This crew member did not properly assemble the release mechanism on the MARS
Who is the Crew Chief?
100
This part of the MARS was the cause of two incidents
What is the parachute release mechanism?
100
This crew member missed the parachute release mechanism error in Incident 1
What is the inspector?
100
This action reduced the need for cross checking
What is MARS recovery document consolidation?
200
This pilot flew the first F-15 RPRV Mission
Who is Einar Enevoldson?
200
Switching between these two recovery systems increased the likelihood of human error
What is MARS and RRS?
200
If the parachute release mechanism had been properly installed on the F-15 RPRV, the first incident may have been avoided. This is an example of this level of the Error Troika
What is the first level of the Error Troika/Avoid Error?
200
This person was made responsible for all aspects of the project
What is the most experienced supervisor?
200
Helps understand what what was done wrong and learn things that may have been forgotten or not initially known
What is re-training?
300
The parachute mechanism was successful on this aircraft, but not on the F-15 RPRV
What is the Ryan AQM-34 Firebee?
300
The lack of reporting previous MARS issues is an example of this
What is lack of crew coordination?
300
Regular flight inspector was ill and mechanic was transferred to a new project. This is an example of this failure type
What is a latent failure?
300
The MARS recovery method was replaced with these objects
What are landing skids?
300
The ____ in MARS system should've been fixed by the manufacturer.
What is Design Flaw?
400
Fitted with the MARS, this aircraft was responsible for transporting the F-15 RPRV back to base after a mission
What is the CH-3E?
400
Without much planning, the project managers approved the RPRV to fly in 10 knots of wind, even though they knew it was limited to 5 knots. This is an example of which hazardous attitude
What is Impulsivity?
400
The continued use of the same parachute release system is an example of this type of failure
What is an active failure?
400
If back-ups were needed, ________ were placed to ensure adequacy in the project.
What is provisions?
400
Using both helicopter and soft landing recovery systems _____ (increased/decreased) complexity.
What is increased?
500
This pilot saved the F-15 RPRV from destruction after he noticed the aircraft had broken free from the recovery aircraft
Who is Tom McMurtry?
500
These team members were shifted around without adequate backup in place
What is project inspectors and mechanics?
500
The improper crew scheduling that took place was one of the first steps in the chain of events that led to one of the incidents. This falls within this defensive layer of the Swiss Cheese Model
What is the Organization?
500
This category in the Mitigation of Hazards involves a review committee to ensure procedures were followed properly
What is standardization?
500
Complexity of recovery system and changes to recovery timing could have been avoided if this was performed