Safety, Environmental and
Mission Assurance
Independent Risk Assessment
What
is the Role of the NASA Ames Safety, Environmental,
and Mission Assurance (SEMA) Directorate in Preparing
for the Licancabur Expedition?
To understand this role, you must first understand
how the Licancabur Expedition contributes to the
overall NASA vision and mission.
What is the NASA Vision for the Future?
To improve life here,
To extend life to there,
To find life beyond.
What is the NASA Mission?
To understand and protect our home planet;
To explore the Universe and search for life;
To inspire the next generation of explorers as
only NASA can.
Without Risk There Can be Little Discovery
You now know that the Expedition offers an “astrobiological
gold mine.” But you can also see that climbing
to 19,000 ft. and diving in a relatively unexplored
lake entails uncertainty and risk! Projects such
as the Expedition are necessary to help achieve
NASA’s mission. But we must also assess
the risks and pursue our missions as safely
as possible.
Safety First
Safety is a core value at NASA, as reflected
in our motto “Mission Success Starts with
Safety.” The SEMA charter is “To assure
the safety and enhance the success of all NASA
activities.” Safety refers to protection
of people, the environment, and high value NASA
assets. Risk Management is the process used to
assess project safety, ensure compliance with
NASA policies, and to help achieve mission success.
Risk Management
Effective risk management is crucial to assuring
safety and achieving mission success. The implementation
of a thorough, disciplined risk management approach
is now required of all NASA programs and projects.
NASA uses a process called “Continuous Risk
Management” or CRM.

Of course each project presents different risks,
and the process must be tailored in a practical
way to fit the unique needs of the program
Licancabur Safety Review Board
The SEMA organization conducted an independent
risk assessment of the Expedition. A Safety Review
Board was chartered to review the project. The
Board was comprised of diverse technical experts
to ensure a thorough assessment of the risks:
Robert Navarro, Chair
Deputy Director Q/Safety, Environmental and
Mission Assurance
Stephanie Langhoff, PhD
Chief Scientist
David King
Chief, Safety, Health & Medical Services
Division
Ralph Pellagra, MD
Medical Services Officer
Harry Gobler
Chief, Safety and Mission Assurance Division
Peter Hackett, MD
High Altitude Physiologist, St. Mary’s
Hospital
Mountaineering Expert
Risk Assessment Results
The independent risk assessment was led by Orbital
Sciences/Alexis Flippen, supported by Hernandez
Engineering/Kirsten Smith and NASA Ames/Ken Zander.
Seventeen (17) hazards were identified and resolved.
SEMA worked hand-in-hand with the Expedition team
to understand and control the risks in a viable
and practical manner to support the experiments
and achieve mission success without compromising
safety.
Assessing these hazards required an integrated
risk perspective from the three divisions within
the SEMA Directorate:
Environmental Services Division
Chief - Sandra Olliges
Safety, Health & Medical Services Division
Chief - David King
System Safety and Mission Assurance Division
Chief (Acting) - Owen Greulich
What Risks were Discovered and Mitigated
for the Licancabur Expedition?
- Compromised health or preventable injury from
inadequate/improper conditioning
- Undetected medical conditions
- Disease/dysentery (vectors in Chile/Andes)
- Impaired physical performance at altitude
as evidenced by exhaustion, during ascent, descent,
summit, and diving operations
- High altitude illness (High Altitude Pulmonary
Edema - HAPE, High Altitude Cerebral Edema -
HACE, Acute Mountain Sickness - AMS, hypoxia/hypoxemia),
other altitude-induced conditions, and impaired
judgement/cognition, fatigue
- Hypothermia, frostbite, reduced comfort/performance
- UV exposure
- Environmental impacts
- Damage/disturbance of artifacts
- Slips, trips, falls
- Volcano eruption
- Avalanches, rock slides, earthquakes
- Inadvertent release of high pressure gas
from failed pressure vessel
(supplemental O2 cylinders)
- Inability to control/retrieve diver (nominal)
- Sickness/contamination from water
- Physiological response to free diving at
altitude
- Inability to safely rescue/revive injured/sick
team member
In a Nutshell, What Can Happen to Our
Bodies and Minds at Extreme Altitudes?
High altitude illness (HAI) is experienced by
75% of individuals at elevations over 10,000 feet
and by some individuals at elevations as low as
6,000 feet. Initial symptoms include headache,
decreased appetite or nausea, malaise, decreased
energy, and irregular sleep. Judgment and cognition
can also be impaired. Illness occurs when an individual
is ascending too rapidly.
HAI can take several forms that can be fatal
if not recognized and treated. HAI refers to cerebral
(brain) and pulmonary (heart and lungs) syndromes
that can develop in unacclimatized persons shortly
after ascent to high altitude:
- HAPE (High Altitude Pulmonary Edema). Accumulation
of fluid in the lungs.
- HACE (High Altitude Cerebral Edema). Characterized
by the he onset of ataxia, altered consciousness,
or both, in someone with acute mountain sickness
or HAPE.
- Ataxia. Failure of muscular coordination,
irregularity of muscular action.
- AMS (Acute Mountain Sickness). The presence
of headache in an unacclimatized person who
has recently arrived at an altitude above 8200
feet, plus the presence of one or more of the
following: gastrointestinal symptoms (anorexia,
nausea, or vomiting), insomnia, dizziness, &
lassitude or fatigue
The best treatment is descent. There are also
some preventive measures, such as the herb ginkgo
biloba that the team will be taking. There are
medications that can also help with HAI management,
and these will be taken on the Expedition in accordance
with Dr. Hackett’s instructions.
Ref: Hackett, P.H. & Roach, R.C. High-altitude
illness. New England Journal of Medicine 2001;
345: 107-14.
Key Contributions from SEMA and the Safety
Review Board
The systematic risk assessment performed by SEMA
resulted in the discovery and control of the risks
associated with the Expedition. Because of the
risk factors associated with extreme altitude,
it was necessary to also enlist an expert high
altitude physiologist and mountaineering expert
to help properly define an ascent strategy that
would permit the achievement of science while
not subjecting the team to undue health risks.
Peter Hackett, M.D., who reached the summit of
Mt. Everest in 1981 (without oxygen!), is a world
authority on high altitude medicine and physiology
who joined the Safety Board in this capacity.
A reasonable ascent strategy was developed to
permit the Expedition team to safely climb, work,
sleep, and even dive at these extreme altitudes
by “acclimatizing” gradually to permit
the body to adjust to the pressure changes and
a reduced oxygen environment.
Further, the use of a pulse oximeter, a device
placed on the finger, permitted the team to objectively
monitor oxygen concentration in the blood during
the earlier reconnaissance mission. These readings
help to differentiate between “real”
and “perceived” symptoms of altitude
sickness so that appropriate countermeasures can
be employed as needed.

Pulse Oximeter
The actual data collected for Dr. Cabrol and
Dr. Grin are displayed in Figure 1.

Figure 1. Pulse Oximetry Data
Figure 2 indicates the normal blood
oxygen concentration. Compared to the Figure 1
data, the team’s physiological record shows
a satisfactory adaptation to altitude.
Saturation(%) in blood
with altitude. Reconnaissance. Norms are
given below: |
Alt.
(m)
|
Norm
O2 (%) |
0
1500
2250
3000
3750
4200
4800
6000 |
96
95
93
89
87
83
77
65 |
Figure 2. Norms for Blood
Space Oxygen Saturation
Importance of Project Responsibility
for Safety
While SEMA provided guidance and consultation
for achieving a safe and successful mission, the
ultimate responsibility for safety rests with
the project. The Expedition team, headed by Drs.
Nathalie Cabrol and Edmond Grin has exemplified
this principle. The investigators have recognized
the importance of safety and the value that a
systematic risk assessment can add to ensuring
a successful mission. They have been intimately
involved in all aspects of the risk assessment.
Most importantly, they have taken a proactive
role in engendering a safety culture throughout
the project.
NASA Ames SEMA Responsible Points of
Contact
Robert Navarro, Deputy Director
Safety, Environmental and Mission Assurance
NASA Ames Research Center, M/S 218-7
Voice: (650) 604-5640, Fax: (650) 604-6508
email: rnavarro@mail.arc.nasa.gov
A. A. Flippen, Senior Scientist-Risk Management
Orbital Sciences
NASA Ames Research Center, M/S 244-30
Moffett Field, CA 94035 USA
Voice: (650) 604-4901, Fax: (650) 964-8600
email: aflippen@mail.arc.nasa.gov
High Altitude
Illness Article. (PDF, 109KB) |