5.1 The Challenger Accident and its Aftermath 5.2 The NASA Human Space Flight Culture 5.3 An Agency Trying to Do Too Much With Too Little 5.4 Turbulence in NASA Hits the Space Shuttle Program 5.5 When to Replace the Space Shuttle? 5.6 A Change in NASA Leadership 5.7 The Return of Schedule Pressure 5.8 Conclusion
Chapter 6 Decision Making at NASA
6.1 A History of Foam Anomalies 6.2 Schedule Pressure 6.3 Decision-Making During the Flight of STS-107 6.4 Possibility of Rescue or Repair
Chapter 7 The Accidents Organizational Causes
7.1 Organizational Causes: Insights from History 7.2 Organizational Causes: Insights from Theory 7.3 Organizational Causes: Evaluating Best Safety Practices 7.4 Organizational Causes: A Broken Safety Culture 7.5 Organizational Causes: Impact of a Flawed Safety Culture on STS-107 7.6 Findings and Recommendations
Chapter 8 History as Cause: Columbia and Challenger
8.1 Echoes of Challenger 8.2 Failures of Foresight: Two Decision Histories and the Normalization of Deviance 8.3 System Effects: The Impact of History and Politics on Risky Work 8.4 Organization, Culture, and Unintended Consequences 8.5 History as Cause: Two Accidents 8.6 Changing NASAs Organizational System
PART THREE A LOOK AHEAD
Chapter 9 Implications for the Future of Human Space Flight
9.1 Near-Term: Return to Flight 9.2 Mid-Term: Continuing to Fly 9.3 Long-Term: Future Directions for the U.S. in Space
Chapter 10 Other Significant Observations
10.1 Public Safety 10.2 Crew Escape and Survival 10.3 Shuttle Engineering Drawings and Closeout Photographs 10.4 Industrial Safety and Quality Assurance 10.5 Maintenance Documentation 10.6 Orbiter Maintenance Down Period/Orbiter Major Modification 10.7 Orbiter Corrosion 10.8 Brittle Fracture of A-286 Bolts 10.9 Hold-Down Post Cable Anomaly 10.10 Solid Rocket Booster External Tank Attachment Ring 10.11 Test Equipment Upgrades 10.12 Leadership/Managerial Training
Chapter 11 Recommendations
PART FOUR APPENDICES
Appendix A The Investigation
Appendix B Board Member Biographies
Appendix C Board Staff
VOLUME II Appendix D CAIB Technical Documents Cited in the Report
VOLUME III Appendix E Other Technical Documents Cited in the Report
VOLUME IV Appendix F Other Technical Documents
VOLUME V Appendix G Other Significant Documents
VOLUME VI Appendix H Transcripts of Board Public Hearings