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FTA质量领域必备及必学方法
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Fault Tree Handbook with Aerospace Applications Version 1.1
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Prepared for
NASA Office of Safety and Mission Assurance
NASA Headquarters
Washington, DC 20546
August, 2002
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Fault Tree Handbook with Aerospace Applications Version 1.1
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NASA Project Coordinators:
Dr. Michael Stamatelatos, NASA Headquarters
Office of Safety and Mission Assurance
Mr. José Caraballo, NASA Langley Research Center
Authors:
NASA
Dr. Michael Stamatelatos, NASA HQ, OSMA
Lead Author:
Dr. William Vesely, SAIC
Contributing Authors (listed in alphabetic order):
Dr. Joanne Dugan, University of Virginia
Mr. Joseph Fragola, SAIC
Mr. Joseph Minarick III, SAIC
Mr. Jan Railsback, NASA JSC
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Fault Tree Handbook with Aerospace Applications Version 1.1
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Acknowledgements
The project coordinators and the authors express their gratitude to NASA Office of Safety and
Mission Assurance (OSMA) management (Dr. Michael Greenfield, Deputy Associate
Administrator and Dr. Peter Rutledge, Director of Enterprise Safety and Mission Assurance) and
to Mr. Frederick Gregory, NASA Deputy Administrator, for their support and encouragement in
developing this document. The authors also owe thanks to a number of reviewers who provided
constructive criticism.
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Fault Tree Handbook with Aerospace Applications Version 1.1
Foreword
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Foreword
NASA has been a leader in most technologies it has employed in its programs over the years.
One of the important NASA objectives is now to add Probabilistic Risk Assessment (PRA) to its
repertoire of expertise in proven methods to reduce technological and programmatic risk.
Fault Tree Analysis (FTA) is one of the most important logic and probabilistic techniques used
in PRA and system reliability assessment today.
Methods to perform risk and reliability assessment in the early 1960s originated in US aerospace
and missile programs. Fault tree analysis is such an example that was quite popular in the mid
sixties. Early in the Apollo project the question was asked about the probability of successfully
sending astronauts to the moon and returning them safely to Earth. A risk, or reliability,
calculation of some sort was performed and the result was a mission success probability that was
unacceptably low. This result discouraged NASA from further quantitative risk or reliability
analysis until after the Challenger accident in 1986. Instead, NASA decided to rely on the use of
failure modes and effects analysis (FMEA) and other qualitative methods for system safety
assessments. After the Challenger accident, the importance of PRA and FTA in systems risk and
reliability analysis was realized and its use at NASA has begun to grow.
The nuclear industry began to utilize probabilistic risk assessment to assess safety following the
Three Mile Island accident in 1979. In 1981, the US Nuclear Regulatory Commission (NRC)
issued the Fault Tree Handbook, NUREG-0492. Over the past two decades, this document has
become the leading technical information source on how FTA should be performed. Although
originally intended for nuclear power applications, the Fault Tree Handbook has been
extensively used in all fields where this powerful systems analysis methodology was applied.
Over the past two decades, probabilistic risk assessment and its underlying techniques, including
FTA, has become a useful and respected methodology for safety assessment. Because of its
logical, systematic and comprehensive approach, PRA and FTA have been repeatedly proven
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Fault Tree Handbook with Aerospace Applications Version 1.1
Foreword
capable of uncovering design and operational weaknesses that escaped even some of the best
deterministic safety and engineering experts. This methodology showed that it was very
important to examine not only low-probability and high-consequence individual mishap events,
but also high-consequence scenarios which can emerge as a result of occurrence of multiple
high-probability and nearly benign events. Contrary to common perception, the latter is
oftentimes more detrimental to safety than the former.
A foremost strength of PRA and its underlying analysis techniques, including FTA, is that it is a
decision support tool. In safety applications, this methodology helps managers and engineers find
design and operational weaknesses in complex systems and then helps them systematically and
efficiently uncover and prioritize safety improvements.
In order to best benefit from PRA and FTA in management decisions, it is important that
managers and their support staffs be familiar with the value and application of these methods. In
addition, there should be a small but robust group of in-house technical experts that understand
the methods used in a PRA or FTA study, can explain its meaning and applicability to given
problems to management and serve as in-house technical advisers to the management decision
process for safety improvement. If these in-house experts do not exist initially, they should be
hired or groomed through training and transfer of technology, becoming part of the corporate
resources and memory that will help shape the organization, taking advantage of the PRA and
FTA methods and results and the expert knowledge of the external consultants. In-house experts
will help build risk-based knowledge and experience and stimulate cultural changes so that a
progressive organization can use these resources to make sound and cost-effective safety
improvement decisions.
In support of this, NASA has recently began to implement the following important risk
assessment enhancement principles in its programs and projects:
• Transfer quantitative risk assessment technology to NASA managers and practitioners as
soon as possible,
• Develop or acquire quantitative risk assessment expertise and state-of-the-art software
and data,
• Encourage ownership in quantitative risk assessment methods, studies and results in order
to use them effectively in the management decision process,
• Develop a corporate memory of the risk assessment project results and data on which to
build future capabilities and experience, and
• Develop risk awareness in programs and projects that will eventually help NASA develop
a risk-informed culture for all its programs and activities.
To this end, and in support of the Risk Management Program, NASA began to develop training
and practitioner documents on how to perform quantitative risk assessment and utilize important
techniques like FTA. One such document is a Procedures Guide for performing PRA for
aerospace applications. The other is this document, the re-issue of an updated version of the
Fault Tree Handbook for aerospace applications.
A considerable amount of material on PRA methods and applications has been written over the
past three decades. Several university and practitioner textbooks and sourcebooks currently exist
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