Page 16 - Risk Management Bulletin February 2024
P. 16

RMAI BULLETIN FEBRUARY 2024


             contributed to the accident. The flawed design of the  ciency. The catastrophe highlighted the need for
             shuttle's solid rocket boosters (SRBs) was one of the  NASA and other space agencies to prioritise safety
             key technical setbacks. The SRBs' O-ring seals were not  and take the necessary procedures to avoid trag-
             meant to withstand the low temperatures on launch   edies such as the Challenger.
             day, allowing hot gases to escape and ignite the main
                                                              Y  The accident underlined the significance of open
             fuel tank. Despite engineers' warnings regarding the  and honest communication among engineers, sci-
             likely failure of the O-ring seals, NASA authorities ne-  entists, and officials, as well as the importance of
             glected to handle the matter sufficiently, and the  listening to and taking warnings seriously.
             launch was permitted.
                                                              Y  The significance of continuous learning and im-
                                                                 provement: Following the Challenger accident,
             Another element that contributed was the pressure to
                                                                 NASA conducted a thorough evaluation of its
             meet deadlines. There was tremendous political and
             public pressure to launch the shuttle on time, as well  safety protocols and organisational culture, result-
                                                                 ing in significant adjustments and improvements
             as a determination to stay competitive in the space
                                                                 to the space agency's operations.
             race. This pressure may have prompted NASA execu-
             tives to downplay the risks and disregard engineer
             cautions.                                        Remedies:
                                                              Following the Challenger disaster, NASA made several
             The Challenger accident had far-reaching conse-  changes and improvements to its safety procedures
             quences for NASA and the world of space exploration.  and organisational culture in order to avoid future trag-
             Following the catastrophe, NASA conducted a thor-  edies, including
             ough evaluation of its safety protocols and      Y  The implementation of a more rigorous and trans-
             organisational culture, resulting in significant adjust-  parent safety review process and the establish-
             ments and improvements to the space agency's opera-  ment of an independent safety office.
             tions.                                           Y  New safety rules and procedures, including greater
                                                                 testing and inspection of crucial components, are
             Causes:                                             being developed.
             Y   The shuttle's solid rocket boosters (SRBs) were  Y  The establishment of a new organisational culture
                 designed incorrectly. The SRBs' O-ring seals were  that placed a premium on safety, communication,
                 not meant to withstand the low temperatures on  and transparency.
                 launch day, allowing hot gases to escape and ig-
                                                              Y  Adoption of innovative technologies and materi-
                 nite the main fuel tank.
                                                                 als to improve space shuttle and other spacecraft
             Y   Inadequate testing and communication: Despite   safety and reliability.
                 engineer warnings about the potential failure of
                 the O-ring seals, NASA authorities did not address  Case Study 2: The 2008 financial crisis:
                 the matter sufficiently, and the launch was al-
                                                              The US housing market expanded rapidly in the years
                 lowed.
                                                              preceding the crisis, powered by easy credit and low
             Y   Pressure to fulfill deadlines: Due to political and  interest rates. Lenders, such as banks and mortgage
                 public pressure, as well as the desire to keep up
                                                              companies, lowered lending requirements and made
                 with the competitors in the space race, there was
                                                              loans to borrowers who were unable to repay them.
                 enormous pressure to launch the shuttle on time.  These subprime mortgages were then packaged with
                                                              other mortgages into securities and marketed to inves-
             Lessons learned:
                                                              tors all over the world.
             Y   NASA and the rest of the world learned several
                 critical lessons from the Challenger catastrophe,
                                                              As property values rose, mortgage-backed securities
                 including:
                                                              were viewed as secure investments, and demand for
                 Safety is more important than speed and effi-  them surged dramatically. The underlying mortgages,


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