Post-Mortem Analysis: The Space Shuttle Challenger Disaster

A postmortem is a common task in engineering. It formalizes the process of learning from past experience. The post-mortem analyzes a project once it has ended and identifies what went well and what went poorly to improve the next project. This writing assignment asks you to write up a post-mortem of a well-known case of engineering failure, including not only the technical details of the failure but the ethical lapses that contributed to the failure.
The Writing Task -
Your post-mortem write up should explain how ethical lapses contributed to the engineering failure. Describe the actions, as an engineer, that should be taken (should have been taken) to come to grips with the failure, utilizing one of the ethical frameworks you have learned about as a guide in influencing or determining your course of action. Describe the advantages and disadvantages of the actions you propose and provide justification using one of the ethical frameworks as a guideline in the analysis process.
Audience
Identify an audience for your post-mortem write up this can be either a government regulatory agency such as the NTSB or the FDA, the companys board of directors, etc. and write your post-mortem analysis to that audience, including information and analysis that would be of most interest and of most use to them. The audience you are addressing must be clearly specified in your paper.
Researching and Analyzing the Case -

Choose one of the cases of engineering failure most related to your future career or professional interests. First, read about the case and understand the complex issues surrounding the case, including the parties in the case (corporate, government, etc.) and the various components including engineering, management, regulatory, socio-technical and ethical. Second, decide what the major issues surrounding the engineering failure are. Also, consider which of the ethical frameworks you have learned best explains the ethical lapses in this engineering failure case.
Your postmortem should follow this structure:
1)Abstract: A short summary of the engineering failure, its consequences, why it happened, and what should be done to prevent future problems. Your abstract should also clearly identify your audience. This can be either a government oversight committee, a companys board of directors, etc. Be sure that you write your postmortem to that specific audience, including nformation and analysis that would be of most interest and use to them.
2)Background: The body of your postmortem should begin with a narrative about what happened (the engineering failure) and what its consequences were.
3)The Engineering Failure: This section should explain what technical, engineering, management, regulatory, and/or other socio-technical factors led to the engineering failure.
4)Ethical Analysis: The section should analyze the ethical lapses (i.e. stakeholders actions, decisions or interests, principles adopted or flouted, risks ignored and reasons for doing so, etc.) that contributed to the engineering failure. Try to brainstorm similar questions that apply to your own topic, and then answer them using at least one of the ethical frameworks you learned about in class to discuss the engineering failure. You might use this model to inspire your own ethical analysis (using duty ethics and/or utilitarianism and/or virtue ethics).
5)Recommendations: Drawing on at least one of the ethical frameworks, this section should first propose general ideas and then proceed to very specific recommendations about how to prevent similar failures from occurring in the future. What should have been done? What needs to be done in the future? Dont make simple arguments (i.e. there needs to be more or better regulations); instead, specify what regulations should be imposed (and by whom), what the parameters of such regulations should be, and how they might be enforced (and by whom). Describe the advantages and disadvantages of the actions you propose and provide justification, again using at least one of the ethical frameworks.
6)Conclusion: Your conclusion should address what we have learned (or should have learned) from the engineering failure you discuss. What progress, if any, has been made to prevent similar failures in the future? What remains to be done?

  Post-Mortem Analysis: The Space Shuttle Challenger Disaster Abstract This post-mortem analysis focuses on the Space Shuttle Challenger disaster in 1986, with the intended audience being the NASA leadership and government oversight committees. The analysis delves into the technical, management, regulatory, and ethical factors that led to the tragic failure of the Challenger mission. By examining the ethical lapses that contributed to the disaster and proposing recommendations based on ethical frameworks, this post-mortem aims to provide valuable insights for preventing similar failures in the future. Background The Space Shuttle Challenger disaster occurred on January 28, 1986, when the shuttle broke apart just 73 seconds after liftoff, resulting in the loss of all seven crew members. The root cause of the failure was determined to be the O-rings in the solid rocket boosters, which failed to seal properly due to cold weather conditions. Despite engineers raising concerns about launching in such low temperatures, NASA proceeded with the launch, leading to a catastrophic outcome. The Engineering Failure The technical failure of the O-rings was compounded by management decisions to prioritize schedule adherence over safety concerns. NASA's organizational culture at the time emphasized meeting launch schedules and downplayed dissenting opinions from engineers. Regulatory oversight also failed to adequately address safety issues, allowing the launch to proceed despite known risks. Ethical Analysis The ethical lapses that contributed to the Challenger disaster revolve around stakeholder actions, decisions, and principles adopted. Engineers who raised concerns about the O-rings were ignored or pressured to conform to the prevailing narrative of success at any cost. NASA's leadership failed to prioritize safety over schedule pressures, disregarding the potential consequences of launching in unsafe conditions. The decision-making process lacked transparency and accountability, leading to a disregard for ethical principles of integrity and responsibility. Applying virtue ethics, it is evident that virtues such as honesty, courage, and prudence were lacking in the decision-making process. Engineers should have been encouraged to speak up without fear of reprisal, and leaders should have demonstrated moral courage in prioritizing safety over expediency. Recommendations To prevent similar failures in the future, it is essential to implement a more robust ethical framework within organizations involved in high-risk engineering projects. Recommendations include fostering a culture of open communication where all stakeholders are encouraged to voice concerns without fear of retribution. Ethical training for engineers and leaders can help instill values of integrity and accountability in decision-making processes. Specific regulations should be imposed to ensure that safety considerations always take precedence over schedule pressures. Independent oversight committees should be established to evaluate project risks and make impartial decisions regarding mission readiness. Enforcement mechanisms should be put in place to hold individuals and organizations accountable for ethical lapses that compromise safety. Conclusion The Space Shuttle Challenger disaster serves as a stark reminder of the consequences of ethical lapses in engineering projects. While progress has been made in enhancing safety protocols and promoting a culture of transparency within organizations, there is still work to be done to prevent similar failures in the future. By learning from past mistakes and prioritizing ethical considerations in decision-making, we can strive towards a future where engineering failures are minimized through a steadfast commitment to integrity and responsibility.

Sample Answer