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PROJECT MANAGEMENT CHALLENGE 2007


                  SHARED VOYAGES:
               LESSONS LEARNED FROM
                 THE EXTERNAL TANK


                How I Found Out That We Are
                 Not Nearly As Smart As We
                     Thought We Were




                            N. Wayne Hale                1
                            Manager, Space Shuttle Program
“We don’t know a millionth of one percent about anything.”
Thomas A. Edison


“Progress comes from the intelligent use of experience.”
Elbert Hubbard




“Experience teaches the teachable.”
Aldous Huxley



‘It ain’t what ya don’t know that will get ya, it’s what you think
ya know that ain’t so.”
Yogi Berra


“The ET is just a big, dumb drop tank.”
anonymous Shuttle Commander in the early years


                                                                     2
Quotes from Chapter 6: Engineering Culture


                   …the messy interior of engineering practice, which after the
                   accident investigation looks like “an accident waiting to happen”
                   is nothing more than “normal technology. Normal technology…is
                   unruly.

…experts are operating with far greater levels of ambiguity, needing to make
uncertain judgments in less than clearly structured situations.

Practices do not follow rules, rather, rules follow evolving practices.

In the implementation and operation of complex technological systems, new rules and
relationships are continually being invented and negotiated.

Information generated by anomaly, by discrepancy between expected and actual
outcomes becomes the means by which fallible rule sets are corrected and moved
toward solution sets. This general tendency is profoundly realized in engineering
work. Learning proceeds through iteration.
                                                                                       3
Quotes from Chapter 6: Engineering Culture


                     Absolute certainty can never be attained for many reasons, one
                     of them being that even without limits on time and other
                     resources, engineers can never be sure they have foreseen all
                     possible contingencies, asked and answered every question,
                     played out every scenario.

Many technologies…cannot be tested in laboratory conditions. Tests are conducted
on models, which can only approximate the complex systemic forces of nature and
technical environment. This situation creates risk: the world outside the laboratory
becomes the setting for experiments.

Judgments are always made under conditions of imperfect knowledge.

The essence of engineering as a craft is to convert uncertainty to certainty, figuring
probabilities and predictions for technologies that seldom stay the same…in the
workplace, engineers formulate the rules as they go along, attempting to capture the
unruly technology with numbers, experienced based theories, and practical rules.

Even in closure there is ambiguity.                                                      4
5
History of the External Tank




 STS-1: December 29, 1980

                            STS-2: Columbia is mated to
                                 its ET/SRB stack
                                                           Repair operations to holes
                                                          caused by woodpeckers on ET
                                                                  for STS-70

Only part of the Space Shuttle Vehicle not returned for reuse and evaluation!
                                                                                        6
7
ET Production History

121 Units Delivered to Date                      Delivered        Flown
Three Versions:

 Standard Weight Tank                                6              6
    Al 2219 (Al=Aluminum)                                       (1981 – 83)
    Dry Wt. 77,099 lbs.         (actual ET1)

 Lightweight Tank                                   87                86
    Al 2219                                                  (1983 – 98, 2002, 2003)
    Dry Wt. 65,767 lbs          (actual ET71)

 Super Lightweight Tank                              28              21
   Al 2195 (Al-Li = Aluminum Lithium)                          (1998 – Present)
   Dry Wt. 58,319 lbs.           (actual ET96)




Substantially Completed Tanks   4


                                                                                       8
External Tank Foam pre-STS-107

                 Prior to STS-107,
foam loss was regarded as a vehicle processing issue,
             not a safety of flight issue.




                                                        9
ET CRYOINSULATION: General Properties
    Foam / Property               (HCFC) NCFI 24-124                    (HCFC) NCFI 24-57                   (HCFC) PDL 1034                          (HCFC) BX265
                                                                                                                                                    (HCFC) SS 1171
                                    (CFC) CPR 488                        (CFC) NCFI 22-65                    (CFC) PDL 4034
                                                                                                                                                      (CFC) BX 250

    (% of total foam)                      (77%)                                 (7%)                                (1%)                              (14%)
      Application                 LH2,L02,I/T sidewall                       LH2 aft dome                Closeouts and repairs            LH2 forward dome, L02
                                                                                                                                           aft dome, closeouts
        Process                            Spray                                Spray                              Pour/Mold                           Spray
      Description                    Isocyanurate                         Isocyanurate                           Urethane                            Urethane

       Requirements              Spec         Typ          Flt        Spec        Typ          Flt       Spec         Typ        Flt        Spec         Typ           Flt
                                 Req          Prop        Pred        Req         Prop        Pred       Req          Prop      Pred        Rez          Prop         Pred

        Density PCF             2.0-2.5       2.28      Lighter6     2.6-3.1      2.97      Heavier6   2.3-3.1**      3.3**     same6      1.8-2.6         2.4
                                2.1-2.6       2.4                    2.6-3.1      2.90                  2.3-3.1        2.6                 1.8-2.6         2.4       same6
                                                                                                                                           1.8-2.6         2.4
      Tensile RT (psi)          30min          44          19        40min         66          19         60          113         19       35min           80
                                35min          54                    40min         71                     60          104                  35min           53          19
                                                                                                                                           35min           75
    Tensile -423° F (psi)        N/A1          34          19         N/A          49          19         N/A          50         19         N/A           74          19
                                               41                                  47                                  49                                  62
                                                                                                                                                           53
    Tensile +300° F (psi)        N/A           32          19         N/A          36          19         N/A          712        19        N/A            53          19
                                               37                                  45                                  53                                  355
                                                                                                                                                           47
     Compression (psi)          25min          33          20        35min         49          20         30           61         20       24min           43          20
                                24min          40                    35min         51                     30           42                  24min           30
                                                                                                                                           24min           42
Recession Rate @ 7 BTU/ft        N/A         0.0094      lower6       N/A        0.00997     same6        N/A        0.0303    higher6                   0.031
     sq sec (in/sec)                         0.0168                              0.00997                             0.0235                 N/A          0.0173      lower6
                                                                                                                                                         0.024
Thermal Cond @ R/T BTU/hr       0.025        0.017       same6       0.0225      0.0180     higher6      0.016        0.015    higher6      0.015        0.015
          ft °F)                             0.017                   0.0158      0.0156                  0.016        0.012                 0.015        0.013       higher6
                                                                                                                                                         0.011
      Cryostrain (ksi)         61@-423      65@-423       pass      58@-423     65@-423       pass        N/A       60@-320     pass        N/A         65@-423       pass
                                            65@-423                             65@-423                             60@-320                             65@-423


N/A- Not Applicable
1                                     2+200ºF Values      3@ 4 BTU/ft sq sec 4Max density 3.0 in dome area allowed
                                                                                                                                                                               10
@ + 200ºF
5                  6Means new vs. old     7Radiant heating                   82.4 – 2.8 PCF for thick/thin **Spec Req-cup pour; Typ Prop-dissection
Reference: ET Project – Design Values for Non-Metallic Materials, LM 809-9600 Rev C, May 2006.
ET CRYOINSULATION: Key Material Engineering Aspects

    Levels of Structure




     Polymeric Structure




                                  Cellular Structure




            Knitline Geometry
            Subtrate Geometry                          11
Columbia (STS-107)
• In the early morning on Saturday, February 1,
 2003, the Space Shuttle Columbia broke up during
 entry. All seven crew members were killed.

• 81 seconds after launch, foam insulation on the
 External Tank broke off and struck the Shuttle’s
 wing at Mach 2.46, creating a hole roughly the size
 of a pizza box.

• When Columbia reentered the atmosphere to land,
 highly heated plasma entered the breached wing,
 and burned or melted away the wing’s internal
 structure. The structural failure of the wing led to   Crew of the Space Shuttle Columbia
 the loss of vehicle control and the vehicle broke
 apart as it descended toward Earth.


                           CAIB: “Foam Did It!”
                       but WHY did the foam do it?                                           12
ET Foam Certification Testing




                                13
Loss of ET Thermal Protection System
                               Acceptance Rationale




                                                              14
from the STS-121 FRR
How Air-Divots Are Formed




                                                                                              15
from the Physics Models for Foam Debris presentation on May 4, 2005 by Dr. Peter B. Pollock
Codes for Predicting Foam Debris




                                                                                              16
from the Physics Models for Foam Debris presentation on May 4, 2005 by Dr. Peter B. Pollock
Thermal Protection Verification (TPS) / Validation Issues




                                                        17
18
ET Major Design Changes




                          19
Return to Flight (RTF)

         RTF concentrated on improved foam
   application processes to minimize defects (voids)


• Much tighter controls on workmanship

• More oversight and review

• Continuing practice

• Routine destructive evaluation of foam applied to
  near flight fixtures

                                                       20
Return to Flight (RTF)


                          • RTF included redesign of Bipods
                            to eliminate the “ramp” and
                            greatly reduce foam in the area

                          • Serious review of PAL ramp,
                            which is the largest manually
                            applied foam structure on the ET,
                            showed no significant defects, no
                            improvement in safety by
                            removing and using new
                            processes to reapply




             STS-107


Bipod Ramp                                                 21
                                             STS-114
Return to Flight (RTF)



  Return to Flight was 2.5 years in the making


              It was noted in passing
that the defect/void divot debris generation theory
    could not explain the STS-107 bipod loss.




                                                      22
STS-114 RTF Results




•   Major foam loss from Bipod wedge
•   Major foam loss from Protuberance Air Load (PAL) ramp
•   Significant foam losses around the Ice/Frost Ramps
•   Near misses of Orbiter from all three areas could have been
    catastrophic                                                  23
What Went Wrong?
How Could That Happen?




                         24
• Bipod “wedge” was lost because we introduced
  a new failure mechanism: Cryopumping

• Wires were not sealed which allowed air to
  liquefy and become the motive force to blow off
  significant foam



        Classic case of a new design
      having an undesirable side effect!


                                                    25
What About The Other Losses?

• ST-120 underwent 2 tanking cycles at KSC and then
  was shipped back to the factory

• Evaluation of the tank delayed until Michoud
  Assembly Facility (MAF) operations resumed following
  Hurricane Katrina

• Immediate observation: cracks in and under the PAL
  ramp and in and under the Ice Frost Ramp (IFR)


        Not Seen in Previous Testing!
                                                         26
1                                                                2




                                                                B is the second crack reported from visual inspection; A is
                                                                crack found during backscatter inspection; found in Zone 6
                                                                inspection
One of the first 2 cracks reported; crack that appears to
be closed at the surface; found in zone 5 inspection                             3

5



                                                                                 This is the 4th crack detected during a backscatter inspection;
                                                                                 this is the first crack detected in BX250; found in zone 8


                                                            4

Second crack detected during inspection on 11/3/05;
found in zone 14


                                                                                                                 Crack detected during inspection on
                                                                                                                 11/3/05; appears to run between plugs
                                                                                                                 and under or into the larger plug; found
                                                                                                                 in zone 13
                                                                                                                                                       27
Relearning the Lesson
Turns out that the full size (test) article shows there is significant differences in
thermal expansion for foam on foam application, which leads to cracks, primarily on
the hydrogen tank




The Space Shuttle Program immediately
directed the removal of the PAL ramp




        This caused a huge engineering recertification effort
     of the protuberances and their associated load capability!                         28
But the time of loss during flight was not understood, so
Probability Risk Assessment (PRA) analysis was based on the
assumption that foam losses, as seen in ET separation
photography (end state), were evenly dispersed during the
ascent or assumed to all happen at the most critical times




     This lead to extremely high probabilities of
            catastrophic failure prior to the
           second return to flight, STS-121



                                                          29
During STS-121, a very good image with new camera views showed a
divot coming off the Ice Frost Ramp at a significant time

Detailed review of other video sources built up a record of when the
Coefficient of Thermal Expansion (CTE) failure causes pieces to come off




        Most losses will occur after the aero region where there
         is not motive force to cause damage, ergo, no hazard
                                                                           30
ET Debris Table Sensitivity
(Foam on Tile Void DeltaP Risk Assessment)




                                             31
Debris Overview




                  32
Review of pre STS-107 imagery shows several
flights where bipod losses occurred also had losses
in foam adjacent to the bipod loss

Several more flights showed just losses in the
adjacent acreage, which tends to confirm the Bipod
foam loss of STS-107 was associated with CTE
mismatch, not void defect divot



                                                      33
MORAL(S) of the Story:

1.   You are never as smart as you think you are

2.   If the hypothesis does not explain reality, the hypothesis
     is not right

3.   Flight test is the only REAL test

4.   Continually question your fundamental assumptions

5.   Don’t expect certainty



                                                                  34
The Universal Abstract

“We have not succeeded in answering all of
our problems. Indeed, we have not
completely answered any of them. The
answers we have found have only served to
raise a whole new set of questions. In
some ways, we feel as confused as ever,
but we think we are confused on a much
higher level about more important things.”


                                             35

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Hale wayne

  • 1. PROJECT MANAGEMENT CHALLENGE 2007 SHARED VOYAGES: LESSONS LEARNED FROM THE EXTERNAL TANK How I Found Out That We Are Not Nearly As Smart As We Thought We Were N. Wayne Hale 1 Manager, Space Shuttle Program
  • 2. “We don’t know a millionth of one percent about anything.” Thomas A. Edison “Progress comes from the intelligent use of experience.” Elbert Hubbard “Experience teaches the teachable.” Aldous Huxley ‘It ain’t what ya don’t know that will get ya, it’s what you think ya know that ain’t so.” Yogi Berra “The ET is just a big, dumb drop tank.” anonymous Shuttle Commander in the early years 2
  • 3. Quotes from Chapter 6: Engineering Culture …the messy interior of engineering practice, which after the accident investigation looks like “an accident waiting to happen” is nothing more than “normal technology. Normal technology…is unruly. …experts are operating with far greater levels of ambiguity, needing to make uncertain judgments in less than clearly structured situations. Practices do not follow rules, rather, rules follow evolving practices. In the implementation and operation of complex technological systems, new rules and relationships are continually being invented and negotiated. Information generated by anomaly, by discrepancy between expected and actual outcomes becomes the means by which fallible rule sets are corrected and moved toward solution sets. This general tendency is profoundly realized in engineering work. Learning proceeds through iteration. 3
  • 4. Quotes from Chapter 6: Engineering Culture Absolute certainty can never be attained for many reasons, one of them being that even without limits on time and other resources, engineers can never be sure they have foreseen all possible contingencies, asked and answered every question, played out every scenario. Many technologies…cannot be tested in laboratory conditions. Tests are conducted on models, which can only approximate the complex systemic forces of nature and technical environment. This situation creates risk: the world outside the laboratory becomes the setting for experiments. Judgments are always made under conditions of imperfect knowledge. The essence of engineering as a craft is to convert uncertainty to certainty, figuring probabilities and predictions for technologies that seldom stay the same…in the workplace, engineers formulate the rules as they go along, attempting to capture the unruly technology with numbers, experienced based theories, and practical rules. Even in closure there is ambiguity. 4
  • 5. 5
  • 6. History of the External Tank STS-1: December 29, 1980 STS-2: Columbia is mated to its ET/SRB stack Repair operations to holes caused by woodpeckers on ET for STS-70 Only part of the Space Shuttle Vehicle not returned for reuse and evaluation! 6
  • 7. 7
  • 8. ET Production History 121 Units Delivered to Date Delivered Flown Three Versions: Standard Weight Tank 6 6 Al 2219 (Al=Aluminum) (1981 – 83) Dry Wt. 77,099 lbs. (actual ET1) Lightweight Tank 87 86 Al 2219 (1983 – 98, 2002, 2003) Dry Wt. 65,767 lbs (actual ET71) Super Lightweight Tank 28 21 Al 2195 (Al-Li = Aluminum Lithium) (1998 – Present) Dry Wt. 58,319 lbs. (actual ET96) Substantially Completed Tanks 4 8
  • 9. External Tank Foam pre-STS-107 Prior to STS-107, foam loss was regarded as a vehicle processing issue, not a safety of flight issue. 9
  • 10. ET CRYOINSULATION: General Properties Foam / Property (HCFC) NCFI 24-124 (HCFC) NCFI 24-57 (HCFC) PDL 1034 (HCFC) BX265 (HCFC) SS 1171 (CFC) CPR 488 (CFC) NCFI 22-65 (CFC) PDL 4034 (CFC) BX 250 (% of total foam) (77%) (7%) (1%) (14%) Application LH2,L02,I/T sidewall LH2 aft dome Closeouts and repairs LH2 forward dome, L02 aft dome, closeouts Process Spray Spray Pour/Mold Spray Description Isocyanurate Isocyanurate Urethane Urethane Requirements Spec Typ Flt Spec Typ Flt Spec Typ Flt Spec Typ Flt Req Prop Pred Req Prop Pred Req Prop Pred Rez Prop Pred Density PCF 2.0-2.5 2.28 Lighter6 2.6-3.1 2.97 Heavier6 2.3-3.1** 3.3** same6 1.8-2.6 2.4 2.1-2.6 2.4 2.6-3.1 2.90 2.3-3.1 2.6 1.8-2.6 2.4 same6 1.8-2.6 2.4 Tensile RT (psi) 30min 44 19 40min 66 19 60 113 19 35min 80 35min 54 40min 71 60 104 35min 53 19 35min 75 Tensile -423° F (psi) N/A1 34 19 N/A 49 19 N/A 50 19 N/A 74 19 41 47 49 62 53 Tensile +300° F (psi) N/A 32 19 N/A 36 19 N/A 712 19 N/A 53 19 37 45 53 355 47 Compression (psi) 25min 33 20 35min 49 20 30 61 20 24min 43 20 24min 40 35min 51 30 42 24min 30 24min 42 Recession Rate @ 7 BTU/ft N/A 0.0094 lower6 N/A 0.00997 same6 N/A 0.0303 higher6 0.031 sq sec (in/sec) 0.0168 0.00997 0.0235 N/A 0.0173 lower6 0.024 Thermal Cond @ R/T BTU/hr 0.025 0.017 same6 0.0225 0.0180 higher6 0.016 0.015 higher6 0.015 0.015 ft °F) 0.017 0.0158 0.0156 0.016 0.012 0.015 0.013 higher6 0.011 Cryostrain (ksi) 61@-423 65@-423 pass 58@-423 65@-423 pass N/A 60@-320 pass N/A 65@-423 pass 65@-423 65@-423 60@-320 65@-423 N/A- Not Applicable 1 2+200ºF Values 3@ 4 BTU/ft sq sec 4Max density 3.0 in dome area allowed 10 @ + 200ºF 5 6Means new vs. old 7Radiant heating 82.4 – 2.8 PCF for thick/thin **Spec Req-cup pour; Typ Prop-dissection Reference: ET Project – Design Values for Non-Metallic Materials, LM 809-9600 Rev C, May 2006.
  • 11. ET CRYOINSULATION: Key Material Engineering Aspects Levels of Structure Polymeric Structure Cellular Structure Knitline Geometry Subtrate Geometry 11
  • 12. Columbia (STS-107) • In the early morning on Saturday, February 1, 2003, the Space Shuttle Columbia broke up during entry. All seven crew members were killed. • 81 seconds after launch, foam insulation on the External Tank broke off and struck the Shuttle’s wing at Mach 2.46, creating a hole roughly the size of a pizza box. • When Columbia reentered the atmosphere to land, highly heated plasma entered the breached wing, and burned or melted away the wing’s internal structure. The structural failure of the wing led to Crew of the Space Shuttle Columbia the loss of vehicle control and the vehicle broke apart as it descended toward Earth. CAIB: “Foam Did It!” but WHY did the foam do it? 12
  • 13. ET Foam Certification Testing 13
  • 14. Loss of ET Thermal Protection System Acceptance Rationale 14 from the STS-121 FRR
  • 15. How Air-Divots Are Formed 15 from the Physics Models for Foam Debris presentation on May 4, 2005 by Dr. Peter B. Pollock
  • 16. Codes for Predicting Foam Debris 16 from the Physics Models for Foam Debris presentation on May 4, 2005 by Dr. Peter B. Pollock
  • 17. Thermal Protection Verification (TPS) / Validation Issues 17
  • 18. 18
  • 19. ET Major Design Changes 19
  • 20. Return to Flight (RTF) RTF concentrated on improved foam application processes to minimize defects (voids) • Much tighter controls on workmanship • More oversight and review • Continuing practice • Routine destructive evaluation of foam applied to near flight fixtures 20
  • 21. Return to Flight (RTF) • RTF included redesign of Bipods to eliminate the “ramp” and greatly reduce foam in the area • Serious review of PAL ramp, which is the largest manually applied foam structure on the ET, showed no significant defects, no improvement in safety by removing and using new processes to reapply STS-107 Bipod Ramp 21 STS-114
  • 22. Return to Flight (RTF) Return to Flight was 2.5 years in the making It was noted in passing that the defect/void divot debris generation theory could not explain the STS-107 bipod loss. 22
  • 23. STS-114 RTF Results • Major foam loss from Bipod wedge • Major foam loss from Protuberance Air Load (PAL) ramp • Significant foam losses around the Ice/Frost Ramps • Near misses of Orbiter from all three areas could have been catastrophic 23
  • 24. What Went Wrong? How Could That Happen? 24
  • 25. • Bipod “wedge” was lost because we introduced a new failure mechanism: Cryopumping • Wires were not sealed which allowed air to liquefy and become the motive force to blow off significant foam Classic case of a new design having an undesirable side effect! 25
  • 26. What About The Other Losses? • ST-120 underwent 2 tanking cycles at KSC and then was shipped back to the factory • Evaluation of the tank delayed until Michoud Assembly Facility (MAF) operations resumed following Hurricane Katrina • Immediate observation: cracks in and under the PAL ramp and in and under the Ice Frost Ramp (IFR) Not Seen in Previous Testing! 26
  • 27. 1 2 B is the second crack reported from visual inspection; A is crack found during backscatter inspection; found in Zone 6 inspection One of the first 2 cracks reported; crack that appears to be closed at the surface; found in zone 5 inspection 3 5 This is the 4th crack detected during a backscatter inspection; this is the first crack detected in BX250; found in zone 8 4 Second crack detected during inspection on 11/3/05; found in zone 14 Crack detected during inspection on 11/3/05; appears to run between plugs and under or into the larger plug; found in zone 13 27
  • 28. Relearning the Lesson Turns out that the full size (test) article shows there is significant differences in thermal expansion for foam on foam application, which leads to cracks, primarily on the hydrogen tank The Space Shuttle Program immediately directed the removal of the PAL ramp This caused a huge engineering recertification effort of the protuberances and their associated load capability! 28
  • 29. But the time of loss during flight was not understood, so Probability Risk Assessment (PRA) analysis was based on the assumption that foam losses, as seen in ET separation photography (end state), were evenly dispersed during the ascent or assumed to all happen at the most critical times This lead to extremely high probabilities of catastrophic failure prior to the second return to flight, STS-121 29
  • 30. During STS-121, a very good image with new camera views showed a divot coming off the Ice Frost Ramp at a significant time Detailed review of other video sources built up a record of when the Coefficient of Thermal Expansion (CTE) failure causes pieces to come off Most losses will occur after the aero region where there is not motive force to cause damage, ergo, no hazard 30
  • 31. ET Debris Table Sensitivity (Foam on Tile Void DeltaP Risk Assessment) 31
  • 33. Review of pre STS-107 imagery shows several flights where bipod losses occurred also had losses in foam adjacent to the bipod loss Several more flights showed just losses in the adjacent acreage, which tends to confirm the Bipod foam loss of STS-107 was associated with CTE mismatch, not void defect divot 33
  • 34. MORAL(S) of the Story: 1. You are never as smart as you think you are 2. If the hypothesis does not explain reality, the hypothesis is not right 3. Flight test is the only REAL test 4. Continually question your fundamental assumptions 5. Don’t expect certainty 34
  • 35. The Universal Abstract “We have not succeeded in answering all of our problems. Indeed, we have not completely answered any of them. The answers we have found have only served to raise a whole new set of questions. In some ways, we feel as confused as ever, but we think we are confused on a much higher level about more important things.” 35