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Sequence of Events During Columbia Mission

applemasker writes "Today's NYT is reporting that NASA managers actively resisted requests from vehicle engineers for on-orbit imagery. This should answer Administrator O'Keefe's question of why no engineers 'spoke up' during the flight. Seems they did; managers just ignored them."

21 of 298 comments (clear)

  1. What's new? by NerveGas · · Score: 4, Funny


    "... managers just ignored them."

    The story of an engineer's life.

    steve

    --
    Oh, you're not stuck, you're just unable to let go of the onion rings.
    1. Re:What's new? by pla · · Score: 5, Insightful

      Engineers make recommendations. Managers disregard them. Things like impressing VPs, etc are way more important to get ahead in an organisation unfortunately.

      In a "normal" work environment, the corporate food chain annoys those of us with a clue (ie, non-management). Just one of the hassles they pay us to put up with. "Why did this project fail?" "Because you killed the single most important subproject associated with it" "Well, get to work on that, and don't let this happen again!" (mimes masturbating while walking away, disgusted).

      In the case of NASA, however, they have a bit more on the line than the bottom line, good hair, and kissing VP ass - They have real, live humans risking their lives every time they climb up into the cockpit.

      Sorry, but "the way we do things" doesn't cut it in this situation. I'd personally like to see some people go to prison over this one. They overruled the warnings of people with a clue, and as a result, people died. Totally unacceptible.

    2. Re:What's new? by zurab · · Score: 5, Interesting
      "... managers just ignored them."

      The story of an engineer's life.


      Let me tell you, there's a big difference between ignorance and what the article claims:

      The new information makes it clear that the failure to follow up on the request for outside imagery, the first step in discovering the damage and perhaps mounting a rescue effort, did not simply fall through bureaucratic cracks but was actively, even hotly resisted by mission managers.

      You get ignored once, twice, maybe even three times, but when you contact management at least half a dozen times about the same issue it gets acknowledged. In this case, article claims, not only did it get acknowledged but it was acted upon - actively, even hotly resisted by mission managers. Confidence is good, as long as it does not spill over into stupidity.
    3. Re:What's new? by Darth · · Score: 4, Funny

      Maybe if engineers could communicate, they would be so ignored.

      you have to love the irony of someone saying exactly the opposite of what they mean when criticizing someone else's communication skills.

      --
      Darth --
      Nil Mortifi, Sine Lucre
    4. Re:What's new? by laertes · · Score: 5, Informative
      Am I the only person in the whole world who actually read the report published by the CAIB? It's incredibly painless to find, download and read (ever hear of PDF)?

      Ok, I know I'm not the only person, but still.... Anyway, the report talks about what if... in section 6.4. It's the most interesting (aside from the board's version of the stuff in this article) section of the report. In this section, the options Columbia would have had had the managers (Ms. Ham, specifically) agreed to image the orbiter while on-orbit are discussed. There were two options for saving the crew, not zero.

      1. Patch the hole. They considered an emergency spacewalk to "McGuyver" the wing's leading edge. The patch, as such, would require the astronaut to throw all of the titanium wrenches, wristwatches, science experiments, etc, into the hole. Interestingly, the engineers at NASA didn't think this was absurd, just that we lack data to determine if it is viable. So, it was kind of considered a "last-resort" option.
      2. Send Atlantis on a rescue mission. I know a lot of people on this website are of the opinion that "There wasn't anything we could have sent Atlantis on a rescue mission, unless we wanted to throw away two orbiters." However, the board found that the consumables (oxygen, CO2 scrubbers, etc) on Columbia would have been sufficient to sustain the crew until Feb. 15. Atlantis was being processed for launch Mar. 1 (41 days later), and the board found that, working 24 hours a day, Atlantis could be readied for launch Feb. 10, with no testing skipped. Once Atlantis had rendezvoused with Columbia, the crew could be transfered with ropes. Assuming the crew were safely across, the shuttle could be ditched in the ocean, or boosted to a higher orbit for later salvage.

      Really, check out the CAIB report. It's an interesting read, and while it's long and occasionally dry and technical, you can skip around, and only read the parts that interest you. If you're an American citizen, our government paid $300,000,000 to recover debris and study the accident, so you owe it to yourself (you tax-payer, you) to read the report.

      Especially read about the "safty-culture" in NASA. This article does a good job of getting the general idea across, but the CAIB report goes into much more detail. The astronauts could have, should have, and were almost saved.

      PS: It wasn't in the article but it's in the CAIB report that an employee at NASA actually called the DOD and got them working on a request for imagery, only to have Ms. Ham call and rescind the order 90 minutes later.

      --

      Yes, I'm still a junky. Are you still a bitch?
    5. Re:What's new? by pyrrhonist · · Score: 5, Funny
      Yes, engineers need to learn to be less direct in their communication, and learn to obfuscate like a manager.

      For instance, "launching now would kill the crew", becomes, "the current orbital insertion paradigm may cause a negative value proposition for this and all future missions".

      See how much more understandable the second quote is? The best part about it is that it doesn't mention death, which is better for shareholder value.

      --
      Show me on the doll where his noodly appendage touched you.
  2. The only good news... by TimTheFoolMan · · Score: 5, Insightful

    ...is that all of the managers on the mission, including Ms. Ham, have apparently been reassigned or they've retired. The behavior quoted in the article (assuming it's accurate), is inexcusable.

    Tim

    1. Re:The only good news... by twiddlingbits · · Score: 4, Informative

      Eleven of the 14 mangers in that (in)decision making loop have been reassigned or have left NASA. No one at NASA seems to know or is allowed to say where these ex-managers have been reassigned to! Mark Dittimore who was the Manager for the Shuttle Program retired and left, but he had planned to leave[no one will say they now employ him!] and had filed for it before Columbia launched. The only other one I have heard about was Roy Bridges the head of KSC during the launch and he has been asked to head the new NASA Engineering and Safety Center (NESC) over at Langley,VA.
      Interested observers are invited to try http://nasawatch.com [good inside info, but not an offical NASA site].The NASA Safety motto that is expressed at the part of NASA I support is: "If it isn't safe, Say So....and then clean out your desk".

  3. Sounds like job by darkstar949 · · Score: 4, Insightful

    This sounds like what happens with any career where the management doesn't know as much as the subordinates. As such this should send the message out that when someone tells you that something is a bad idea then you might want to consider why they say its a bad idea. After all how many of us have had our boss(es) tell us to do something that is either technically not possible (for any reason), or is dangerous?

  4. Technical vs Business by liam193 · · Score: 5, Insightful

    This is just another example of one of my favorite statements:

    "A bad technical decision is never a good business decision!"

    Regardless of the circumstances, a bad technical decision is never good from a business perspective. It never cost less in the long run. A mediocre decision may be a good one because of cost, but a bad one will fail, cost you more, and failure is never good for business. Unfortunately too often managers don't understand this until it's too late.

  5. Of course congress also ignored by LWATCDR · · Score: 4, Insightful

    The panel findings that NASA was starved for funds by congress and the White House. One congress man actually said that "The problems at NASA would still exists even if we gave them a blank check."
    No they wouldn't.
    The managers are told that they have to fly x number of missions on x number of dollars. If they fly less they get even less money.
    Don't blame the managers blame congress and the last couple of Admins. Yes Billy Boy during a time of budget surplus never gave NASA a buget increase.

    --
    See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
  6. article text incase of /.ing by Anonymous Coward · · Score: 4, Funny

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  7. Re:morons by bladernr · · Score: 4, Insightful
    Can those managers be charged with manslaughter now?

    Probably not. If you could prove their behavoir was malicious, instead of merely stupid or calous, then maybe. People performing in their legal line of work are generally protected.

    The main problem, I would guess, is that the managers didn't fully understand the job being done by the people that reported to them. I doubt a single manager said "Hey, let's kill some astronaunts."

    Most likely, they performed their job to the best of their ability. Also most likely, is that their ability did not measure up to what the job required of them.

    Even more as the problem, NASA is being run like a business. I'm a business guy at heart, but NASA is not a business. Its primary function, in my opinion, should be exploration. It doesn't have P&L, it has discoveries of intangible but emmense value. We should allocate tax money to NASA not because of ROI, but because of all of America's desire to explore and adventure.

    If this is the way we looked at NASA, then the NASA managers would also be adventuring engineers, and perhaps would have made different decisions. All of the outsourcing and other business decisions at NASA have resulted in people looking at the bottom line instead of the people and the mission.

    --
    Sarcasm and hyperbole are the final refuges for weak minds
  8. Engineers and communication skills by madro · · Score: 4, Insightful

    When I was taking the required Technical Communication course in college to finish my engineering degree, a major theme of the class was incidents such as Three Mile Island and the Challenger disaster. The professor said that while the public perception was that management had f***ed up, the engineers had to bear some responsibility because they were unable to adequately communicate the necessary conclusions in a manner that decision makers could understand. And we would look at copies of the memos, and think that, yeah, if the engineers had written more effectively, things may have been different.

    In some ways, even though I don't enjoy writing specs and design documents for software (I don't work on mission-critical or life-critical systems), I try to write well, because I figure, "I'm an engineer, and I have a responsibility to do my job as a professional."

    And then I read this article, and I think that maybe, after all, it doesn't matter what a competent, professional engineer says or does. I'm just saddened that NASA, an institution I loved growing up, did not change at all after Challenger. I wish I knew the answer.

    1. Re:Engineers and communication skills by hackstraw · · Score: 4, Insightful

      And then I read this article, and I think that maybe, after all, it doesn't matter what a competent, professional engineer says or does. I'm just saddened that NASA, an institution I loved growing up, did not change at all after Challenger. I wish I knew the answer.

      Yes, it does matter what a professional engineer says or does. Accidents are called that for a reason. Otherwise, there would be some big lawsuit at hand.

      Everytime in my life a major accident kind of thing happened, I can go back and trace many, many things that could have "prevented" the accident. One example that was fairly recent was an AC going out in my machine room. I knew the AC sounded funny, so I had a work order in place to look at it. The kind of maintence we had on the AC was not "critical", so it would take up to 30 days to look at it. Also, when the AC did finally fail, the power blinked off right before. This caused some alarms/false alarms with the AC monitoring ppl, and they did not notice that the AC had failed. Any one thing, putting the maintence level to critical or the power not blinking off, would have been sufficient to prevent the failure.

      This was a pretty simple example, you can imagine the steps involved in something more complicated like a mission to outer space.

      NASA still has PR problems, because what they did for 20 years was pretty much old hat (in the public's eye). Keep in mind that _most_ of NASA's budget is for the 1st A, meaning aeronautics and not the S.

      Also keep in mind, that NASA's budget is not that big. Compared to the military at over 100B a year, NASA has only 20B, which is about the same as the DEA. I see the DEA as a more unsuccessful government agency than NASA anyday.

      What we really need is a real president to guide this country. Somebody like Kennedy who was able to get the whole country behind the space race. Or maybe we need a new enemy to be in a race with. I dunno. The war on terrorism is not a good one for moral. At least when we hated the commies, we felt better about ourselves because we were "free". "Winning" the war on terrorism only means maintaining status quo, and that is not the best at this time.

  9. Goodbye by The+Salamander · · Score: 4, Insightful

    How about giving them an opportunity to say goodbye to their friends and family?

    I'd say that's worth it.

  10. What a bunch of crap by Mal+Reynolds · · Score: 5, Insightful

    If NASA managers listened to every issue brought forward by each of their thousands of engineers, spaceships would never leave the earth.
    It's in each of these engineers best interest to list every problem that could possible occur in the systems they design and maintain. That way if the problem happens in one of their systems, they can cover their ass with paperwork. Just because they issued a low-level memorandum doesn't mean these engineers actually had any level of confidence that the problem would occur. It just meant they were covering their ass.
    NASA has an escalation process, if these engineers *really* felt there was a problem, all they had to do was push that button. But to push the button is to put your clout on the line. Push it too often by mistake and you will rightly be taken out of the process. No company or organization can afford an employee that continually cries wolf.
    So if anyone is to blame for this, it's not the managers. It's the engineers that wrote memo's about it to cover their ass but didn't think the problem was important enough to push the escalation button.
    The managers are so inundated with engineers thinking up possible error scenarios they can't possible take them all seriously. Of course, when a shuttle goes down, those same engineers drag out the paper trail covering their butt and program managers are left to swing.
    Congress should be ashamed of this inquiry and so should most of America. Space travel is dangerous. Live with the danger or get out of the business.

    1. Re:What a bunch of crap by Anonymous Coward · · Score: 5, Insightful

      "The managers are so inundated with engineers thinking up possible error scenarios they can't possible take them all seriously."

      You are correct, in general. But this case is different. The engineers *DID* push the escalation button, and the people responsible for the escalation path pushed *BACK*. With no backchannel to the original reporters.

      The concerns were NOT ignored. Requests to investigate these concerns were DENIED.

      In my opinion, a court martial for the person who decided not to take the goddamned picture when they got the request to do so, is fully in order.

      That individual should be given a court martial, he is a murderer, and he knows it.

  11. Re:That is the way it is by bladernr · · Score: 4, Insightful
    Taking credit for your subordinates work and filtering the "crazy talk" to your manager.

    Absoltuly false. I am in a management profession, and I can tell you from experience that people that do this are only successful to a point.

    What you said is the recipe to make it into middle managment (Director or VP level), but you will never get beyond that. Company Sr. Executives and Officers are expected to be frank and honest. Those that aren't generally don't fare well (yes, you can point out exceptions, but as a general rule, liars don't make it to the top).

    Unfortunatly, honest senior managers often have kiss-ass middle managers working for them. Those middle-managers lie, cheat, steal, etc, and senior management is left holding the bag for their mistakes (which is the job of management, to take the fall when your subordinates screw up, in case any managers reading this have forgotten... ignorance is not\ excuse).

    I made it into senior management very quickly in my career by having a policy of never breaking the law, never lying to my boss and never sucking up to anyone. Say what you want, but those simple ethics, combined with extremely hard work, are what put me on the fast track. Managers who will screw people to get ahead will find their careers never make it to where they could (but probably does go past where they should).

    --
    Sarcasm and hyperbole are the final refuges for weak minds
  12. Which perspective is 'right'? by Tomster · · Score: 5, Insightful

    What's most interesting to me about this story is that both the engineers and the managers were making the best decision based on their perspectives. The engineer's perspective is based on hard facts, information, and analysis. The manager's perspective is based on people issues: money, resource management, risk management, project deadlines, etc.

    It's easy in retrospect to criticize managers who didn't want to be a "Chicken Little" or who, upon getting feedback from upper management, called it a "dead issue". But if they had gone ahead with the imaging, and the photos showed no damage and the shuttle had landed safely with no (or insignificant) damage to the wing, their reputation would have suffered. They would have been faulted for allocating valuable resources on something that turned out not to be an issue.

    Part of a manager's job includes risk management and resource allocation. This means properly assessing the likelihood and impact of a risk. In this case, I would suggest that management considered the 'cost' of pursuing further investigation to be higher than the 'likelihood * impact' factor of doing nothing. They have probably made the same decision many times before, successfully, which would encourage them to make the same decision again. Only this time, they were wrong -- the statistics caught up with them.

    -Thomas

  13. do you work for NASA? by alizard · · Score: 4, Insightful
    As one of the PHMs who ought to be replaced, I mean. Do you hate Dilbert because the comic strip says things about PHMs that you feel compelled to take personally? Good, you're exactly the kind of person Scott Adams had in mind.

    Engineers in the real world try to make things work. The biggest problem with this is managers who share your beliefs who believe that problems can be wished away by managerial fiat.

    The escalation you whine about was blocked by the action of a bureaucrat at the wrong place and the wrong time, and people died.

    This isn't an engineering problem, it's a business process problem and in general, the solution is finding management like you and terminating it and putting procedures in place which will make future managers of the type you support disappear. This is just as important as increasing the budget, because it makes sure that the new money goes into solving the real problems, not into management perks or bureaucratic empire building. The purpose of an organization is to get things done. To fulfill this purpose in a new technology organization which means making new things, the engineers must be supported by management. The engineers are the people who have to solve the problems. The proper place of management is to give them the tools and to fight for budget and priorities with upper management. Any other managerial function in an technology R&D organization that isn't concerned with sales and marketing is secondary at best and parasitic at worst.

    Once upon a time, there was a political system whose management believed the country's problems could be solved by bureaucratic edict instead of with people finding out what the problems really were at an empirical level and solving them. The Soviet Union failed its reality check, just like NASA has repeatedly. The Soviet Union no longer exists. Perhaps it's time for NASA to follow it.

    Space travel is dangerous. Live with the danger or get out of the business.

    Ships were once dangerous. Automobile travel was once dangerous. Airplanes were once dangerous. Living in the America was once dangerous. Every new human domain has been paid for in blood. The problems were solved and now, kids can play outside in California suburbs without fear of being eaten by predators, they can fly in airliners without fear of following the trail of the Challenger astronauts.

    The shuttle is not an example of how to deal with the dangers of space travel. Since it was designed, there have been 30 years of aerospace research and development. Can a new earth to LEO vehicle be designed with safety comparable to the DC-3? I think it's time to find out. Perhaps it can't be done, but we can't find out unless it's tried.

    The DC-3 was a lot safer than anything that came before it. The modern jet airliner of today is a hell of a lot safer than the DC-3. It's called engineering progress, and that progress happens because engineers figure out what the problems are and their managers support them in getting the resources to implement the solutions. Not because PHMs attack them because they're saying things they don't want to hear.

    Space travel is dangerous because Congress won't appropriate the funds to do what needs to be done to make it safe. This is largely because NASA management has not been able to make a case for it that Congress can understand. Even at the level of "if we don't, our astronauts will keep raining down on your constituents in barbecued chunks". Where is the engineering incompetence in this?

    Where are the program directors with the integrity to say "We need this amount of money to put humans safely into space. If you won't give it to us, then you'll have to find other people willing to kill astronauts in order to give you guys good PR."

    Either Congress should come up with the funds to develop a vehicle whose design takes into account what has been learned in the last 30 years or admit that America can't afford a real space program and leave the field to the private sector, the Indians, and the Chinese.