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Satellite Mishap Blamed on Human Error
Associated Press ^ | 10/5/04 | MATTHEW FORDAHL

Posted on 10/05/2004 8:24:47 PM PDT by anymouse

A $239 million satellite toppled to a factory floor last year because nobody bothered to check that it was secure before moving it, according to a NASA investigation board's report on the mishap.

The 113-page document criticized both Lockheed Martin Space Systems Co., which was assembling the weather satellite, and NASA, which was overseeing the project on behalf of the National Oceanic and Atmospheric Administration.

The NOAA N-Prime satellite fell about 3 feet as it was being moved from a vertical to a horizontal position on Sept. 6, 2003, to remove an instrument at a facility in Sunnyvale, Calif. Nobody noticed that the 24 bolts that should have secured the spacecraft were missing.

Investigators were especially critical of the Lockheed Martin operations team for its "lack of discipline in following procedures," a problem that evolved from "complacent attitudes toward routine spacecraft handling, poor communication and coordination."

Buddy Nelson, a Lockheed Martin spokesman, said NASA's final report was consistent with the findings of the company's internal investigators.

"Lockheed Martin has implemented improvements to company policies, procedures and practices that ensure such an incident will not occur again," he said Tuesday.

It will cost an estimated $135 million to rebuild the spacecraft's main section and two damaged instruments. No one was injured in the incident.

The NASA board, which was led by Christopher Scolese of the agency's Science Mission Directorate, faulted an unidentified engineer who didn't look at the cart's configuration but instead relied on paperwork from a prior operation.

"Had he followed procedures, the unbolted (cart) adapter plate would have been discovered and the mishap averted," the report said. "Errors were also made by other team members, who were narrowly focused on their individual tasks and did not notice or consider the state of the hardware or the operation outside those tasks."

NASA investigators also said planning for the maneuver was "hurried" and the operations team was "hastily formed." Overall, the contractor's system safety program was found to be "very ineffective."

Nelson said appropriate disciplinary action has been taken, though he declined to say whether anyone has been fired.

Government checks also were lacking, according to the report. An onsite representative waived a mandatory inspection during the maneuver — something investigators said might not have caught problem but was indicative of a failed oversight process.

The in-house representative also knew of problems at Lockheed but did not pass them along to NASA, the report said.

On Monday, NOAA announced that it has reached an agreement with Lockheed Martin to finish the satellite. In addition, the company will contribute all profits it earned from the contract to rebuild the spacecraft and will complete the work on a cost-only basis, Nelson said.

Before the accident, the spacecraft was supposed to be placed into storage until launch in 2008. It's now scheduled to be launched in December 2007.


TOPICS: Extended News; Government; Technical
KEYWORDS: lockheed; lockheedmartin; nasa; noaa; satellite; space
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Apparently Homer Simpson works for Lockheed Martin. :)

Doh!

1 posted on 10/05/2004 8:24:48 PM PDT by anymouse
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To: KevinDavis

Space ping


2 posted on 10/05/2004 8:25:12 PM PDT by anymouse
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To: anymouse
In my job, they would probably fire you for overlooking a typo on a $10,000 printing job.

Then again, I don't work for the government. I have a real job.

3 posted on 10/05/2004 8:28:37 PM PDT by dead (I've got my eye out for Mullah Omar.)
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To: anymouse

You break it, you buy it!


4 posted on 10/05/2004 8:35:01 PM PDT by opinionator
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To: anymouse
NASA investigators also said planning for the maneuver was "hurried" and the operations team was "hastily formed." Overall, the contractor's system safety program was found to be "very ineffective."

And Lockhead Martin just won a $3B contract to consolidate and manage the networks between 37k post offices. Hopefully they are a little more careful.
5 posted on 10/05/2004 8:35:02 PM PDT by lelio
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To: dead
Then again, I don't work for the government. I have a real job.

These people have real jobs as well. This was an unfortunate incident. Procedures already in place were not followed.

6 posted on 10/05/2004 8:36:20 PM PDT by RadioAstronomer
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To: anymouse
who were narrowly focused on their individual tasks and did not notice or consider the state of the hardware or the operation outside those tasks."

Sounds like nobody had the individual task of bolting that sucker down.

7 posted on 10/05/2004 8:40:40 PM PDT by RGSpincich
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To: anymouse

Hey guys - what is this box of bolts fo.... CRASH! Whoopsie!


8 posted on 10/05/2004 8:40:51 PM PDT by Hegemony Cricket (Attn: CBS: We may FReep in our jammies, but we won't take your lying, lying down!)
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To: RadioAstronomer
Actually, I am one of those rare conservatives that actually enthusiastically support the space program. I didn't mean to be so dismissive.

But seriously, that kind of screw up would absolutely and inevitably, for better or worse, lead to dismissals in the real world.

I've seen them. For financial numbers way less than 1% of this $135 million mishap.

9 posted on 10/05/2004 8:41:46 PM PDT by dead (I've got my eye out for Mullah Omar.)
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To: RadioAstronomer

ANY time there is an "accident" in the aerospace industry, it is because of negligence of one or more people.

Those who choose to ignore the reality and blame it on "government" have no concept of the enormous efforts being made by people who worry about "job security" and how they are going to support their families.

Perhaps they need a dose of REALITY to put things in perspective?


10 posted on 10/05/2004 8:42:22 PM PDT by Monkey Face (I don't believe in superstition; it only brings bad luck.)
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To: anymouse
"Smithers, who is that standing next to my shattered orbital mind control satellite?"

"Um, That Homer Simpson, sir."

11 posted on 10/05/2004 8:43:07 PM PDT by shadowman99
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To: dead

I understand. I just don't know what the outcome was to the individuals.


12 posted on 10/05/2004 8:58:19 PM PDT by RadioAstronomer
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To: dead
that kind of screw up would absolutely and inevitably, for better or worse, lead to dismissals in the real world.

And it can lead to dismissals in the government world, too. Admittedly, it is a little more difficult given the bureacracy, but it happens.

13 posted on 10/05/2004 9:01:43 PM PDT by Casloy
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To: DaveTesla

ping


14 posted on 10/05/2004 9:22:38 PM PDT by bear11
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To: anymouse
Investigators were especially critical of the Lockheed Martin operations team for its "lack of discipline in following procedures," a problem that evolved from "complacent attitudes toward routine spacecraft handling, poor communication and coordination."

Buddy Nelson, a Lockheed Martin spokesman, said NASA's final report was consistent with the findings of the company's internal investigators.

"Lockheed Martin has implemented improvements to company policies, procedures and practices that ensure such an incident will not occur again," he said Tuesday.

It will cost an estimated $135 million to rebuild the spacecraft's main section and two damaged instruments. No one was injured in the incident.

Ouch !

If it were human error, it casts doubt that "Lockheed Martin has implemented improvements to company policies, procedures and practices that ensure such an incident will not occur again,"

Such an incident should be less likely, but I don't think they have made it certain as they claim.

15 posted on 10/05/2004 9:28:00 PM PDT by af_vet_1981
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To: All

I've never worked with multimillion dollar space equipment but during my career as an engineer have been responsible for movement of heavy equipment while others were present.

I would NEVER approve nor sign off on the repositioning or relocation of said equipment without putting my eyes on the situation. The possible loss of the equipment and subsequent negative impact on schedule and cost is one thing, the possible injury to people was the more important issue.

I cringe as I type this (because I know that ultimately we (Uncle Sugar) will ultimately bear any retribution) but Lockheed Martin should absorb ALL costs for this FU.



16 posted on 10/05/2004 10:25:28 PM PDT by hotshu (Borrowed tagline: "They can only cheat if it's close".)
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To: RadioAstronomer

You can be pretty sure that people were fired over this. I had heard the number was pretty high but thats anecdotal and I don't really know what the true figure is.


17 posted on 10/05/2004 10:38:47 PM PDT by Citizen of the Savage Nation
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To: mhking

ping


18 posted on 10/05/2004 11:11:29 PM PDT by anymouse
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To: shadowman99

Does that look like $135 million worth of damage?


19 posted on 10/06/2004 4:24:44 AM PDT by wideminded
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To: wideminded

"Does that look like $135 million worth of damage?"

You must work for Gieco?


20 posted on 10/06/2004 4:28:03 AM PDT by Rebelbase ("We will crush Al Qaeda"....Silky Pony)
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