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foreign

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[Applause]

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hello and thank you for joining NASA's

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day of remembrance Town Hall I'm NASA

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press secretary Jackie McGinnis and we

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are joined today by administrator Bill

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Nelson Deputy Administrator Pam melroy

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associate administrator Bob Cabana to

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reflect share best practices and answer

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your questions about safety across NASA

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centers and Mission directorates

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before we begin our discussion in a

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spirit of reverence please Focus your

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attention on the cruise of Apollo 1

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Challenger and Colombia in this five

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every January

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we at Nasa have a day of remembrance

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to encourage reflection throughout NASA

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throughout our country throughout indeed

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the world

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today to pause to remember

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and to uplift the legacies of the NASA

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family members who gave their lives to

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[Music]

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then Challenger

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then Colombia

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and the many other astronauts that died

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we will never forget these astronauts

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nor all those who have lost their lives

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in the pursuit of discovery

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and so on this day of remembrance

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we honor

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and try to better understand

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our place in this huge huge universe

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and our attempts at Discovery and

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exploration in it

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these astronauts all achieve the once

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Impossible Dream to soar

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in the cosmos and to explore the heavens

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[Music]

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and their families have suffered

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every day at NASA we have an opportunity

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we have a responsibility

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to carry forth their memories and by

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taking the next giant leap

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you want to keep alive your Legacies

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by meeting every challenge hit on

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as we push the edge of the envelope

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of human achievement in this new era of

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exploration

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we must always continue to embrace the

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core value of safety it's an

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institutional

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and it's an individual responsibility

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this is and always will be as we reflect

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a very solemn day on the sacrifice that

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was made by a bunch of very

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very

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it's also a day of remembrance

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of extreme gratitude

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we are thankful that NASA's Fallen

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adventurers shared their lives with us

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they made life on this Earth better

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and today and every day we at Nasa are

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still United in that shared Pursuit

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of exploration and Discovery and may we

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carry their spirit

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and those of all who have given their

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may we carry their spirit with us

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as we venture out

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to the Moon

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to Mars

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and Beyond

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thank you

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now please welcome administrator Bill

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Nelson

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foreign

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[Applause]

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we're doing this in the town hall format

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because we want to engage you in

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conversation

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and we take this very serious

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after the losses that we have had

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this day of remembrance

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and it's interesting that they all

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happened about this time of year

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each tragedy Apollo 1 Challenger and

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then Colombia

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each disaster left a gaping hole in the

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hearts of the NASA family and many of us

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feel those

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in my case

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the 24th Flight of the Space Shuttle

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at first attempts in December

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when we were scrubbed for a different

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reason

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it ended up being 41 degrees that

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we didn't think anything about that

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on through three more scrubs a total of

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four of which if we had launched and we

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had gotten down to T minus 13 in the

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count

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another morning T-minus 31

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any one of which would have been a bad

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day

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Flawless mission

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and to return to Earth on January the

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18th

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hoot Gibson's crew

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Charlie Bolden Pilate

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and ten days later Challenger launches

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it so happened the night before the

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Challenger launched

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the temperature had gotten down to 25

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degrees

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there were icicles hanging on the launch

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and there were people that had serious

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doubts

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about launching

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but I'll tell you who had the doubts

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where the engineers out in Utah who were

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begging their management at Morton tide

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call to stop the count

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and the cold weather stiffening

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rubberized gaskets called O-rings in the

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field joints

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I asked those Engineers later I said how

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were you sensitized to that and and then

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when almost a month earlier when on our

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first launch attempt it was 41 degrees

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Challenger was 36 degrees at launch time

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how was it that you were not sensitized

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to our first launch attempt on the 24th

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and they told me

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they said it was when we got back your

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solid rocket boosters when you'd

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launched on the fifth try

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and it was a relatively warm 56 degrees

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and we saw Blow by

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the blow-by of the hot gases in the

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field joints

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and

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he said then we remembered that

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the previous January that had happened

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and the management would not listen to

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the engineers begging them to stop the

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and that went up all the way to the top

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as a matter of fact

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the NASA administrator wasn't allowed to

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be at the cape

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because he had been indicted for

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something that was 10 years before and

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he knew he could clear himself

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so he was in his office

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in Washington in the headquarters

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watching the count

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and seeing the icicles on the launch

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Tower

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and he's calling the cape begging them

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to stop the count

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and they won't take his call

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because he's not the administrator

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just one other personal

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of course

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I think the world of Hoot Gibson and

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Charlie Bolden

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and I remember years later hoot telling

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me on subsequent missions that he would

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get out and inspect the Orbiter

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after his flight and he'd look at the

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underside or the sides

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of the Orbiter with those delicate

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silicon tiles

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and he said it was like somebody had

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a warning

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about what was to come in 2003.

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in February

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and that was

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foam coming off

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the external tank and it just so

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happened to hit at the right place

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on asset as the shuttle

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I think

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accelerated

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it hit the Leaning Edge on that carbon

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carbon fiber and knocked a hole in the

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our deputy and our associate

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they have seen all of this first time

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firsthand

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and they're going to explain

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their own personal experiences

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but the bottom line on all this is every

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day at Nasa we have an opportunity we

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have a duty to carry the memories of

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those that we lost and carry their

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dreams onward and upward and these are

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the enduring lessons from each of these

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tragedies

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and the bottom line is this

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speak up

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a question even a simple question is

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more forgivable than a mistake that can

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result in a tragedy

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and each of us has a responsibility to

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cultivate a work environment where every

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member of the NASA family feels

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empowered to voice doubt

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make your concerns heard

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communicate openly

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we saw the power of speaking up and

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listening

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we saw it just recently

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at the successful launch of Artemis one

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because while they were loading the

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liquid cryogenic propellants into this

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powerful rocket

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teams encountered a small leak on a

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hydrogen valve inside the mobile

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launcher

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and although the engineers attempted to

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remotely troubleshoot the issue

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managers ultimately decided that they

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needed a red team

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so

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three

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Chad Garrett Billy Carnes and Trent

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Annis made the trip out to the launch

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pad this is a fully loaded

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rocket

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they entered that danger zone They

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entered as that mobile launcher

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at its zero deck

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and Trent tighten the bolts

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at the leaky valve while Billy

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communicated with the launch Team and

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the red team

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it worked

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and the red team not only demonstrated

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heroism

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and professionalism that day

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and it helped us

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to do it safely

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and then we could go on and complete the

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and what they did also reminds us of how

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critical each team member is in the

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integrity and the safety of every NASA

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mission

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and that's an example of what happens

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when we speak up and we listen

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safety is our responsibility

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so as I said earlier

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with our leadership here to discuss more

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about the importance of safety and to

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honor this day of remembrance I want to

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introduce my colleague our co-leader

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Deputy Administrator Pam Elroy

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thank you so much Bill

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uh

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I have to say that while I love honoring

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the crews this can be a hard day

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and I get so much comfort from Bill and

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from Bob because you've been through

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it's so important that we focus the

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whole week and in fact the whole year

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and every day on remembering our fallen

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colleagues while also celebrating their

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legacy

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as I said it won't just be this week

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we've talked about this for a while

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coming up on the 20th anniversary of

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Columbia

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we plan to keep the dialogue going

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through safety workshops and discussions

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at several of the centers and to make

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sure that this dialogue continues to be

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very inclusive but also real vital

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informative uh and and just the whole

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goal of talking about this and keeping

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these Lessons Learned alive

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there are so many Lessons Learned From

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Apollo 1 to Challenger to Colombia we

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work with such complicated systems and

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we're building them to do things that no

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one has ever done before and when I look

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at the complexity especially of what we

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are doing in our human space flight

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program we continue to be at The Cutting

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Edge

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so we all know when we're trying

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something new we're never going to be

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00:21:00,470 --> 00:20:57,720
100 safe because there are things that

292
00:21:03,409 --> 00:21:00,480
we can't predict that might happen

293
00:21:05,570 --> 00:21:03,419
but each of us should remember that it

294
00:21:07,370 --> 00:21:05,580
could happen to us

295
00:21:08,930 --> 00:21:07,380
so that's one of the messages that I

296
00:21:10,390 --> 00:21:08,940
want to give and I'll tell a short story

297
00:21:15,230 --> 00:21:10,400
about that

298
00:21:18,230 --> 00:21:15,240
I was a a cape Crusader helped strap

299
00:21:20,169 --> 00:21:18,240
Cruise in and unstrap Crews as my first

300
00:21:23,029 --> 00:21:20,179
technical assignment working at the cape

301
00:21:24,830 --> 00:21:23,039
and one of the things that was so

302
00:21:27,130 --> 00:21:24,840
wonderful was to work with people who'd

303
00:21:31,070 --> 00:21:27,140
been trained by the famous Gunter went

304
00:21:33,590 --> 00:21:31,080
who was really the you know

305
00:21:35,810 --> 00:21:33,600
the grandfather of all of our procedures

306
00:21:39,110 --> 00:21:35,820
for safety out at the pad

307
00:21:42,289 --> 00:21:39,120
and they had had experiences with Apollo

308
00:21:44,990 --> 00:21:42,299
1 that immediately changed and affected

309
00:21:48,169 --> 00:21:45,000
not just the way we operated uh out at

310
00:21:50,570 --> 00:21:48,179
the pad but uh also the hardware that we

311
00:21:53,270 --> 00:21:50,580
use the accessibility of it and then of

312
00:21:55,010 --> 00:21:53,280
course to pass those lessons on and I

313
00:21:56,990 --> 00:21:55,020
have to say that I listened eagerly to

314
00:21:59,390 --> 00:21:57,000
all of those things and I was proud of

315
00:22:01,549 --> 00:21:59,400
the procedures that we did at the time

316
00:22:03,409 --> 00:22:01,559
because I was like Wow we've really made

317
00:22:06,950 --> 00:22:03,419
this safe

318
00:22:08,930 --> 00:22:06,960
uh I came back from my second flight and

319
00:22:12,890 --> 00:22:08,940
I was asked to lead the cape Crusader

320
00:22:15,169 --> 00:22:12,900
team so I was in Florida to get my

321
00:22:18,289 --> 00:22:15,179
familiarization training for unstrapping

322
00:22:20,690 --> 00:22:18,299
the crew of sts-107

323
00:22:23,630 --> 00:22:20,700
and I was out at the runway with Bob

324
00:22:29,090 --> 00:22:25,850
and the crew didn't land on time

325
00:22:30,950 --> 00:22:29,100
we all stared out looking as he did for

326
00:22:33,289 --> 00:22:30,960
the shuttle listening for the sound of

327
00:22:34,789 --> 00:22:33,299
the distinctive double boom and we

328
00:22:35,870 --> 00:22:34,799
didn't hear it and the time came and

329
00:22:39,710 --> 00:22:35,880
went

330
00:22:41,750 --> 00:22:39,720
now as a person trained in physics I

331
00:22:43,010 --> 00:22:41,760
understood perfectly well

332
00:22:45,409 --> 00:22:43,020
that

333
00:22:47,149 --> 00:22:45,419
this just can't happen when you come

334
00:22:49,130 --> 00:22:47,159
back at those speeds from space you're

335
00:22:52,430 --> 00:22:49,140
gonna land when they say you're going to

336
00:22:53,450 --> 00:22:52,440
land within a second and that's just how

337
00:22:55,730 --> 00:22:53,460
it is

338
00:22:57,590 --> 00:22:55,740
uh but I couldn't fathom it I just

339
00:23:01,130 --> 00:22:57,600
simply couldn't fathom it and the only

340
00:23:04,250 --> 00:23:01,140
person standing uh around there at the

341
00:23:07,250 --> 00:23:04,260
runway as we all looked at each other

342
00:23:09,049 --> 00:23:07,260
Bob knew Cabana knew before the rest of

343
00:23:10,610 --> 00:23:09,059
us and it's because he'd been through it

344
00:23:13,730 --> 00:23:10,620
with Challenger

345
00:23:15,649 --> 00:23:13,740
he was the first to say to all of us

346
00:23:17,330 --> 00:23:15,659
they're not coming home

347
00:23:20,990 --> 00:23:17,340
and

348
00:23:23,330 --> 00:23:21,000
I just realized that in my head I had

349
00:23:24,890 --> 00:23:23,340
gotten into a place where this was

350
00:23:26,750 --> 00:23:24,900
something that had happened before and

351
00:23:28,549 --> 00:23:26,760
that we'd fixed everything and it was

352
00:23:31,370 --> 00:23:28,559
going well

353
00:23:34,850 --> 00:23:31,380
you know we need to know it can happen

354
00:23:37,549 --> 00:23:34,860
to us we can make a decision or not

355
00:23:40,250 --> 00:23:37,559
share a concern that could contribute to

356
00:23:42,649 --> 00:23:40,260
an accident and every one of us every

357
00:23:44,810 --> 00:23:42,659
day is on the line to ensure the safety

358
00:23:46,909 --> 00:23:44,820
of the agency

359
00:23:49,909 --> 00:23:46,919
I just want to remind everyone that the

360
00:23:52,130 --> 00:23:49,919
responsibility is on all of us and it

361
00:23:54,110 --> 00:23:52,140
can happen to you

362
00:23:55,610 --> 00:23:54,120
whether you're in that hard place and

363
00:23:58,010 --> 00:23:55,620
you know it at the time you're making

364
00:24:00,409 --> 00:23:58,020
the decision or not

365
00:24:02,810 --> 00:24:00,419
Wayne Hale our former space shuttle

366
00:24:05,930 --> 00:24:02,820
program manager has said just because

367
00:24:08,510 --> 00:24:05,940
you're younger or smarter or read

368
00:24:10,370 --> 00:24:08,520
history lessons or for me listen to

369
00:24:13,190 --> 00:24:10,380
really smart people who learn from

370
00:24:15,950 --> 00:24:13,200
Apollo 1 don't think that you won't make

371
00:24:17,570 --> 00:24:15,960
mistakes and especially that events

372
00:24:19,789 --> 00:24:17,580
can't get away from you

373
00:24:22,370 --> 00:24:19,799
nobody is smart enough to avoid all

374
00:24:24,529 --> 00:24:22,380
problems and that sliver of fear the

375
00:24:26,390 --> 00:24:24,539
knowledge that the universe is out there

376
00:24:29,810 --> 00:24:26,400
waiting for the least lapse in attention

377
00:24:32,930 --> 00:24:29,820
to bite is motivation that just might

378
00:24:34,430 --> 00:24:32,940
help you avoid catastrophe

379
00:24:36,590 --> 00:24:34,440
so having a little bit of a

380
00:24:38,930 --> 00:24:36,600
preoccupation with risk and failure if

381
00:24:40,610 --> 00:24:38,940
you will can lead to high reliability

382
00:24:42,350 --> 00:24:40,620
organizations

383
00:24:45,190 --> 00:24:42,360
I think it's critically important in

384
00:24:47,750 --> 00:24:45,200
everything we do in program management

385
00:24:50,510 --> 00:24:47,760
in the way we do our business every day

386
00:24:52,310 --> 00:24:50,520
to always be thinking about risk and not

387
00:24:53,750 --> 00:24:52,320
just as a yeah I get it that could

388
00:24:55,970 --> 00:24:53,760
happen I'm going to put it to the side

389
00:24:59,330 --> 00:24:55,980
but what am I actually actively doing

390
00:25:02,630 --> 00:24:59,340
about protecting for that

391
00:25:04,070 --> 00:25:02,640
so after each tragic accident we've

392
00:25:06,049 --> 00:25:04,080
managed to not only discover the

393
00:25:09,350 --> 00:25:06,059
technical problems that led to them but

394
00:25:11,330 --> 00:25:09,360
also to work very actively to nurture

395
00:25:14,029 --> 00:25:11,340
and encourage a culture where speaking

396
00:25:16,310 --> 00:25:14,039
up is encouraged and really I think

397
00:25:19,130 --> 00:25:16,320
that's very important to Bill and Bob

398
00:25:20,810 --> 00:25:19,140
and I and the administrator have talked

399
00:25:22,669 --> 00:25:20,820
about speaking up

400
00:25:25,430 --> 00:25:22,679
we need to make sure that dissenting

401
00:25:27,350 --> 00:25:25,440
opinions are heard and that questions

402
00:25:29,450 --> 00:25:27,360
aren't insulting

403
00:25:31,130 --> 00:25:29,460
there's a living connection to the vital

404
00:25:33,769 --> 00:25:31,140
importance of safety that crosses

405
00:25:35,810 --> 00:25:33,779
Generations as older people transition

406
00:25:37,909 --> 00:25:35,820
out of the workforce and newer members

407
00:25:40,430 --> 00:25:37,919
of the NASA family may not have

408
00:25:43,250 --> 00:25:40,440
experienced a tragedy and are now on the

409
00:25:45,350 --> 00:25:43,260
front lines and making launch decisions

410
00:25:48,350 --> 00:25:45,360
I want to encourage any of you who are

411
00:25:52,130 --> 00:25:48,360
not here when Colombia happened to seek

412
00:25:54,169 --> 00:25:52,140
out someone who was and asked him to

413
00:25:56,690 --> 00:25:54,179
tell their story how it affected them

414
00:25:59,750 --> 00:25:56,700
and how it affected the agency

415
00:26:02,090 --> 00:25:59,760
that acute awareness of why we must

416
00:26:04,730 --> 00:26:02,100
always focus on safety and not pressure

417
00:26:06,529 --> 00:26:04,740
to launch why we must be rigorous as

418
00:26:09,470 --> 00:26:06,539
teams to make sure we're not applying

419
00:26:11,570 --> 00:26:09,480
groupthink to a complex issue

420
00:26:13,909 --> 00:26:11,580
and so many other tools that we have now

421
00:26:16,370 --> 00:26:13,919
for making our astronauts and in fact

422
00:26:17,870 --> 00:26:16,380
our whole Workforce safe they're

423
00:26:20,149 --> 00:26:17,880
critical

424
00:26:22,010 --> 00:26:20,159
so I trust that everyone will be taking

425
00:26:24,769 --> 00:26:22,020
the Columbia case study training in

426
00:26:26,930 --> 00:26:24,779
Saturn very soon so many of us still

427
00:26:29,810 --> 00:26:26,940
here at Nasa knew these folks personally

428
00:26:31,549 --> 00:26:29,820
and this year marking 20 years since

429
00:26:33,409 --> 00:26:31,559
they've been gone

430
00:26:35,750 --> 00:26:33,419
hey let's face it this is a hard topic

431
00:26:39,769 --> 00:26:35,760
for all of us but I want to reiterate

432
00:26:42,110 --> 00:26:39,779
again it could happen to you to us and

433
00:26:44,630 --> 00:26:42,120
we have to do our utmost to ensure that

434
00:26:47,930 --> 00:26:44,640
if it does happen to us we have the

435
00:26:49,730 --> 00:26:47,940
potential to change the course of events

436
00:26:51,649 --> 00:26:49,740
the tools we've been developing to

437
00:26:54,890 --> 00:26:51,659
ensure a thriving safety culture in the

438
00:26:57,289 --> 00:26:54,900
backbone of support from your teams are

439
00:26:59,149 --> 00:26:57,299
benchmarks that we rely on to extend the

440
00:27:03,110 --> 00:26:59,159
reach of Science and human exploration

441
00:27:07,330 --> 00:27:03,120
out into the solar system and beyond

442
00:27:09,769 --> 00:27:07,340
what we do is so hard and so worthwhile

443
00:27:13,130 --> 00:27:09,779
and each team members knowledge

444
00:27:15,350 --> 00:27:13,140
intuition and compassion are essential

445
00:27:19,549 --> 00:27:15,360
so thank you for everything you do every

446
00:27:22,370 --> 00:27:19,559
day for our Grand Mission and to honor

447
00:27:24,649 --> 00:27:22,380
the memories of our fallen comrades

448
00:27:26,570 --> 00:27:24,659
now let me hand it over to my dear

449
00:27:28,250 --> 00:27:26,580
friend our associate administrator Bob

450
00:27:34,909 --> 00:27:28,260
Cabana

451
00:27:37,370 --> 00:27:34,919
[Applause]

452
00:27:40,070 --> 00:27:37,380
thank you all so much for joining us

453
00:27:42,710 --> 00:27:40,080
today uh for those of you that know me

454
00:27:45,049 --> 00:27:42,720
this is a topic very dear to my heart

455
00:27:49,370 --> 00:27:45,059
it's very important to me safety after

456
00:27:51,470 --> 00:27:49,380
all is our top core value and I all I

457
00:27:53,090 --> 00:27:51,480
can say is you know the administrator

458
00:27:55,909 --> 00:27:53,100
talked about the importance of speaking

459
00:27:57,890 --> 00:27:55,919
up Pam talked about how it can happen to

460
00:28:01,250 --> 00:27:57,900
us and it's really important that we

461
00:28:04,250 --> 00:28:01,260
keep our Focus as we go into this new

462
00:28:06,049 --> 00:28:04,260
year and we take stock of what we are

463
00:28:08,590 --> 00:28:06,059
doing to ensure that we're doing things

464
00:28:11,510 --> 00:28:08,600
uh safely

465
00:28:15,289 --> 00:28:11,520
I want to put things in perspective for

466
00:28:19,310 --> 00:28:15,299
me when I first got to NASA back in uh

467
00:28:21,049 --> 00:28:19,320
July June of 1985. you know we were

468
00:28:24,230 --> 00:28:21,059
flying the shuttle things were looking

469
00:28:26,630 --> 00:28:24,240
great and I'd been at Nasa about seven

470
00:28:28,669 --> 00:28:26,640
months when we lost a challenger I was

471
00:28:30,529 --> 00:28:28,679
in a single systems trainer learning

472
00:28:32,750 --> 00:28:30,539
about the ohms RCS system and they came

473
00:28:36,289 --> 00:28:32,760
and interrupted our session they said

474
00:28:38,570 --> 00:28:36,299
we lost the Challenger and I was in

475
00:28:41,570 --> 00:28:38,580
there with another astronaut we said you

476
00:28:43,310 --> 00:28:41,580
know the crew's okay they got out well

477
00:28:47,510 --> 00:28:43,320
there's no way they can get out you know

478
00:28:49,370 --> 00:28:47,520
we it they weren't okay okay and I I it

479
00:28:51,169 --> 00:28:49,380
was hard to accept that we had actually

480
00:28:54,110 --> 00:28:51,179
lost a vehicle now then I thought about

481
00:28:57,950 --> 00:28:54,120
it a little bit and I just come from uh

482
00:29:00,649 --> 00:28:57,960
production River as a test pilot and

483
00:29:03,289 --> 00:29:00,659
we'd lost three crew while I was there

484
00:29:05,510 --> 00:29:03,299
three fatalities and I looked at what we

485
00:29:07,909 --> 00:29:05,520
were doing in space is well this is part

486
00:29:10,490 --> 00:29:07,919
of the business that we're in okay this

487
00:29:12,590 --> 00:29:10,500
this is going to happen and and that was

488
00:29:14,330 --> 00:29:12,600
my perspective as a young astronaut

489
00:29:16,190 --> 00:29:14,340
candidate having just come from the

490
00:29:18,950 --> 00:29:16,200
Naval Air test center but

491
00:29:20,870 --> 00:29:18,960
that's not the case all right it was

492
00:29:23,810 --> 00:29:20,880
totally preventable you've heard that

493
00:29:25,970 --> 00:29:23,820
people needed to speak up people needed

494
00:29:27,769 --> 00:29:25,980
to listen people needed to act it could

495
00:29:31,190 --> 00:29:27,779
have been prevented

496
00:29:34,789 --> 00:29:31,200
now how did my perspective on all of

497
00:29:39,110 --> 00:29:37,130
I was a chief the astronaut office for

498
00:29:42,789 --> 00:29:39,120
three years and I rode out to the pad

499
00:29:45,830 --> 00:29:42,799
with every crew and I want to tell you

500
00:29:48,409 --> 00:29:45,840
flying in space is a lot easier than

501
00:29:51,289 --> 00:29:48,419
asking somebody else to take that risk

502
00:29:53,029 --> 00:29:51,299
and I saw all those Crews off and I was

503
00:29:54,789 --> 00:29:53,039
on the runway to see them all home

504
00:29:57,409 --> 00:29:54,799
safely

505
00:30:01,070 --> 00:29:57,419
I went off and had other jobs between

506
00:30:03,950 --> 00:30:01,080
that and I was assigned as the Director

507
00:30:06,669 --> 00:30:03,960
of flight corporations in Houston

508
00:30:10,250 --> 00:30:06,679
in Colombia

509
00:30:12,789 --> 00:30:10,260
sts-107 it was my very first flight

510
00:30:16,250 --> 00:30:12,799
as the Director of flight cooperations

511
00:30:16,970 --> 00:30:16,260
and I rode out to the pad with that crew

512
00:30:19,970 --> 00:30:16,980
again

513
00:30:23,930 --> 00:30:19,980
and and that's the last time I saw them

514
00:30:26,990 --> 00:30:23,940
and as Pam mentioned uh 20 years ago we

515
00:30:29,870 --> 00:30:27,000
were standing on the Midfield at the

516
00:30:31,909 --> 00:30:29,880
runway waiting for the crew to come home

517
00:30:33,470 --> 00:30:31,919
and they didn't come home

518
00:30:40,850 --> 00:30:33,480
and

519
00:30:43,310 --> 00:30:40,860
that it was preventable I knew we could

520
00:30:46,970 --> 00:30:43,320
have done something in retrospect when

521
00:30:50,149 --> 00:30:46,980
we learned about it and uh it's very

522
00:30:52,250 --> 00:30:50,159
hard I I had

523
00:30:54,409 --> 00:30:52,260
I was the one that had to tell the

524
00:30:56,029 --> 00:30:54,419
families they weren't coming home

525
00:30:57,590 --> 00:30:56,039
I don't ever want to have to do that

526
00:31:01,430 --> 00:30:57,600
again

527
00:31:03,169 --> 00:31:01,440
we can prevent accidents with people

528
00:31:05,990 --> 00:31:03,179
flying in space

529
00:31:07,789 --> 00:31:06,000
that's why our day of remembrance is so

530
00:31:10,010 --> 00:31:07,799
important that's why it's so important

531
00:31:12,649 --> 00:31:10,020
that we don't forget these lessons that

532
00:31:15,590 --> 00:31:12,659
we've learned and more than technical it

533
00:31:18,649 --> 00:31:15,600
was really cultural it was creating that

534
00:31:20,810 --> 00:31:18,659
environment to be able to speak up to be

535
00:31:23,750 --> 00:31:20,820
heard to focus on the task at hand

536
00:31:27,230 --> 00:31:23,760
because it can happen to us

537
00:31:30,110 --> 00:31:27,240
uh but we can't explore space we can

538
00:31:32,630 --> 00:31:30,120
break the boundaries without having to

539
00:31:35,510 --> 00:31:32,640
suffer the loss accrue if we do our jobs

540
00:31:37,490 --> 00:31:35,520
if we stay focused if we create an

541
00:31:40,070 --> 00:31:37,500
environment where everybody can be heard

542
00:31:41,750 --> 00:31:40,080
all right and and that we actually

543
00:31:44,630 --> 00:31:41,760
listen and there's a difference between

544
00:31:46,789 --> 00:31:44,640
hearing and listening all right that we

545
00:31:50,149 --> 00:31:46,799
actually listen to what's being said and

546
00:31:52,610 --> 00:31:50,159
that we encourage everybody to be part

547
00:31:55,130 --> 00:31:52,620
of the discussion to be part of

548
00:31:58,669 --> 00:31:55,140
answering the solutions that we need to

549
00:32:00,230 --> 00:31:58,679
ensure that we fly safely okay and I

550
00:32:02,210 --> 00:32:00,240
don't want to ever forget

551
00:32:04,090 --> 00:32:02,220
I don't want any of us to forget and

552
00:32:06,350 --> 00:32:04,100
there are so many of us that are new

553
00:32:09,289 --> 00:32:06,360
when I was down with Kennedy's face

554
00:32:11,269 --> 00:32:09,299
center six years ago probably when I was

555
00:32:12,710 --> 00:32:11,279
a director I was having an all hands and

556
00:32:14,630 --> 00:32:12,720
I asked everybody in the auditorium the

557
00:32:16,430 --> 00:32:14,640
auditorium was packed and I said how

558
00:32:19,070 --> 00:32:16,440
many were not here

559
00:32:20,870 --> 00:32:19,080
when we stopped flying the shuttle and

560
00:32:22,070 --> 00:32:20,880
there was over a third of the audience

561
00:32:23,870 --> 00:32:22,080
raised their hand they weren't working

562
00:32:26,149 --> 00:32:23,880
at Nasa when we were flying the shuttle

563
00:32:28,490 --> 00:32:26,159
so how many were not here when we when

564
00:32:31,070 --> 00:32:28,500
we lost Colombia

565
00:32:34,010 --> 00:32:31,080
that's why we can't forget all right we

566
00:32:37,010 --> 00:32:34,020
have to continue to keep these lessons

567
00:32:41,330 --> 00:32:37,020
that we've learned alive that's up to us

568
00:32:44,710 --> 00:32:41,340
okay and I just want you to know

569
00:32:47,210 --> 00:32:44,720
how much I enjoy working with the

570
00:32:49,850 --> 00:32:47,220
administrator and Pam because they know

571
00:32:52,310 --> 00:32:49,860
what it's all about and believe me they

572
00:32:55,909 --> 00:32:52,320
put safety Above All Else and the

573
00:32:57,590 --> 00:32:55,919
decisions that we make uh I've been at

574
00:33:00,230 --> 00:32:57,600
meetings with the administrator nobody

575
00:33:02,630 --> 00:33:00,240
pulls harder on it than he does when

576
00:33:04,010 --> 00:33:02,640
we're talking about uh sending Crews

577
00:33:05,450 --> 00:33:04,020
into space

578
00:33:07,190 --> 00:33:05,460
so

579
00:33:10,190 --> 00:33:07,200
I ask all of you

580
00:33:12,049 --> 00:33:10,200
please don't forget if you get down to

581
00:33:15,230 --> 00:33:12,059
the Kennedy Space Center go to Forever

582
00:33:17,289 --> 00:33:15,240
Remembered at the Atlantis facility pay

583
00:33:20,810 --> 00:33:17,299
honor to those Crews

584
00:33:23,090 --> 00:33:20,820
and do not forget the lessons that we've

585
00:33:26,570 --> 00:33:23,100
learned in the past because we are going

586
00:33:29,870 --> 00:33:26,580
to continue to move ahead to inspire the

587
00:33:33,169 --> 00:33:29,880
world through Discovery and uh you know

588
00:33:35,690 --> 00:33:33,179
we got the best mission of any agency

589
00:33:38,029 --> 00:33:35,700
anywhere and that's to explore the

590
00:33:40,909 --> 00:33:38,039
unknown and air and space to innovate

591
00:33:42,830 --> 00:33:40,919
for the benefit of humanity and Inspire

592
00:33:45,289 --> 00:33:42,840
the world through Discovery and we can

593
00:33:46,890 --> 00:33:45,299
do it safely thank you

594
00:33:52,430 --> 00:33:46,900
foreign

595
00:33:53,870 --> 00:33:52,440
[Applause]

596
00:33:56,990 --> 00:33:53,880
thank you all for your thoughtful

597
00:33:59,269 --> 00:33:57,000
presentations well now headed to the Q a

598
00:34:01,610 --> 00:33:59,279
portion of today's event if you're

599
00:34:02,930 --> 00:34:01,620
joining us here live at headquarters you

600
00:34:05,029 --> 00:34:02,940
can come to the mic at the left hand

601
00:34:09,470 --> 00:34:05,039
side of the room we also have questions

602
00:34:11,270 --> 00:34:09,480
submitted from across the centers online

603
00:34:13,909 --> 00:34:11,280
our first question will come from Brian

604
00:34:15,889 --> 00:34:13,919
at Ames he asks how do we change the

605
00:34:18,770 --> 00:34:15,899
mindset of safety versus Mission

606
00:34:21,950 --> 00:34:18,780
progress to help us internalize that

607
00:34:23,930 --> 00:34:21,960
safety is Mission progress

608
00:34:26,869 --> 00:34:23,940
I think I'd like to take that one for

609
00:34:30,290 --> 00:34:26,879
starters and you can chime in but you

610
00:34:32,030 --> 00:34:30,300
know first off safety is part of our

611
00:34:34,550 --> 00:34:32,040
mission we put the mission first right

612
00:34:37,250 --> 00:34:34,560
but when you talk about safety in the

613
00:34:40,010 --> 00:34:37,260
mission you know if you do not execute

614
00:34:41,930 --> 00:34:40,020
the mission safely what happens you

615
00:34:44,270 --> 00:34:41,940
damage people and equipment and then

616
00:34:46,909 --> 00:34:44,280
what happens it takes longer and you're

617
00:34:49,430 --> 00:34:46,919
not successful right so safety has to be

618
00:34:51,889 --> 00:34:49,440
inherent in everything that we do if we

619
00:34:52,909 --> 00:34:51,899
do things safely and correctly we

620
00:34:55,609 --> 00:34:52,919
actually

621
00:34:58,430 --> 00:34:55,619
make up more time it costs us less

622
00:34:59,930 --> 00:34:58,440
nobody gets hurt it is absolutely what

623
00:35:02,630 --> 00:34:59,940
we need to do so I don't see them as

624
00:35:07,730 --> 00:35:02,640
separate I see him as safety is part of

625
00:35:13,130 --> 00:35:10,430
thank you so much our next question is

626
00:35:15,230 --> 00:35:13,140
from Stephanie here at headquarters she

627
00:35:17,569 --> 00:35:15,240
asks how can parts of the NASA Workforce

628
00:35:21,290 --> 00:35:17,579
who are not Engineers contribute

629
00:35:25,310 --> 00:35:21,300
directly to our safety culture

630
00:35:27,890 --> 00:35:25,320
I'd like to take that one I think

631
00:35:30,470 --> 00:35:27,900
that actually we are a team and that

632
00:35:32,810 --> 00:35:30,480
everybody is contributing and in fact

633
00:35:35,750 --> 00:35:32,820
what's what's really interesting is

634
00:35:37,790 --> 00:35:35,760
often the person in the room who knows

635
00:35:40,970 --> 00:35:37,800
the least about the subject asks the

636
00:35:42,770 --> 00:35:40,980
most penetrating and basic question that

637
00:35:45,950 --> 00:35:42,780
causes everybody to stay take a step

638
00:35:49,790 --> 00:35:45,960
back and say uh-huh so that's you know

639
00:35:52,550 --> 00:35:49,800
core to our values of uh speaking up uh

640
00:35:54,829 --> 00:35:52,560
to our safety culture uh you know I

641
00:35:56,470 --> 00:35:54,839
often say diversity and inclusion is

642
00:35:58,730 --> 00:35:56,480
actually a part of our safety culture

643
00:36:01,069 --> 00:35:58,740
and in fact

644
00:36:03,710 --> 00:36:01,079
um it's really important that people

645
00:36:06,050 --> 00:36:03,720
feel empowered uh whether they are the

646
00:36:08,690 --> 00:36:06,060
expert in an area or not to speak up

647
00:36:10,250 --> 00:36:08,700
because we actually saw it on the space

648
00:36:12,470 --> 00:36:10,260
shuttle all the time it was often the

649
00:36:14,270 --> 00:36:12,480
crew member who knew the least who would

650
00:36:16,430 --> 00:36:14,280
ask a simple question why can't we try

651
00:36:18,770 --> 00:36:16,440
it like this now sometimes it was like

652
00:36:20,690 --> 00:36:18,780
well we can't and here's why but a lot

653
00:36:23,930 --> 00:36:20,700
of times it was what ended up solving

654
00:36:25,790 --> 00:36:23,940
the problem so please do speak up and I

655
00:36:29,030 --> 00:36:25,800
will just add to that you know it's not

656
00:36:30,650 --> 00:36:29,040
just the non-technical folks it's new

657
00:36:32,569 --> 00:36:30,660
technical folks when you're at a meeting

658
00:36:34,670 --> 00:36:32,579
oftentimes when we're brand new to a

659
00:36:36,530 --> 00:36:34,680
situation we don't feel like we can

660
00:36:38,150 --> 00:36:36,540
speak up we look at the table and we see

661
00:36:40,430 --> 00:36:38,160
all these really experienced people and

662
00:36:41,870 --> 00:36:40,440
we think well they know everything you

663
00:36:43,370 --> 00:36:41,880
know well they don't always know

664
00:36:44,690 --> 00:36:43,380
everything and you bring a new

665
00:36:47,030 --> 00:36:44,700
experience when you come that's why

666
00:36:49,310 --> 00:36:47,040
diversity inclusion is so important if

667
00:36:51,650 --> 00:36:49,320
you have a question at a meeting it it's

668
00:36:53,569 --> 00:36:51,660
incumbent upon you it's mandatory that

669
00:36:55,130 --> 00:36:53,579
you speak up and ask it all right

670
00:36:57,770 --> 00:36:55,140
because it's probably something somebody

671
00:36:59,510 --> 00:36:57,780
else may not have thought of so whenever

672
00:37:02,089 --> 00:36:59,520
we have a meeting everybody needs to be

673
00:37:03,530 --> 00:37:02,099
engaged and if you're brand new to a to

674
00:37:05,450 --> 00:37:03,540
an organization don't think that

675
00:37:07,370 --> 00:37:05,460
everybody else knows it all all right

676
00:37:09,290 --> 00:37:07,380
and if you have a question please ask

677
00:37:11,089 --> 00:37:09,300
that question

678
00:37:14,690 --> 00:37:11,099
yeah a lot of times people are grateful

679
00:37:19,970 --> 00:37:17,030
thank you both uh Nicholas at Marshall

680
00:37:22,790 --> 00:37:19,980
asks as new human space flight vehicles

681
00:37:25,010 --> 00:37:22,800
are planning to become operational with

682
00:37:27,890 --> 00:37:25,020
Less Direct NASA oversight compared to

683
00:37:29,750 --> 00:37:27,900
previous systems how is NASA ensuring

684
00:37:31,730 --> 00:37:29,760
that the safety of government and

685
00:37:36,349 --> 00:37:31,740
private astronauts Remains the top

686
00:37:44,270 --> 00:37:39,130
well it's a challenge

687
00:37:46,190 --> 00:37:44,280
but uh it is the responsibility of us as

688
00:37:48,730 --> 00:37:46,200
the overseers

689
00:37:52,310 --> 00:37:48,740
even though

690
00:37:55,210 --> 00:37:52,320
we may have a partner in the public

691
00:37:57,890 --> 00:37:55,220
private sector that is

692
00:38:00,770 --> 00:37:57,900
executing the contract

693
00:38:02,870 --> 00:38:00,780
but who at the end of the day if it's a

694
00:38:05,030 --> 00:38:02,880
NASA mission

695
00:38:06,829 --> 00:38:05,040
is responsible

696
00:38:08,589 --> 00:38:06,839
it's us

697
00:38:11,329 --> 00:38:08,599
and therefore

698
00:38:14,390 --> 00:38:11,339
we've got to look over their shoulder

699
00:38:18,829 --> 00:38:14,400
we've got to ask the questions

700
00:38:21,950 --> 00:38:18,839
and use the same degree of rigor

701
00:38:24,230 --> 00:38:21,960
that we would if it were a government

702
00:38:26,870 --> 00:38:24,240
Mission only

703
00:38:28,609 --> 00:38:26,880
even though it is a commercial Mission

704
00:38:30,230 --> 00:38:28,619
doing

705
00:38:32,270 --> 00:38:30,240
a government

706
00:38:34,490 --> 00:38:32,280
payload

707
00:38:37,010 --> 00:38:34,500
and I can assure you on these private

708
00:38:39,410 --> 00:38:37,020
astronaut missions to go to the ISS

709
00:38:41,150 --> 00:38:39,420
this man asked more questions than

710
00:38:46,069 --> 00:38:41,160
anybody to ensure that it's being

711
00:38:48,410 --> 00:38:46,079
executed safely now I'll also add on a

712
00:38:50,569 --> 00:38:48,420
purely private missions that are not

713
00:38:52,730 --> 00:38:50,579
under NASA that don't go to the

714
00:38:55,910 --> 00:38:52,740
International Space Station if you look

715
00:38:57,130 --> 00:38:55,920
at SpaceX for example they have learned

716
00:39:00,829 --> 00:38:57,140
from us

717
00:39:03,470 --> 00:39:00,839
on the NASA missions that we fly to ISS

718
00:39:06,050 --> 00:39:03,480
and if you look at how they run their

719
00:39:08,329 --> 00:39:06,060
totally private astronaut missions they

720
00:39:11,089 --> 00:39:08,339
run them in the same manner as they

721
00:39:12,829 --> 00:39:11,099
execute the missions for us so what we

722
00:39:15,349 --> 00:39:12,839
have learned in the many years a human

723
00:39:18,470 --> 00:39:15,359
space flight that we've developed all

724
00:39:22,069 --> 00:39:18,480
the procedures and safety checks that we

725
00:39:25,310 --> 00:39:22,079
have in place we share those right and

726
00:39:28,130 --> 00:39:25,320
you'll find that others follow our

727
00:39:30,589 --> 00:39:28,140
example we we lead

728
00:39:31,790 --> 00:39:30,599
and I'll I'll kind of wrap it up by

729
00:39:33,230 --> 00:39:31,800
saying

730
00:39:35,930 --> 00:39:33,240
if

731
00:39:38,150 --> 00:39:35,940
human commercial human space flight

732
00:39:40,310 --> 00:39:38,160
takes off which we think it will the

733
00:39:42,890 --> 00:39:40,320
same way commercial Aviation did

734
00:39:46,550 --> 00:39:42,900
at some point the industry will have to

735
00:39:48,170 --> 00:39:46,560
learn its lessons on its own we are in a

736
00:39:50,150 --> 00:39:48,180
very interesting place right now we have

737
00:39:53,390 --> 00:39:50,160
a close relationship with the FAA which

738
00:39:56,390 --> 00:39:53,400
license our licenses our cargo and crew

739
00:39:59,750 --> 00:39:56,400
launches but only for Public Safety and

740
00:40:01,910 --> 00:39:59,760
so we work closely with them and we will

741
00:40:04,069 --> 00:40:01,920
continue to work closely with them as

742
00:40:06,589 --> 00:40:04,079
they take on more responsibilities in

743
00:40:08,390 --> 00:40:06,599
this area right now we have a lot of

744
00:40:11,390 --> 00:40:08,400
Engagement a lot of people don't realize

745
00:40:13,730 --> 00:40:11,400
how closely we scrutinize all the

746
00:40:16,550 --> 00:40:13,740
activities on our commercial cargo

747
00:40:19,490 --> 00:40:16,560
commercial crew our private astronaut

748
00:40:22,670 --> 00:40:19,500
missions we're very very involved as

749
00:40:25,430 --> 00:40:22,680
time goes on we hope to transfer that

750
00:40:27,650 --> 00:40:25,440
knowledge as things go forward but I

751
00:40:29,930 --> 00:40:27,660
think for at least a decade or more to

752
00:40:31,849 --> 00:40:29,940
come we're going to be extremely engaged

753
00:40:34,670 --> 00:40:31,859
with all those International or with

754
00:40:37,250 --> 00:40:34,680
those uh commercial Partners as we go

755
00:40:38,870 --> 00:40:37,260
forward but eventually

756
00:40:40,790 --> 00:40:38,880
they're going to have to grow up and

757
00:40:42,650 --> 00:40:40,800
have their own regulator someday and

758
00:40:45,290 --> 00:40:42,660
we're going to support that as best we

759
00:40:47,990 --> 00:40:45,300
can with all the knowledge of the agency

760
00:40:53,750 --> 00:40:48,000
we learned from my commercial Partners

761
00:40:56,990 --> 00:40:53,760
but they learn from for from us as well

762
00:41:00,950 --> 00:40:57,000
and especially they learn from us about

763
00:41:05,569 --> 00:41:03,770
well our next question from Darren at

764
00:41:07,790 --> 00:41:05,579
Goddard is for you administrator Nelson

765
00:41:10,310 --> 00:41:07,800
he asked how did you feel about the

766
00:41:12,349 --> 00:41:10,320
risks Brave astronauts faced after the

767
00:41:14,270 --> 00:41:12,359
Challenger disaster knowing you had just

768
00:41:16,630 --> 00:41:14,280
flown a shuttle mission earlier the same

769
00:41:25,910 --> 00:41:20,690
ten days before well the the honest

770
00:41:29,210 --> 00:41:25,920
answer is I've collapsed to my knees

771
00:41:33,349 --> 00:41:29,220
and I cried out

772
00:41:42,710 --> 00:41:38,329
uh and I I think uh you've heard the

773
00:41:44,450 --> 00:41:42,720
experience of of Bob that wrote out to

774
00:41:49,010 --> 00:41:44,460
the path

775
00:41:52,250 --> 00:41:49,020
with the crew of 107. Colombia

776
00:41:56,569 --> 00:41:52,260
and they didn't land

777
00:42:04,370 --> 00:42:01,069
it's now Our obligation

778
00:42:09,410 --> 00:42:04,380
to try to

779
00:42:12,829 --> 00:42:09,420
share with you what we feel intensely

780
00:42:17,569 --> 00:42:12,839
that is so important for NASA as we

781
00:42:21,829 --> 00:42:19,849
we're going back to the moon but a lot

782
00:42:24,790 --> 00:42:21,839
of it's unknown

783
00:42:27,530 --> 00:42:24,800
because we're doing things on the moon

784
00:42:29,870 --> 00:42:27,540
that we've never done we're going to a

785
00:42:32,990 --> 00:42:29,880
different part of the Moon

786
00:42:34,790 --> 00:42:33,000
you ought to see what the South Pole of

787
00:42:37,970 --> 00:42:34,800
the Moon looks like

788
00:42:43,430 --> 00:42:37,980
it's not this bright shiny equatorial

789
00:42:46,370 --> 00:42:43,440
area where we landed on Apollo

790
00:42:50,930 --> 00:42:46,380
is it is a hazardous

791
00:42:53,450 --> 00:42:50,940
severely shadowed and therefore dark

792
00:42:55,730 --> 00:42:53,460
depressions

793
00:42:59,690 --> 00:42:55,740
and craters

794
00:43:02,809 --> 00:42:59,700
and we've got to be right on the money

795
00:43:04,430 --> 00:43:02,819
so not only are we going back to a new

796
00:43:08,089 --> 00:43:04,440
moon

797
00:43:11,210 --> 00:43:08,099
we're going to do new things in order as

798
00:43:13,849 --> 00:43:11,220
we venture out

799
00:43:15,170 --> 00:43:13,859
and that's going to bring a lot of

800
00:43:17,630 --> 00:43:15,180
Hazards

801
00:43:19,790 --> 00:43:17,640
and that's where safety is going to be

802
00:43:23,390 --> 00:43:19,800
so important

803
00:43:26,510 --> 00:43:23,400
thank you sir our next question comes

804
00:43:28,849 --> 00:43:26,520
from Lewis at JSC he asked how do you

805
00:43:33,730 --> 00:43:28,859
feel about group think and do you see

806
00:43:40,069 --> 00:43:35,990
groupthink occurs wherever there are

807
00:43:43,430 --> 00:43:40,079
groups that is just part of human nature

808
00:43:45,589 --> 00:43:43,440
um it's I don't think uh I don't think

809
00:43:48,290 --> 00:43:45,599
it's just a part of who we are that's

810
00:43:49,790 --> 00:43:48,300
there's a reason why it's called that I

811
00:43:52,970 --> 00:43:49,800
think the key thing is to put the

812
00:43:55,550 --> 00:43:52,980
processes in place uh and the culture in

813
00:43:57,829 --> 00:43:55,560
place and the encouragement in place uh

814
00:44:01,010 --> 00:43:57,839
to fight against it uh every single day

815
00:44:03,589 --> 00:44:01,020
and this again gets to the ability to

816
00:44:05,329 --> 00:44:03,599
speak up the ability to imagine what if

817
00:44:07,970 --> 00:44:05,339
the worst happened and then ask the

818
00:44:10,069 --> 00:44:07,980
question and then work together as a

819
00:44:13,910 --> 00:44:10,079
team to try to find a creative solution

820
00:44:20,390 --> 00:44:17,750
thank you our next question is from

821
00:44:22,730 --> 00:44:20,400
jeffreya Johnson what are we doing as an

822
00:44:26,390 --> 00:44:22,740
agency to keep our lessons learned alive

823
00:44:29,930 --> 00:44:26,400
Beyond an annual day of remembrance

824
00:44:32,870 --> 00:44:29,940
oh my gosh we got Saturn training uh on

825
00:44:34,849 --> 00:44:32,880
the ninth floor we have a monthly safety

826
00:44:36,970 --> 00:44:34,859
meeting that we have we bring up

827
00:44:39,950 --> 00:44:36,980
different topics

828
00:44:42,730 --> 00:44:39,960
there are just so many ways this needs

829
00:44:46,130 --> 00:44:42,740
to be brought out every time I give a

830
00:44:48,589 --> 00:44:46,140
briefing to a new group of senior

831
00:44:50,150 --> 00:44:48,599
Executives I always bring up safety I

832
00:44:52,130 --> 00:44:50,160
always bring up the Lessons Learned I

833
00:44:54,170 --> 00:44:52,140
always bring up the need to have

834
00:44:57,530 --> 00:44:54,180
interactive discussions and make sure

835
00:45:00,349 --> 00:44:57,540
everybody speaks up so it's incumbent

836
00:45:03,770 --> 00:45:00,359
upon us as Leaders to not let this be

837
00:45:05,210 --> 00:45:03,780
forgotten all supervisors uh when you

838
00:45:06,770 --> 00:45:05,220
take that training you know it's not

839
00:45:08,930 --> 00:45:06,780
just for you it's for the team that

840
00:45:11,089 --> 00:45:08,940
you're leading it's so that you learn so

841
00:45:13,370 --> 00:45:11,099
that you can create an environment to

842
00:45:16,069 --> 00:45:13,380
keep this going there's just so many

843
00:45:18,829 --> 00:45:16,079
ways that we continue to reinforce this

844
00:45:20,390 --> 00:45:18,839
yeah I'm excited about the uh workshops

845
00:45:22,309 --> 00:45:20,400
that we're going to have on a series of

846
00:45:24,109 --> 00:45:22,319
topics that

847
00:45:26,930 --> 00:45:24,119
um the office of safety and Mission

848
00:45:28,730 --> 00:45:26,940
Assurance is put together for us on some

849
00:45:31,309 --> 00:45:28,740
some key topics

850
00:45:33,410 --> 00:45:31,319
um you know I you know would also like

851
00:45:35,990 --> 00:45:33,420
to Echo what Bob said I think what's

852
00:45:38,510 --> 00:45:36,000
critically important is not that you're

853
00:45:42,650 --> 00:45:38,520
all passive listeners to this today but

854
00:45:45,890 --> 00:45:42,660
you are active proponents it's on you to

855
00:45:48,950 --> 00:45:45,900
listen so the senior leaders the front

856
00:45:50,690 --> 00:45:48,960
line supervisors and the individuals you

857
00:45:52,970 --> 00:45:50,700
are responsible for carrying this

858
00:45:54,770 --> 00:45:52,980
message and to continue to promote it

859
00:45:56,750 --> 00:45:54,780
every day this isn't just something that

860
00:45:58,970 --> 00:45:56,760
you're listening to us say saying and go

861
00:46:01,790 --> 00:45:58,980
okay you actually have a responsibility

862
00:46:03,770 --> 00:46:01,800
to help communicate it uh bill I don't

863
00:46:07,130 --> 00:46:03,780
know if you have anything to ask and we

864
00:46:10,809 --> 00:46:07,140
take very seriously our responsibility

865
00:46:15,050 --> 00:46:10,819
with the safety advisory panel

866
00:46:18,829 --> 00:46:15,060
uh we have frequent meetings with them

867
00:46:21,650 --> 00:46:18,839
and that panel is populated with not

868
00:46:24,530 --> 00:46:21,660
only former NASA flight directors and

869
00:46:26,569 --> 00:46:24,540
scientists and Engineers but also

870
00:46:28,569 --> 00:46:26,579
astronauts

871
00:46:31,370 --> 00:46:28,579
they asked the probing questions

872
00:46:33,710 --> 00:46:31,380
interestingly there are only two

873
00:46:38,210 --> 00:46:33,720
advisory panels

874
00:46:41,089 --> 00:46:38,220
set up by law to NASA one is the NASA

875
00:46:44,870 --> 00:46:41,099
advisory Council and the other is the

876
00:46:47,809 --> 00:46:44,880
safety advisory set up in law

877
00:46:49,609 --> 00:46:47,819
and uh that's just another check and

878
00:46:51,589 --> 00:46:49,619
balance on us

879
00:46:54,490 --> 00:46:51,599
as

880
00:46:58,130 --> 00:46:54,500
trying to offer some leadership to NASA

881
00:47:00,890 --> 00:46:58,140
to get that outside information that's

882
00:47:03,950 --> 00:47:00,900
why the three of us take so seriously

883
00:47:06,170 --> 00:47:03,960
these Town Hall meetings when we're

884
00:47:08,510 --> 00:47:06,180
coming to each of the centers

885
00:47:10,210 --> 00:47:08,520
we want you to show up and if you've got

886
00:47:13,250 --> 00:47:10,220
any concern

887
00:47:15,650 --> 00:47:13,260
especially about safety

888
00:47:17,450 --> 00:47:15,660
please bring it up if you don't want to

889
00:47:19,670 --> 00:47:17,460
bring it up in front of everybody else

890
00:47:22,309 --> 00:47:19,680
pull us aside

891
00:47:24,410 --> 00:47:22,319
that's why we're going out there to hear

892
00:47:26,569 --> 00:47:24,420
from you

893
00:47:28,630 --> 00:47:26,579
I'd also like to add

894
00:47:31,790 --> 00:47:28,640
um down at the Kennedy Space Center

895
00:47:35,690 --> 00:47:31,800
within the Vehicle Assembly Building is

896
00:47:38,690 --> 00:47:35,700
where the debris from Columbia is stored

897
00:47:40,670 --> 00:47:38,700
and Mike chanelli is responsible for

898
00:47:43,270 --> 00:47:40,680
that within the safety organization at

899
00:47:46,010 --> 00:47:43,280
NASA headquarters detailed down there

900
00:47:49,190 --> 00:47:46,020
there's an Apollo Challenger Lessons

901
00:47:51,849 --> 00:47:49,200
Learned group that he's in responsible

902
00:47:57,109 --> 00:47:51,859
for he has resources available

903
00:48:01,430 --> 00:47:57,119
to anyone on Challenger Columbia Apollo

904
00:48:04,430 --> 00:48:01,440
one that you can use as training aids

905
00:48:06,230 --> 00:48:04,440
for your team just send Mike a note and

906
00:48:09,890 --> 00:48:06,240
I'm sure he'd be happy to get with you

907
00:48:13,309 --> 00:48:09,900
for me I think it's important you know I

908
00:48:17,270 --> 00:48:13,319
encourage every new senior executive at

909
00:48:20,150 --> 00:48:17,280
some point to walk through that Colombia

910
00:48:22,849 --> 00:48:20,160
where the Columbia debris is and stored

911
00:48:25,069 --> 00:48:22,859
down there and see the consequences of

912
00:48:27,109 --> 00:48:25,079
the decisions that we make you know

913
00:48:29,030 --> 00:48:27,119
nobody that made the decisions on

914
00:48:30,890 --> 00:48:29,040
Challenger Columbia thought they were

915
00:48:33,170 --> 00:48:30,900
putting the crew at risk they thought

916
00:48:35,329 --> 00:48:33,180
they were making a good decision but

917
00:48:37,490 --> 00:48:35,339
they didn't have all the data all right

918
00:48:38,930 --> 00:48:37,500
and we have to ensure that we have all

919
00:48:40,790 --> 00:48:38,940
the data so that we make informed

920
00:48:43,670 --> 00:48:40,800
decisions that's why it's so important

921
00:48:44,750 --> 00:48:43,680
to engage everyone to ask questions and

922
00:48:47,690 --> 00:48:44,760
to listen

923
00:48:49,150 --> 00:48:47,700
and Bob already recommended to you in

924
00:48:52,490 --> 00:48:49,160
his remarks

925
00:48:57,829 --> 00:48:52,500
something that he's responsible for and

926
00:49:00,710 --> 00:48:57,839
that is in the Atlantis exhibit at the

927
00:49:05,750 --> 00:49:00,720
visitor center at KSC

928
00:49:09,770 --> 00:49:05,760
uh is a memorial for the two space

929
00:49:12,890 --> 00:49:09,780
shuttle Crews that we lost

930
00:49:18,290 --> 00:49:12,900
if you just walk in there

931
00:49:26,690 --> 00:49:22,010
and the first thing you see in a total

932
00:49:30,170 --> 00:49:26,700
dark room in a black backdrop

933
00:49:33,170 --> 00:49:30,180
is a piece of the side of Challenger

934
00:49:36,290 --> 00:49:33,180
with the American flag

935
00:49:37,930 --> 00:49:36,300
and then you turn to the right and in

936
00:49:40,550 --> 00:49:37,940
that similar

937
00:49:43,849 --> 00:49:40,560
darkened background

938
00:49:47,030 --> 00:49:43,859
you see the steel frame of the cockpit

939
00:49:51,290 --> 00:49:49,370
they're not many people that can walk

940
00:49:55,309 --> 00:49:51,300
out of that room

941
00:49:58,750 --> 00:49:56,809
thank you we just have a couple more

942
00:50:01,130 --> 00:49:58,760
questions submitted online

943
00:50:05,390 --> 00:50:01,140
Shannon Johnson asks how can we continue

944
00:50:10,609 --> 00:50:07,550
a question how can we continue to be

945
00:50:14,589 --> 00:50:10,619
safe from covid-19

946
00:50:17,150 --> 00:50:14,599
first of all get your shots

947
00:50:19,790 --> 00:50:17,160
the question is how can you be safe from

948
00:50:22,069 --> 00:50:19,800
Cobia 19.

949
00:50:25,309 --> 00:50:22,079
the proof's in the pudding

950
00:50:30,290 --> 00:50:25,319
talk to our NASA doctors they will tell

951
00:50:34,010 --> 00:50:30,300
you that you will have immunities if you

952
00:50:36,670 --> 00:50:34,020
continue to get those boosters and now

953
00:50:39,770 --> 00:50:36,680
it's out in the Press today

954
00:50:43,250 --> 00:50:39,780
uh they think they're going to get to an

955
00:50:45,050 --> 00:50:43,260
annual shot just like a flu shot

956
00:50:47,870 --> 00:50:45,060
for covet

957
00:50:50,990 --> 00:50:47,880
uh that's the most important thing that

958
00:50:53,650 --> 00:50:51,000
you can do and then of course uh you

959
00:50:57,410 --> 00:50:53,660
know the the normal things about hygiene

960
00:51:01,130 --> 00:50:57,420
we went through that with the SARS scare

961
00:51:04,370 --> 00:51:01,140
uh some time ago 20 years ago or so we

962
00:51:07,010 --> 00:51:04,380
went through that with the Ebola scare

963
00:51:07,970 --> 00:51:07,020
just personal cleanliness wash your

964
00:51:10,430 --> 00:51:07,980
hands

965
00:51:12,470 --> 00:51:10,440
uh you go through a doorway you're

966
00:51:15,290 --> 00:51:12,480
touching a door handle that a lot of

967
00:51:18,170 --> 00:51:15,300
people have touched no telling

968
00:51:21,230 --> 00:51:18,180
so uh you know those kind of things to

969
00:51:23,930 --> 00:51:22,549
thank you

970
00:51:26,809 --> 00:51:23,940
and our last question is from Jimmy

971
00:51:28,609 --> 00:51:26,819
Johnson with Dave remembrance coming up

972
00:51:31,190 --> 00:51:28,619
how can we remind ourselves that

973
00:51:35,450 --> 00:51:31,200
normalization of deviants can play a

974
00:51:38,630 --> 00:51:35,460
role in accidents small and large alike

975
00:51:42,170 --> 00:51:38,640
yeah you know this is this is really

976
00:51:46,250 --> 00:51:42,180
important and we we've seen it you know

977
00:51:48,650 --> 00:51:46,260
in flying on uh our SpaceX vehicles uh

978
00:51:50,809 --> 00:51:48,660
even today where

979
00:51:53,750 --> 00:51:50,819
you know something's not right but

980
00:51:56,750 --> 00:51:53,760
nothing goes wrong so we come to accept

981
00:51:58,670 --> 00:51:56,760
it and we have to question everything I

982
00:52:00,770 --> 00:51:58,680
think the main thing we do is we have to

983
00:52:03,650 --> 00:52:00,780
question when something's not right and

984
00:52:06,470 --> 00:52:03,660
we have to you know some will say that

985
00:52:09,230 --> 00:52:06,480
uh Apollo is a failure of imagination

986
00:52:12,890 --> 00:52:09,240
what could go wrong all right and

987
00:52:14,930 --> 00:52:12,900
anything that isn't exactly as it was

988
00:52:17,750 --> 00:52:14,940
meant to be we have to question what

989
00:52:20,750 --> 00:52:17,760
could go wrong if that uh that happened

990
00:52:23,510 --> 00:52:20,760
we can't accept just because nothing bad

991
00:52:25,790 --> 00:52:23,520
happened if it's not right we need to

992
00:52:28,490 --> 00:52:25,800
understand it and do our best to

993
00:52:31,609 --> 00:52:28,500
mitigate the risks and to fix it

994
00:52:35,089 --> 00:52:31,619
yeah I'll just add to me a key part of

995
00:52:37,790 --> 00:52:35,099
normalization of deviance is complacency

996
00:52:40,130 --> 00:52:37,800
um it's the sense that again it can't

997
00:52:42,589 --> 00:52:40,140
happen to us it hasn't happened the last

998
00:52:44,750 --> 00:52:42,599
five flights or ten flights or five

999
00:52:45,410 --> 00:52:44,760
years or whatever

1000
00:52:48,710 --> 00:52:45,420
um

1001
00:52:50,870 --> 00:52:48,720
one of the uh amazing things that we do

1002
00:52:54,230 --> 00:52:50,880
and and I think Bill you talk about it

1003
00:52:56,569 --> 00:52:54,240
very eloquently is the amazing things

1004
00:52:58,250 --> 00:52:56,579
that we do in our mission we just have

1005
00:53:01,970 --> 00:52:58,260
to remind ourselves every day we are

1006
00:53:03,829 --> 00:53:01,980
doing hard stuff and uh and you know we

1007
00:53:06,530 --> 00:53:03,839
kind of get used to being awesome last

1008
00:53:09,109 --> 00:53:06,540
year was a great example of that we were

1009
00:53:11,150 --> 00:53:09,119
awesome awesome awesome but

1010
00:53:14,089 --> 00:53:11,160
um that also can can bring with it that

1011
00:53:16,549 --> 00:53:14,099
sense of complacency and so I think uh

1012
00:53:19,849 --> 00:53:16,559
that belief that it can happen to you is

1013
00:53:23,089 --> 00:53:19,859
a very important part of that asking the

1014
00:53:25,010 --> 00:53:23,099
question hey that that was a you know a

1015
00:53:27,109 --> 00:53:25,020
deviation and you know what could go

1016
00:53:29,089 --> 00:53:27,119
wrong so I think it's taken that

1017
00:53:31,790 --> 00:53:29,099
personal step to both own the coolness

1018
00:53:35,890 --> 00:53:31,800
of what we do and the hardness of it and

1019
00:53:40,730 --> 00:53:38,510
thank you all so much and thank you all

1020
00:53:43,130 --> 00:53:40,740
for attending and for your questions and

1021
00:53:44,750 --> 00:53:43,140
tuning in today before we'd head out I'd

1022
00:53:53,589 --> 00:53:44,760
like to hand it back to administrator

1023
00:53:59,510 --> 00:53:56,750
thank you for joining us in this town

1024
00:54:06,470 --> 00:54:03,049
I hope now we're going to have a series

1025
00:54:09,490 --> 00:54:06,480
of day of remembrance engagements over

1026
00:54:13,549 --> 00:54:09,500
the course of the next week

1027
00:54:15,650 --> 00:54:13,559
and may we carry forth the spirit of all

1028
00:54:17,930 --> 00:54:15,660
who've given their lives in the name of

1029
00:54:21,410 --> 00:54:17,940
exploration

1030
00:56:21,430 --> 00:54:21,420
and I ask you to join me in a moment of