handle the interface.” • Low, George M., “What Made Apollo a Success?” Astronautics and Aeronautics 8 (3), March

1970, pp. 36-45.

Page 12: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

12 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks (con’t)

Requirements Changes beyond Phase A During the NASA Jet Propulsion Laboratory’s development of the Mariner 3 and 4 interplanetary spacecraft in the mid 1960’s, project managers kept statistics on design changes and observed “that the majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art equipment.” • Ref: Johnson, Stephen B. The Secret of Apollo: Systems Management

in American and European Space Programs, The Johns Hopkins University Press, Baltimore, 2002, p. 107-108.

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13 October 12, 2005 MSFC/Dale Thomas

SE&I RFP Risks (con’t)

Technology Maturity

Technology maturity morphs to “use of heritage hardware”, which introduces it’s own risks (more to come on this one later).

Note: New developments are risky, but so is the use of heritage systems. In our business, there are no free lunches!

Page 14: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

14 October 12, 2005 MSFC/Dale Thomas

SE&I Risk Mitigation

Plan the Exploration SE&I task Develop a comprehensive & coherent Systems Engineering Management Plan (SEMP) Include sub-tier activities such as CEV and CLV, including Contractor efforts, within scope • Ensure adequate resources to perform SE&I

Execute the full systems engineering process

Ensure SE&I process during early program phases/prior to development contract award Periodically monitor compliance to SEMP • Best practice from USN Fleet Ballistic Missile Program (ref. John Schafer, Chief

Engineer) But it’s not as easy as it looks.

Pressure to short-cut or even omit steps. Especially when a Contractor proposes good rationale & expected efficiencies. Especially when you’re using heritage hardware or software!

So what are the consequences of SE process shortcuts?

Page 15: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

15 October 12, 2005 MSFC/Dale Thomas

Selected Systems Engineering Process Deficiencies

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

Ariane 5 ISS Prop Module DART WIRE

ISS Prop Module DART Chandra FASTRAC Mars Observer Mars Observer

Chandra Hubble WIRE

Hubble WIRE

Ariane 5 Hubble Mars Observer WIRE

Mars Observer

Page 16: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

16 October 12, 2005 MSFC/Dale Thomas

Ariane 5 Flight 501 Failure

Page 17: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

17 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Requirements Definition and Product Verification

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

bbab FeedbackFF db kFFeedbackFeedbackFFIterationIIt tiIIterationIterationII

Page 18: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

18 October 12, 2005 MSFC/Dale Thomas

Ariane 5 Flight 501 Failure

Issue: Reuse of the Inertial Reference System (SRI) from the Ariane 4. Software functionality in general was maintained for commonality reasons, based on the view that it was not wise to make changes in software which worked well on Ariane 4. A special feature of the SRI on previous versions of Ariane, but not needed on Ariane 5, was the primary cause of the error.

Impact: Erroneous operation of the SRI and On-Board Computer led to flight failure at 40 seconds into the flight. SE&I Deficiencies:

The SRI Systems Specification did not include operational restrictions for the chosen implementation. Such a declaration, which should be mandatory for every mission-critical device, would have served to identify any non-compliance with the trajectory of Ariane 5. Closed-loop simulations conducted as a part of system functional testing did not include the SRIs.

Reference: Flight 501 Failure Report by the Inquiry Board, Prof. J.L. Lions (chair).

Page 19: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

19 October 12, 2005 MSFC/Dale Thomas

ISS Propulsion Module

Page 20: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

20 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Requirements Definition and Technical Solution Definition

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

Rkckck

pspppL pssLoopLooppp

Page 21: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

21 October 12, 2005 MSFC/Dale Thomas

ISS Propulsion Module

Issue: Reliance on heritage Space Shuttle propulsion system components with little/no initial oversight.

Since ISS Propulsion Module was to be an ISS element, ISS on-orbit hardware life requirements levied on the Propulsion Module systems. Shuttle hardware did not meet ISS requirements (Certified for 30 days on orbit; requirement 12 years).

Impact: Contributed to significant technical and programmatic baseline impacts, leading to cancellation of the Project. SE&I Deficiency:

Contractor design team assumed that heritage Shuttle flight hardware met NASA requirements for ISS. Government oversight identified the issue in the Systems Requirements Review.

Reference: Steve Richards, Project Manager & Dr. Fred Bickley, ISS PM Chief Engineer

Page 22: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

22 October 12, 2005 MSFC/Dale Thomas

GPS Rx

AVGS

Video Imager

Modular Avionics

Hydrazine Propulsion

UHF Rx Li Ion Batteries

IMU

Structure

RCS Thrusters

Flight Computer

DART Spacecraft Major Components

Page 23: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

23 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Requirements Definition and Technical Solution Definition

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

Rkckck

pspppL pssLoopLooppp

Page 24: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

24 October 12, 2005 MSFC/Dale Thomas

DART (Demonstration of Autonomous Rendezvous Technology) - launched 2005

Issue: The DART program made extensive use of heritage and off-the-shelf components. Some avionics components had not been qualified for DART’s operating environment or were not space rated. Impact: Resulted in major disassembly of the spacecraft to test these components, which added 6 months of schedule slip and a significant cost. SE&I Deficiency:

Early reliance on heritage hardware was not reviewed by engineering. Therefore, proper time and funding was not allowed for re-qualification, verification, and validation of heritage hardware.

Reference: Chris Calfee, Vehicle Systems Manager for DART

Page 25: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

25 October 12, 2005 MSFC/Dale Thomas

Wide-Field Infrared Explorer (WIRE) mission

Page 26: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

26 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Requirements Definition, Inadequate Assessment, and Insufficient Product Verification

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

Rkckck

tion

FeedbackFFeedbackFFeedbackFeedbackFFIterationIIteration IIterationIterationII

Page 27: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

27 October 12, 2005 MSFC/Dale Thomas

Wide-Field Infrared Explorer (WIRE) mission

Issue: Investigation board found two potential opportunities to catch a fatal design error in the pyro electronics: Design review process and during test program. Impact: Loss of scientific mission (was recovered and was used for a number of asteroseismology investigations) SE&I Deficiency:

Mission development requirements were delegated through three layers of organizations; lack of detailed design review of key components Inability to perform end-to-end testing; poor fidelity of pyro test box Anomaly during testing was not recognized as a potential design flaw

Reference: WIRE Case Study by James S. Barrowman

Page 28: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

28 October 12, 2005 MSFC/Dale Thomas

Chandra X-ray Observatory GSE

Page 29: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

29 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Solution Definition and Inadequate Assessment

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoopspspppL psspLoopLoopp

Page 30: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

30 October 12, 2005 MSFC/Dale Thomas

Chandra X-ray Observatory

Issue: Early testing (9/97) revealed major underestimation of integration effort to support a August 1998 launch. Use of prime’s existing GSE was the primary issue. Impact: Prime added FTE’s and MSFC provided FTE’s at prime’s location to support 24/7 integration schedule for the July 1999 launch date. SE&I Deficiency

Inadequate Program requirements vs. GSE capabilities assessment • GSE had inadequate oversight/visibility early in program (existing GSE was part of

an ongoing classified program) • GSE was provided by separate branch from program (Prime’s program lacked

penetration) • Older GSE technology lacked automation capabilities and inadequate off-line

equipment to support debugging activities. Reference: Fred Wojtalik, Program Manager

Page 31: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

31 October 12, 2005 MSFC/Dale Thomas

FASTRAC Engine Seal Failure

Page 32: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

32 October 12, 2005 MSFC/Dale Thomas

Incomplete Technical Solution Definition

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoopspspppL psspLoopLoopp

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33 October 12, 2005 MSFC/Dale Thomas

FASTRAC Engine Project

Issue: Selection of Operational Cryogenic LOX Valve for use with RP-1 Fuel.

Cursory assessment erroneously deemed RP-1 environment less severe than LOX.

Impact: Resulted in minor test stand fire, loss of approximately one month hot fire schedule, emergency, real time valve test, evaluation and redesign; co-location of government “tiger team” personnel onsite at contractor facility with 7 day/week, extended shift operation team during test and evaluation, valve redesign cost. SE&I Deficiency:

No Detailed analysis of valve design in new application Valve operation in new environment was not thoroughly investigated; Material property (i.e. modulus of elasticity) change with temperature was overlooked, resulting in excess deflections during valve transient operation and failure of valve to close properly on command.

Reference: George Young - Chief Engineer; Tim Ezell – Tiger Team Member

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34 October 12, 2005 MSFC/Dale Thomas

Hubble Space Telescope Spherical Aberration

Page 35: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

35 October 12, 2005 MSFC/Dale Thomas

Flawed Design Realization, Incomplete Product Verification, & Inadequate Assessment

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFeedbackIteration Iteration LoopsLoops

FeedbackFFeedbackFFeedbackFeedbackFFIterationIIteration IIterationIterationIILLLLoopsLLoopsLoops

t

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36 October 12, 2005 MSFC/Dale Thomas

Hubble Space Telescope Spherical Aberration

Issue: Primary mirror improperly ground, resulting in a spherical aberration that rendered the wide field camera useless. Impact: COSTAR (the Corrective Optics Space Telescope Axial Replacement) was developed to counter the effects of the flawed shape of the mirror.

COSTAR was a telephone booth-sized instrument which placed 5 pairs of corrective mirrors, some as small as a nickel coin, in front of the Faint Object Camera, the Faint Object Spectrograph and the Goddard High Resolution Spectrograph. Installed on the first HST Servicing Mission

SE&I Deficiency: The reflective null corrector (RNC) used as an optical template to shape the mirror was flawed, resulting in an improperly shaped primary mirror. Data from other devices used in mirror alignment & calibration indicated problems with the RNC, but these results were discounted as being flawed themselves. End-to-end test of the Optical Telescope Assembly was not performed due to expense.

Reference: HST Optical Systems Failure Report

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37 October 12, 2005 MSFC/Dale Thomas

Mars Observer

Page 38: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

38 October 12, 2005 MSFC/Dale Thomas

Inadequate Planning & Control, Flawed Technical Solution Definition & Design Realization and Incomplete Product

Verification

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Stakeholder Expectations Definition

Technical Requirements Definition

Technical Solution Definition

• Logical Decomposition• Physical Solution

Planning

Assessment

Control

DecisionAnalysis

Transition

Design Realization

Product Verification

Product Validation

Transition

Design Realization

Product Verification

Product Validation

Design ProcessesDesign Processes

Technical Management ProcessesTechnical Management Processes

Realization ProcessesRealization Processes

Design OutputDesign Output Realization InputRealization Input

Design Design InputInput

Realization Realization OutputOutput

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FeedbackFeedbackIteration Iteration LoopsLoops

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Pro

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RealizationRRealizationRealization

Page 39: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

39 October 12, 2005 MSFC/Dale Thomas

Mars Observer

Issue: Design and component heritage qualification that was inappropriate for the mission.

Impact: Contact with Mars Observer was lost three days before scheduled orbit insertion, for unknown reasons.

SE&I Deficiency: failure to qualify the traveling wave tube amplifiers for pyro firing shock; design of the propulsion system; use of a fault-management software package that was not fully understood, The Board also noted that “the discipline and documentation culture associated with, and appropriate for, commercial production-line spacecraft is basically incompatible with the discipline and documentation required for a one-of-a-kind spacecraft designed for a complex mission. Mars Observer was not a production-line spacecraft.”

Reference: Mars Observer Mission Failure Investigation Board Report

Page 40: ESMD Risk Management Workshop Systems Engineering ...majority of the projects’ 1,174 design changes occurred at subsystem interfaces and in subsystems that contained state-of-the-art

40 October 12, 2005 MSFC/Dale Thomas

Remarks

There are very real consequences for short-cutting the Systems Engineering process. Prime contracts are often negotiated on the basis of assumptions that pre-suppose the outcome or even omit selected steps of the systems engineering process. Reuse of exiting technology or heritage hardware/software can tempt one to omit steps in the front end of the systems engineering process. When system testing is scaled back, technical assessment must be scaled up proportionately.