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    V

    I f a c o r r e c t i o n is r e q u i r e d (70-160) o n e m i g h t opt for a r o u t i n e type TCTO;

    t h e r e is n o g r e a t u rg e n c y but t h e s i t u a t i o n s h o u l d b e c o r r e c t e d . f t h e

    r i sk s c o r e i s 20 to 70, a t t en t i on is needed , b ut t h a t m i g h t b e th e type of

    ac t ion w h e r e o n l y a Note or a Caut ion i n t h e d a s h o n e i s w a r r a n t e d to

    c o r r e c t th e ac t ion .

    Fur ther, t h e s e two g e n t l e m e n proposed a m e t h o d to e v a l u a t e the cos t

    e f f e c t i v e n e s s o f any co r r ec t i ve ac t i on t h a t m i g h t b e p r o p o s e d , t h i s

    ana lys i s , th e r i sk r e d u c t i o n e f f e c t i v e n e s s is th e p r o d u c t o f a r i sk

    r e d u c t i o n m u l t i p l i e r an d r i s k score p rev io us l y d e v e l o p e d , div ided by a cos t

    div i sor, e r i sk r e d u c t i o n m u l t i p l i e r is th e p e r c e n t a g e of th e r e d u c t i o n of th e hazard . or example , s o m e t h i n g tha t w o u l d r e d u c e th e h a z a r d p o t e n t i a l by 6 0* is a s s i g n e d a r i s k r e d u c t i o n m u l t i p l i e r o f . 6 ; i f i t is

    100* r i sk reduc t ion , then th e r e d u c t i o n v a l u e is 1 .0 . ) h e cos t div isor is

    e m p i r i c a l l y d e r i v e d cos t f rom (Cd = itJir . pec i f ica l ly, i t i s the cube root of a total c o s t d i v i d e d by 1 0 0 . h e cos t e f f e c t i v e n e s s is d e t e r m i n e d by th e e q u a t i o n : o s t e f f e c t i v e n e s s = **** t e o m - n o r i u LTi P L . i r . f i X TU - t s f " Th e d e g r e e of e f f e c t i v e n e s s o f var ious s y s t e m s can be e v a l u a t e d ' f f t h i s manner. See f i g u r e 1 7 ) . f f e c t i v e n e s s s c o r e s g r e a t e r than 20 i n d i c a t e tha t th e c o r r e c t i v e d e v i c e i s very w o r t h whi le ; scores l e s s than C i n d i c a t e

    the f i x i s o f d o u b t f u l mer i t .

    Th e m a t h e m a t i c s used i n s y s t e m s safety, a r e n o t h i n g m o r e than

    p r o b a b i l i t i e s an d s t a t i s t i c s . s h o r t r e f r e s h e r i n p r o b a b i l i t i e s i s in

    order. o n s i d e r the p r o b a b i l i t y t h a t d u r i n g th e f l i p of a co in i t w i l l be a head. h is is o b v i o u s l y 50-50 , a s s u m i n g i t c a n n o t l and on th e edge . e

    Z. ZL

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    r e a c h t h a t conc lus ion , a p r i o r i t y s i m p l y d ed uc i n g the p o s s i b l e ways i t can

    l and e a c h f l ip d i v i d e d b y th e to ta l n u m b e r of ways i t can land. i m i l a r l y th e p r o b a b i l i t y o f an y g i v e n n u m b e r on a d ie w i l l appear i s 1 / 6 , o n l y on e

    number can c o m e up a l t h o u g h t h e r e are s i x p o s s i b i l i t i e s .

    C o n s i d e r th e p r o b a b i l i t y of b e i n g a b l e to ro l l f ive 6s i n on e rol l and

    win a free d r i n k a t th e bar. h a t is t h e c h a n c e of th e f i r s t d i c e b e i n g a six, th e second on e b e i n g a six, t h e t h i r d on e b e i n g a s ix and so on . h e to ta l p r o b a b i l i t y t h a t you can ro l l f i v e 6s i n on e r o l l w i l l of c o u r s e b e

    1 / 6 t i m e s i t se l f f ive t imes . P r o b a b i l i t y = (1/6)5). h a t m e a n s the f i r s t

    d i c e i s a s i x and th e s e c o n d on e is a s i x and th e t h i r d on e i s a six, etc .

    W h e n you use th e verb "and" you ar e mul t i p ly in g ind iv idua l p r o b a b i l i t i e s .

    Consider a n o t h e r poss ib i l i ty : h a t is th e p r o b a b i l i t y of f ive s ixes i n on e ro l l or f ive aces i n on e ro l l , in w h i c h case the b ar w i l l b uy you an d

    your f r i ends a dr ink . h e p r o b a b i l i t y t h a t you may ro l l f ive s i x e s i n on e rol l or f ive o n e s i n on e ro l l are s i m p l y t h e two separa te c a s e s a d d e d

    toge ther. ote t h e verb "or" m e a n s to add. h a t ' s th e p r o b a b i l i t y of f i v e s i x e s i n on e plus th e p r o b a b i l i t y o f f ive ones i n one h o s e are ery impor tan t i n u s i n g t h e " a n d " and "or" g a t e s i n th e fau l t t ree a n a l y s i s w h i c h

    was d i s c u s s e d ear l i e r. h en you r e a c h an "and" ga te , th e two p r o b a b i l i t i e s are m u l t i p l i e d toge ther ; w h e n l t ' 3 an "or" ga te i t ' s th e s um of al l t h e

    p r o b a b i l i t i e s g o i n g in to tha t "or" gate.

    Cons ider for a m o m e n t th e p o p u l a r Sovie t p a r t y game ca l led R u s s i a n

    Roule t te . t f i r s t g l a n c e you w i l l r e c o g n i z e the p r o b a b i l i t y o f b e c o m i n g a

    fa ta l i ty i n a game o f R u s s i a n Roule t te , i f you were to play o n l y on e t ime,

    3 . 3?

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    i s obvious one-sixth: ne c h a n c e ou t of six. ut w h a i . are the odds that the bullet under the chamber i s a dud or what i s th e probabi l i ty the f i r ing

    pi n might fai l? ons ider ing the state of m i n d of on e wh o w o u l d play Russ ian

    Roulet te , what are the chances tha t he ac tua l ly would hit h i m s e l f when he

    pulled th e t r igger? ou can see tha t ac tua l ly the o d d s of dea th would be

    the produc t of all: 1/ 6 an d p r o b a b i l i t y of n o d ud an d probabi l ty of n o

    f a i l u r e an d probabi l i ty, of n ot m i s s i n g . )

    H ow migh t you de te rmine th e var ious r e l i a b i l i t y ra tes? e te rmin ing th e

    bul le t r e l i a b i l i t i e s are p r o b a b l y ra ther eas i ly obta ined . ou can loca te th e manufac ture r wh o has a guaran teed a spec i f ied rate of r e l i a b i l i t y on his

    mullets , say n o more than f ive out of a thousand would fa i l . h e

    re l i ab i l i ty i s at least . 9 9 5 . perhaps h e may have the accep tance tes t on that par t icu la r lo t of ammuni t ion where , out of a thousand rounds f i red at

    ' a n d e r n ou t of th e l o t only four fai led; therefore, the r e l i a b i l i t y of tha t

    ^ar t i cu la r lot c r ammuni t ion could be cons idered . 9 9 6 . hese are x n p i r i e a l ; er ived r e l i a b i l i t y f igures . a lcu la t ing the r e l i a b i l i t y of th e

    revolver ml ht be a l i t t l e more di ff icu l t . ach m a n u f a c t u r e r g e n e r a l l y has i n i - a c c e p t a n c e tes t which his produc t must pass before i t i s de l ivered t o the

    marne t . very g un i s tes t f i red. ur ing the in i t i a l f i r ings revo lvers have a high fa i lu re rate, sa y perhaps 20 out of a t h o u s a n d fa i l t o f i re the f i rs t

    time. he revolver tha t fa i l s to f i re i s re tu rned to the factory produc t ion div i - io fo r r- fu rb i shment e g . t o rep lace a broken spr ing , den t hammer, etc .

    w h i t * , o r n was that caused th e fa i lu re t o fire. h a t revo lver i s aga in returned f o r accep tance tes t an d on the second a t tempt t o f i re , genera l ly i t

    would fire. y the t ime each pistol i s f i r ed ten t imes th e r e l i a b i l i t y rate

    i.O

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    is very, v e r y h i g h , s a y m a y b e on e out of a t h o u s a n d w o u l d fa i l t o f i re . f a . s a m p l e of , say ten or more revolvers , w e r e t e s ted t o c o m p l e t e fa i lu re , or

    to w e a r out , you w o u l d see a c u r v e t h a t looks s o m e t h i n g l ike t h a t shown i n

    f igure 1 8 . s you n e a r th e s e r v i c e l i f e o f th e r e v o l v e r, th e s p r i n g s b e g i n to break, th e f i r i n g p i n s wear, e tc . , a s th e r e v o l v e r w e a r s out . h i s c u r v e i s ca l led a " b a t h t u b c u r v e " b e c a u s e i t ' s s h a p e d s o m e w h a t l ike a ba th tub , and

    i t i s used fo r p r e d i c t i n g r e l i a b i l i t y o f h a r d w a r e . word of cau t ion : h en you are d o i n g f l i g h t t e s t you are a c t u a l l y p e r f o r m i n g on th e l e f t h a n d s i d e

    of th e ba th tub , so th e f a i l u r e r a t e s ge ne r a l l y a re a lot h i g h e r than t h o s e

    of a proven systemi

    Now l e t ' s suppose fo r a m o m e n t tha t th e r e l i ab i l i t y o f th e r e v o l v e r an d

    th e b u l l e t s are of s u f f i c i e n t l y h i g h order, t h a t you c an c o n s i d e r th e

    p r o b a b i l t y b e i n g k i l l e d i n a round of R u s s i a n R o u l e t t e to b e 1 / 6 .

    I f s ix people were g o i n g to play th e game, an d af te r each player p u l l e d

    th e t r igger, s h o u l d h e surv ive , h e w o u l d sp in th e c h a m b e r and hand i t to the

    n e x t guy.

    f a player was f a t a l l y in ju red , th e r e ma i n i ng players would re load an d c o n t i n u e th e g a m e u n t i l a l l s ix h ad th e o pp o r tu n i t y to play.

    W h a t i s th e p r o b a b i l i t y tha t s ix can play a n d someone be k i l l e d i n th e game?

    T h a t i s the p r o b a b i l i t y t h a t on e g e t s ki l l ed , plus th e p r o b a b i l i t y tha t tw o

    would be ki l l ed , plus th e p r o b a b i l i t y t h a t t h r e e would ge t ki l l ed etc . , up

    to th e p r o b a b i l i t y tha t a l l s ix w e r e fa ta l ly in ju red . i n c e the sum of al l ind iv idua l p robab i l i t i e s m u s t e q ' j a l one, you c o u l d a l so so lve tha t p r o b l e m

    by s u b t r a c t i n g th e p r o b a b i l i t y t h a t n o n e w e r e ki l led f rom on e o r uni ty :

    P0 + P i + ?2 . . . Pn P 0 = 1 - P o - ow w h a t is th e p r o b a b i l i t y t h a t

    3 40

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    K E a r l y

    F a i l u r e s R a n d o mF a i l u r e s

    B u i - , - i n i v r i o d

    C o n s t a n t F a i l u r e R a t e

    USEFUL L I F E P E R I O D

    A g e - - >

    We a r o u t n d R a n d o m F a i l u r e s

    We a r o u t P e r i o d

    B AT H T U B QJRVE

    F I G U R E 18 4 1

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    none are k i l l e d ? e l l t h a t ' s th e p r o b a b i l i t y t h a t a player w o u l d s u r v i v e on

    an y one round, an d th e n e x t guy w o u l d surv ive , an d th e t h i r d g uy would

    surv ive , e tc . or , in o t h e r words , o ne m i n u s 5/6 ra i sed to th e s i x t h power,

    and tha t t u r n s out to b e (5/6)6 or .3349. h e p r o b a b i l i t y t h a t someone is k i l l e d is then .6651.

    N ow i f you w e r e to ask an a l t e r n a t e q u e s t i o n , nam e ly w h a t i s the

    p r o b a b i l i t y t h a t e x a c t l y tw o were ki l led and e x a c t l y four surv ived , h ow

    w o u l d you s o l v e t h a t ? ow ma ny c o m b i n a t i o n s ar e t h e r e o f two b e c o m i n g

    ki l l ed an d four s u r v i v i n g ? h e f i r s t two c o u l d b e k i l l e d an d th e las t four

    surv ive , th e f i r s t and th e l a s t on e ki l l ed , a n d th e mi dd le f o u r survive, 6

    etc . h e number of c o m b i n a t i o n s are s h o w n as fo l lows: (21)(41) 1 5 . n

    Th e genera l formula for d e t e r m i n i n g p ro ba b i l i t y is s h o w n be low: x (-x)

    pX q n-x n i s th e total e v e n t s i n t h i s case si x players ; are th e events of

    in te res t , i .e . , 2 dea ths ; p is th e p r o b a b i l i t y tha t d e a t h w i l l occur, i n

    t h i s event on e s ix th ; q i s th e p r o b a b i l i t y t h a t d e a t h wil l not occur, i n

    t h i s event , f ive s ix ths . f you s o l v e t h i s you f ind th e p r o b a b i l i t y of

    e x a c t l y two k i l l e d an d four s u r v i v e is .16745.

    St 1 d orn do you h a v e th e o p p o r t u n i t y to w o r k w i t h s p e c i f i c s such as

    descr ibed above. e n e r a l l y you must c o n s i d e r a co n t i n uu m of events , or c o n t i n u u m of p r o b a b i l i t i e s . or t h a t you use a genera l fo rmula fo r empi r ica l dis t r ibu t ion , c a l l e d " a Poisson d i s t r i b u t i o n . " ere i s th e

    formula:

    . c -wt T ,.>* - a .r fe. * uK At

    In he world f ccident

    prevention ou re nterested n reventing he first ccident. What s he

    probability of all possible umber f ccidents occurring: one, wo, hree,

    3.MX

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    Etc? s before , s o l v e b y s u b t r a c t i n g p r o b a b i l i t y o f n o a c c i d e n t s o c c u r r i n g

    f r o n t I . f Q ^ e . ^j / - P T h i s i s M u r p h y ' s L a w ; i t s h o w s t h a t i f I . j j u l i i s a n y t h i n g o t h e r t h a n z e r o , ( i f t h e r e ' s a w a y fo r s o m b o d y t o sc rew i1 1 1 ) 1 i h i n i l l l i c r f i s e n o u g h t i m e , ( somebody w i l l i n f . i c t n c t f w i t u p ) a nd \\v

    p r \ j J > i b i l i t y Pany . i p p r o a c h e s u n i t y (acc iden t w i l l occur ) .

    Limbda i s t he t a i l u r e r a t e o r t h e inverse o f t h e m e a n t i m e b e t w e e n

    f a i l i r e ( M T b F ) . f s o you ' re r u n i n g a t e s t r i g t o d e t e r m i n e m e a n t i m e

    b e t w e e n fa i lu re , y o u c a n ex t rac t t h e f a i l u r e r a t e d i r e c t l y.

    V s t e m : ; Safe ty, a t a p p l i e d h e r e a t t h e F l i g h t Te s t Cente r, i s m o r e

    i i t - v ^ : r l a t e l y ca l led Te s t Program Sa fe ty, s i n c e w e a re h e r e more in te res ted

    v . i t . i , 1 t ( ) [ .l i i - t , i n - t e s t t h a n w o ar e o f t h e p h y r. i o , i ] d e s i g n o f t h e

    i k u ' d w i r . e < i , a s t e s t . e n g i n e e r o r the f l igh t t e s t pi lo t , p r e p a r e a t e s t

    i i r i . h i l e y o u ; i v > > r s p a r i n g d t e s t p l a n , yo u m u s t c o n s i d e r ' t h e h a z a r d s

    i n v o l v e d . s ing t h e A F S C F o r m 5028 d e s c r i b e d e a r l i e r i n th e t e x t , l i s t a l l

    ' h e I . . i ' . . i r d .c t h e i r causes , t h e i r e ffec t s , a n d c o n t r o l s y o u m i g h t e m p l o y t - - .

    p r w < t h e occur rence o f t h a t hazard .

    . . : ' i v . i . e : ; i : p l n u has b e e n w r i t t e n , i t w i l l b e r e v i e w e d by e n g i n e e r -

    i " : > t . - - f i n i c a l con ten t . l i i s r e v i e w i s p r i m a r i l y t e c h n i c a l a l t h o u g h sa fe ty

    i puy.be cons ide red . nc e t h a t r e v i e w ha s b e e n accompl i s h o o t h e n you

    ^ i I I meet a s y s t e m dfe ty R e v i e w Board ( S R B ) . o u , y o u r superv i sors , a nd

    t h < - " ' t e m Safe ty D i v i s i o n w i l l m u t u a l l y d e t e r m i n e ^h e c o m p o s i t i o n o f the

    b o a r d . r i e b o a r d w i l l u s u a l l y c o n s i s t o f o p e r a t i o n a nd e n g i n e e r i n g represen ta t ives p l u s o t h e r s a s requ i red : h e o p e r a t i o n s r e p r e s e n t a t i v e i s

    prefe rab ly c u i r e n t i n t h e type a i r c r a f t u n d e r t e s t a n d i s i n a s u p e r v i s o r y

    U T

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    or independent posit ion. he engineer ing representatives ar e supervisors o r e x p e r t s from the disciplines involved: . e . , propulsion, aerodynamic, f l u t t e r , e t c . ccas ional ly there will b e a maintenance personnel

    represented i f there i s s ignif icant maintenance involvement. any t e s t , need representation t h e Fire Depar tment o r t h e hospital i f lasers o r t o x i c

    materials a r e used or a r e p a r t of th e t e s t .

    When t h e del ibera t ions are complete a risk assessment i s determined,

    ( h a z a r d o u s t e s t , r a e d i u n risk or low risk a s shown b y the matrix discussed

    earlier). T h e complete AFSC Form Form 5028 i s s igned by board members and

    supervisors a s shown o n t h e f r o n t side of th e Form 5 0 2 8 . Afte r th e commanders . have s e e n these documents, the test plan a n d Form 5028 i s br iefed t o th e

    Commander, Vice Commander, a n d the Test Wing Commander regardless of the

    r i s k l e v e l .