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SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




USE OF PROBABILISTIC RISK ASSESSMENT 
(PRA) IN THE SHUTTLE DECISION MAKING 
               PROCESS

                                Roger L. Boyer                        Teri L. Hamlin
                             Analysis Branch Chief                          Shuttle PRA Lead
                                         NASA Johnson Space Center
                                          Safety & Mission Assurance 



                                                   Presented at 
                                                   PM Challenge 
                                               February 9 ‐ 10, 2011
                                                  Long Beach, CA
                                                                                               1
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                                                INTRODUCTION

Probabilistic Risk Assessment (PRA) is a comprehensive, 
structured, and disciplined approach to identifying and 
analyzing risk in complex systems and/or processes 
that seeks answers to three basic questions:
             What kinds of events or scenarios can occur (i.e., what 
             can go wrong)?

             What are the likelihoods and associated uncertainties of 
             the events or scenarios?

             What consequences could result from these events or 
             scenarios (e.g., Loss of Crew and Loss of Mission)?
                                                                        2
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                                                BACKGROUND

• The Space Shuttle Program (SSP) initiated the 
  development of a Shuttle Probabilistic Risk 
  Assessment (SPRA) in March 2001.  Prior to that 
  there were a number of PRA estimates for the 
  Shuttle, but none were sponsored by the SSP.  
   – Chart on next page summarizes the Shuttle PRA evolution.
• The “consequence” or metric of concern selected for 
  the SPRA is Loss of Crew and/or Vehicle (LOCV).  
• The risk contributors include hardware failures, 
  external events, crew errors, software failures, and 
  phenomenological events.  
                                                                3
SPACE SHUTTLE PROGRAM
                       Space Shuttle Safety and Mission Assurance Office
                       NASA Johnson Space Center, Houston, Texas



                                                                   SHUTTLE PRA EVOLUTION
         • The advent of established NASA requirements, standards, and tools ‐ as well 
           as the development of a strong Shuttle program PRA team have resulted in 
           significant recent progress
         • Iteration 3.2 is the most comprehensive and used Shuttle PRA to date
                                                                                                                                           STS-128                                      STS-131
Examples of SPRA uses:                                                                  SLEP Risk                              HST Manifest Flight                                       Flight
                                                                                         Trades                                  Decision Rationale                                     Rationale


                                                                             Mean Probability of LOCV
  1:70              1:55            1:73              1:131 1:234                         1:78            1:61            1:67             1:77             1:81            1:85             1:89
     1987              1988             1993              1995             1998               2003        2004/2005          2005         2006/2007           2008             2009              2010
   Proof of            First       Update of the       First major     Unpublished        Integrated      Integrated      Integrated       Updated          Updated          Updated           Updated 
concept study      somewhat        Galileo study       integrated     analysis using     PRA with all    PRA with all    PRA with all        SPRA             SPRA             SPRA              SPRA 
 for applying      integrated        results to      (multi phase)      QRAS. No         elements, 18    elements, 18    elements, 18    iteration 2.1    iteration 2.2    iteration 3.0     iteration 3.1 
PRA to Space           PRA          reflect then      shuttle PRA.    integration of        Orbiter         Orbiter         Orbiter          with          with Abort          with         with updated 
    Shuttle.     conducted on       current test       Done with        elements.          Systems,        Systems,        Systems,       Inspection        modeling,        corrected          MMOD, 
  Scope was         the Space           and            input from       Limited to        MMOD and        MMOD and        MMOD and        with Repair     Rendezvous           APU              Ascent 
  limited to     Shuttle. Done      operational           prime       three Orbiter         human           human           human          and Crew       and Docking.       Hydrazine          Debris, 
   APUs for       in support of     base of the       contractors.     systems and          actions         actions         actions         Rescue.         Updated            Leak         Orbiter Flight 
 Orbiter and          Galileo         shuttle.                              the            included.       included.       included.       Updated         Functional      Probabilities       Software, 
      SRB            Mission.      (Ascent Only)                        Propulsion       Presented to        Peer            Peer         MMOD and        Data, MMOD                        Incorporated 
                 (Ascent Only).                                          elements        Peer review      reviewed.       reviewed.      Ascent Debris     and Ascent                           Orbiter 
                                                                                             Team.                       Updated Pre‐      Modeling          Debris                             Review 
                                                                                                                             valve                                                              Summit 
                                                                                                                           modeling                                                           Comments


                   Galileo           Phase 1         Shuttle PRA       Shuttle PRA        SPRAT PRA       SPRAT PRA       SPRAT PRA       SPRAT PRA        SPRAT PRA        SPRAT PRA SPRAT PRA
                    1988               1993              1995              1998          Iteration 1.5   Iteration 2.0   Iteration 2.1   Iteration 2.2    Iteration 3.0    Iteration 3.1 Iteration 3.2
                                                                                            2003          2004/2005         2005         2006/2007            2008             2009          2010 
                                                                                                                                                                                                      4
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                                                BACKGROUND

• The purpose of the SPRA is to provide a useful risk 
  management tool for the SSP to identify strengths 
  and possible weaknesses in the Shuttle design and 
  operation. 
   – SPRA was initially developed to support upgrade decisions, 
     but has evolved into a tool that supports Flight Readiness 
     Reviews (FRR) and near real‐time flight decisions.




                                                               5
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                                            LEVELS OF ASSESSMENT
• Full Scope SPRA
   – Establishes baseline risk associated with the overall 
     mission by mission phase, as well as by vehicle elements 
     and subsystems
   – Documented end states, assumptions, approach, and risk 
     drivers
• Focused PRA
   – Answers specific question that doesn’t require full model, 
     but benefits from it
• Insights
   – Knowing relative risk contributors provides input for 
     decisions without comprehensive PRA
                                                                   6
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                KEY INFORMATION FOR MANAGEMENT
• Clear presentation of analysis
   – if the audience doesn’t understand the analysis, the information will 
     not be used
   – Difficult because many different ways people process information
• Applicable assumptions and limitations
   – PRA is only as good as the assumptions that go into the analysis, thus 
     important to share for managers to understand the basis of the results
   – Limitations should be understood, so that the results are not misused
• Estimates of uncertainty
   – state of knowledge about the system being modeled (e.g. the real 
     capability of the system to successfully respond to an event)
   – randomness of the probabilistic parameters (e.g.  the uncertainty in 
     estimating a failure probability of an event)

                                                                              7
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




                                            EXAMPLES




                                                       8
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




      Shuttle Service Life Extension Program (SLEP)



                                                    Assessed the 
                                                    risk of each 
                                                    proposed 
                                                    upgrade and
                                                    compared 
                                                    relative 
                                                    changes in risk


                                                                9
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




      Shuttle Service Life Extension Program (SLEP)



                                                    Showed that 
                                                    ~70% of 
                                                    calculated risk 
                                                    due to crew 
                                                    error occurs 
                                                    during entry, 
                                                    descent, and 
                                                    landing

                                                                10
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




                                 Engine Cutoff (ECO) Sensors

                                                               Assessed the risk of 
                                                               changing the Launch 
                                                               Commit Criteria (LCC) 
                                                               for these ECO sensors 
                                                               from requiring four of 
                                                               four sensors to only 
                                                               requiring three of four 
                                                               sensors. 

                                                               Pointed out the need to 
                                                               better understand the 
                                                               other side of the risk 
                                                               trade when a launch is 
                                                               scrubbed due to ECO 
                                                               sensor failures, i.e., 
                                                               scrub turnaround risk.

                                                                                 11
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




      Probability of LH2 Low Level Cutoff (STS‐122)

                                                    Shuttle Program 
                                                    Manager requested 
                                                    and used   

                                                    Model used 
                                                    historical data in a 
                                                    simulation model

                                                    Shuttle Program 
                                                    Manager could see 
                                                    impact of adding 
                                                    Ascent Performance 
                                                    Margin (APM) on 
                                                    risk
                                                                            12
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




Solid Rocket Booster Power Bus Isolation Supply Analysis




                                                Emphasized the need to 
                                                implement a design change that 
                                                would eliminate the failure in 
                                                future flights
                                                                              13
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




        Main Propulsion Flow Control Valve (FCV)




Shuttle Program used these risk estimates as 
supporting flight rationale for STS‐119, combined 
with FCV inspection and impact testing
                                                     14
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




Hubble Space Telescope (HST) Manifest Decision


                                                    Analysis 
                                                    compared HST 
                                                    risk with and 
                                                    without crew 
                                                    rescue to other 
                                                    Shuttle missions 
                                                    in order to help 
                                                    NASA 
                                                    Administrator 
                                                    decide whether 
                                                    or not the HST 
                                                    mission was an 
                                                    acceptable risk

                                                               15
SPACE SHUTTLE PROGRAM
   Space Shuttle Safety and Mission Assurance Office
   NASA Johnson Space Center, Houston, Texas




Hubble Space Telescope (HST) Manifest Decision (2)



                                                       Risk reduction 
                                                       with crew rescue 
                                                       was compared to 
                                                       risk reductions 
                                                       from implemented 
                                                       Shuttle upgrades




                                                                     16
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




                             Probability of Launch on Need
                                                Assisted the Shuttle 
                                                Program Manager with 
                                                making an informed 
                                                decision not to release the 
                                                HST rescue vehicle




                                                                         17
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




STS‐128 Power Controller Assembly Risk Presented at L‐2


                                                        Analysis was used
                                                        to help Shuttle
                                                        Managers decide
                                                        that PCA risk was
                                                        acceptable for flight

                                                        Analysis showed
                                                        that it was much
                                                        more likely to have
                                                        a broken contactor
                                                        on the ground

                                                            Important to
                                                            inform
                                                            managers of
                                                            the analysis
                                                            assumptions

                                                                       18
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




       STS-131 Helium Isolation Valve Risk


                                                    Analysis was 
                                                    used to support 
                                                    STS‐131 flight 
                                                    rationale at the 
                                                    HQ Flight 
                                                    Readiness 
                                                    Review




                                                               19
SPACE SHUTTLE PROGRAM
Space Shuttle Safety and Mission Assurance Office
NASA Johnson Space Center, Houston, Texas




       Right RCS Helium System Reliability


                                                    Analysis results 
                                                    combined with 
                                                    graphical display 
                                                    to help 
                                                    communicate risk 
                                                    to Management 
                                                    at HQ Flight 
                                                    Readiness Review 




                                                                  20
SPACE SHUTTLE PROGRAM
    Space Shuttle Safety and Mission Assurance Office
    NASA Johnson Space Center, Houston, Texas




                                                SUMMARY
• Showed various ways of communicating  and using 
  PRA findings in the Shuttle Program
• Stated that it is important to provide management:
   – Clear presentation of analysis
   – Applicable assumptions and limitations
   – Estimates of uncertainty
• Maintain consistency and accuracy across the 
  program to make it relevant
• Used various levels of PRA to answer the mail
• The Shuttle Program has benefited from using PRA 
  and others can too
                                                          21

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  • 1. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas USE OF PROBABILISTIC RISK ASSESSMENT  (PRA) IN THE SHUTTLE DECISION MAKING  PROCESS Roger L. Boyer                        Teri L. Hamlin Analysis Branch Chief                          Shuttle PRA Lead NASA Johnson Space Center Safety & Mission Assurance  Presented at  PM Challenge  February 9 ‐ 10, 2011 Long Beach, CA 1
  • 2. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas INTRODUCTION Probabilistic Risk Assessment (PRA) is a comprehensive,  structured, and disciplined approach to identifying and  analyzing risk in complex systems and/or processes  that seeks answers to three basic questions: What kinds of events or scenarios can occur (i.e., what  can go wrong)? What are the likelihoods and associated uncertainties of  the events or scenarios? What consequences could result from these events or  scenarios (e.g., Loss of Crew and Loss of Mission)? 2
  • 3. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas BACKGROUND • The Space Shuttle Program (SSP) initiated the  development of a Shuttle Probabilistic Risk  Assessment (SPRA) in March 2001.  Prior to that  there were a number of PRA estimates for the  Shuttle, but none were sponsored by the SSP.   – Chart on next page summarizes the Shuttle PRA evolution. • The “consequence” or metric of concern selected for  the SPRA is Loss of Crew and/or Vehicle (LOCV).   • The risk contributors include hardware failures,  external events, crew errors, software failures, and  phenomenological events.   3
  • 4. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas SHUTTLE PRA EVOLUTION • The advent of established NASA requirements, standards, and tools ‐ as well  as the development of a strong Shuttle program PRA team have resulted in  significant recent progress • Iteration 3.2 is the most comprehensive and used Shuttle PRA to date STS-128 STS-131 Examples of SPRA uses: SLEP Risk HST Manifest Flight Flight Trades Decision Rationale Rationale Mean Probability of LOCV 1:70 1:55 1:73 1:131 1:234 1:78 1:61 1:67 1:77 1:81 1:85 1:89 1987 1988 1993 1995 1998 2003 2004/2005 2005 2006/2007 2008 2009 2010 Proof of  First  Update of the  First major  Unpublished  Integrated  Integrated  Integrated  Updated  Updated  Updated  Updated  concept study  somewhat  Galileo study   integrated  analysis using  PRA with all  PRA with all  PRA with all  SPRA  SPRA  SPRA  SPRA  for applying  integrated  results to  (multi phase)  QRAS. No  elements, 18  elements, 18  elements, 18  iteration 2.1  iteration 2.2  iteration 3.0  iteration 3.1  PRA to Space  PRA reflect then  shuttle PRA.  integration of  Orbiter  Orbiter  Orbiter  with  with Abort  with  with updated  Shuttle.   conducted on current test  Done with  elements.  Systems,  Systems,  Systems,  Inspection  modeling,  corrected  MMOD,  Scope was  the Space  and  input from  Limited to  MMOD and  MMOD and  MMOD and  with Repair  Rendezvous  APU  Ascent  limited to  Shuttle. Done  operational  prime  three Orbiter  human  human  human  and Crew  and Docking.   Hydrazine  Debris,  APUs for  in support of  base of the  contractors. systems and  actions  actions  actions  Rescue.   Updated  Leak  Orbiter Flight  Orbiter and  Galileo  shuttle.  the  included.  included.  included.  Updated  Functional  Probabilities Software,  SRB Mission. (Ascent Only) Propulsion  Presented to  Peer  Peer  MMOD and  Data, MMOD  Incorporated  (Ascent Only).  elements Peer review  reviewed. reviewed. Ascent Debris  and Ascent  Orbiter  Team. Updated Pre‐ Modeling Debris Review  valve  Summit  modeling Comments Galileo  Phase 1  Shuttle PRA Shuttle PRA SPRAT PRA  SPRAT PRA SPRAT PRA SPRAT PRA SPRAT PRA SPRAT PRA SPRAT PRA 1988 1993  1995 1998 Iteration 1.5 Iteration 2.0 Iteration 2.1 Iteration 2.2 Iteration 3.0 Iteration 3.1 Iteration 3.2 2003 2004/2005  2005 2006/2007  2008  2009  2010  4
  • 5. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas BACKGROUND • The purpose of the SPRA is to provide a useful risk  management tool for the SSP to identify strengths  and possible weaknesses in the Shuttle design and  operation.  – SPRA was initially developed to support upgrade decisions,  but has evolved into a tool that supports Flight Readiness  Reviews (FRR) and near real‐time flight decisions. 5
  • 6. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas LEVELS OF ASSESSMENT • Full Scope SPRA – Establishes baseline risk associated with the overall  mission by mission phase, as well as by vehicle elements  and subsystems – Documented end states, assumptions, approach, and risk  drivers • Focused PRA – Answers specific question that doesn’t require full model,  but benefits from it • Insights – Knowing relative risk contributors provides input for  decisions without comprehensive PRA 6
  • 7. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas KEY INFORMATION FOR MANAGEMENT • Clear presentation of analysis – if the audience doesn’t understand the analysis, the information will  not be used – Difficult because many different ways people process information • Applicable assumptions and limitations – PRA is only as good as the assumptions that go into the analysis, thus  important to share for managers to understand the basis of the results – Limitations should be understood, so that the results are not misused • Estimates of uncertainty – state of knowledge about the system being modeled (e.g. the real  capability of the system to successfully respond to an event) – randomness of the probabilistic parameters (e.g.  the uncertainty in  estimating a failure probability of an event) 7
  • 8. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas EXAMPLES 8
  • 9. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Shuttle Service Life Extension Program (SLEP) Assessed the  risk of each  proposed  upgrade and compared  relative  changes in risk 9
  • 10. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Shuttle Service Life Extension Program (SLEP) Showed that  ~70% of  calculated risk  due to crew  error occurs  during entry,  descent, and  landing 10
  • 11. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Engine Cutoff (ECO) Sensors Assessed the risk of  changing the Launch  Commit Criteria (LCC)  for these ECO sensors  from requiring four of  four sensors to only  requiring three of four  sensors.  Pointed out the need to  better understand the  other side of the risk  trade when a launch is  scrubbed due to ECO  sensor failures, i.e.,  scrub turnaround risk. 11
  • 12. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Probability of LH2 Low Level Cutoff (STS‐122) Shuttle Program  Manager requested  and used    Model used  historical data in a  simulation model Shuttle Program  Manager could see  impact of adding  Ascent Performance  Margin (APM) on  risk 12
  • 13. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Solid Rocket Booster Power Bus Isolation Supply Analysis Emphasized the need to  implement a design change that  would eliminate the failure in  future flights 13
  • 14. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Main Propulsion Flow Control Valve (FCV) Shuttle Program used these risk estimates as  supporting flight rationale for STS‐119, combined  with FCV inspection and impact testing 14
  • 15. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Hubble Space Telescope (HST) Manifest Decision Analysis  compared HST  risk with and  without crew  rescue to other  Shuttle missions  in order to help  NASA  Administrator  decide whether  or not the HST  mission was an  acceptable risk 15
  • 16. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Hubble Space Telescope (HST) Manifest Decision (2) Risk reduction  with crew rescue  was compared to  risk reductions  from implemented  Shuttle upgrades 16
  • 17. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Probability of Launch on Need Assisted the Shuttle  Program Manager with  making an informed  decision not to release the  HST rescue vehicle 17
  • 18. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas STS‐128 Power Controller Assembly Risk Presented at L‐2 Analysis was used to help Shuttle Managers decide that PCA risk was acceptable for flight Analysis showed that it was much more likely to have a broken contactor on the ground Important to inform managers of the analysis assumptions 18
  • 19. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas STS-131 Helium Isolation Valve Risk Analysis was  used to support  STS‐131 flight  rationale at the  HQ Flight  Readiness  Review 19
  • 20. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas Right RCS Helium System Reliability Analysis results  combined with  graphical display  to help  communicate risk  to Management  at HQ Flight  Readiness Review  20
  • 21. SPACE SHUTTLE PROGRAM Space Shuttle Safety and Mission Assurance Office NASA Johnson Space Center, Houston, Texas SUMMARY • Showed various ways of communicating  and using  PRA findings in the Shuttle Program • Stated that it is important to provide management: – Clear presentation of analysis – Applicable assumptions and limitations – Estimates of uncertainty • Maintain consistency and accuracy across the  program to make it relevant • Used various levels of PRA to answer the mail • The Shuttle Program has benefited from using PRA  and others can too 21