NASA-LLIS-1760
Lessons Learned – Process Control to Prevent Incorrect Assembly (Video Lesson)
Year: 2006
Abstract: Abstract:
A video clip lesson learned on the topic of Process Control. Actuators inside the tail enable the rudder speed brake panels to steer and slow the Space Shuttle during descent and landing. Unusual wear was found on the planet gears of the actuators during an inspection. This led to a discovery that when the Shuttle was built the gears were installed incorrectly? a critical flight failure mode. The installation error stemmed from the near identical appearance of component gears that had different design topographies. The robust actuators were able to operate for 20 years (approximately 30 missions) without failure. The mistake was not found sooner because the actuators were certified for the original flight life of the Shuttle? 10 years or 100 missions. New gears were installed, and a process control was implemented that accommodates the demands of ground operations. A dedicated fixture was fabricated for each actuator with physical features that prevent installation of the incorrect gear. Designs should be mistake-proofed so that components cannot be assembled incorrectly.
This 4-minute, 33-second video is a product of the Space Shuttle Program and its Process Control Focus Group.
A video clip lesson learned on the topic of Process Control. Actuators inside the tail enable the rudder speed brake panels to steer and slow the Space Shuttle during descent and landing. Unusual wear was found on the planet gears of the actuators during an inspection. This led to a discovery that when the Shuttle was built the gears were installed incorrectly? a critical flight failure mode. The installation error stemmed from the near identical appearance of component gears that had different design topographies. The robust actuators were able to operate for 20 years (approximately 30 missions) without failure. The mistake was not found sooner because the actuators were certified for the original flight life of the Shuttle? 10 years or 100 missions. New gears were installed, and a process control was implemented that accommodates the demands of ground operations. A dedicated fixture was fabricated for each actuator with physical features that prevent installation of the incorrect gear. Designs should be mistake-proofed so that components cannot be assembled incorrectly.
This 4-minute, 33-second video is a product of the Space Shuttle Program and its Process Control Focus Group.
Subject: Additional Categories.Flight Equipment
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| contributor author | NASA - National Aeronautics and Space Administration (NASA) | |
| date accessioned | 2017-09-04T17:19:58Z | |
| date available | 2017-09-04T17:19:58Z | |
| date copyright | 04/28/2006 | |
| date issued | 2006 | |
| identifier other | ZOXCQCAAAAAAAAAA.pdf | |
| identifier uri | http://yse.yabesh.ir/std/handle/yse/143202 | |
| description abstract | Abstract: A video clip lesson learned on the topic of Process Control. Actuators inside the tail enable the rudder speed brake panels to steer and slow the Space Shuttle during descent and landing. Unusual wear was found on the planet gears of the actuators during an inspection. This led to a discovery that when the Shuttle was built the gears were installed incorrectly? a critical flight failure mode. The installation error stemmed from the near identical appearance of component gears that had different design topographies. The robust actuators were able to operate for 20 years (approximately 30 missions) without failure. The mistake was not found sooner because the actuators were certified for the original flight life of the Shuttle? 10 years or 100 missions. New gears were installed, and a process control was implemented that accommodates the demands of ground operations. A dedicated fixture was fabricated for each actuator with physical features that prevent installation of the incorrect gear. Designs should be mistake-proofed so that components cannot be assembled incorrectly. This 4-minute, 33-second video is a product of the Space Shuttle Program and its Process Control Focus Group. | |
| language | English | |
| title | NASA-LLIS-1760 | num |
| title | Lessons Learned – Process Control to Prevent Incorrect Assembly (Video Lesson) | en |
| type | standard | |
| page | 3 | |
| status | Active | |
| tree | NASA - National Aeronautics and Space Administration (NASA):;2006 | |
| contenttype | fulltext | |
| subject keywords | Additional Categories.Flight Equipment | |
| subject keywords | Additional Categories.Ground Equipment | |
| subject keywords | Additional Categories.Ground Operations | |
| subject keywords | Additional Categories.Hardware | |
| subject keywords | Additional Categories.Industrial Operations | |
| subject keywords | Additional Categories.Parts | |
| subject keywords | Materials | |
| subject keywords | & Processes | |
| subject keywords | Additional Categories.Risk Management/Assessment | |
| subject keywords | Additional Categories.Safety & Mission Assurance | |
| subject keywords | Additional Categories.Spacecraft | |
| subject keywords | Engineering Design (Phase C/D). | |
| subject keywords | Engineering Design (Phase C/D).Spacecraft and Spacecraft Instruments | |
| subject keywords | Mission Operations and Ground Support Systems.Ground processing and manifesting | |
| subject keywords | Mission Operations and Ground Support Systems.Ground support systems | |
| subject keywords | Missions and Systems Requirements Definition.Human factors impact on mission design | |
| subject keywords | Safety and Mission Assurance.Advanced planning of safety systems | |
| subject keywords | Safety and Mission Assurance.Configuration Change Control | |
| subject keywords | Safety and Mission Assurance.Early requirements and standards definition | |
| subject keywords | Safety and Mission Assurance.Impact of human factors on systems requirements and designs | |
| subject keywords | Safety and Mission Assurance.Maintenance | |
| subject keywords | Safety and Mission Assurance.Product Assurance | |
| subject keywords | Systems Engineering and Analysis.Human factors planning |

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