A talk by Vahé Ender from TBS24

2. astronauts

7. 11:39 EST

8. The Teleconference
20:15-22:30

11. “The Thiokol Caucus”
22:30-23:00

13. “Am I the only one that
wants to fly?”

18. “Well, that is kind of the mode that
we got ourselves into that evening. It
seems like we have always been in
the opposite mode. I should have
detected that, but I did not, but the
roles kind of switched.”

22. Simple fix to fix simple.

23. It was not the O-rings.

25. Mulloy was
“believing
in the
system more
than in the
people
inputting
into that
system.

26. Group insensitivity to risk
Group overconfidence in
quantitative data
Group power culture
Group tolerance of Mulloy

27. Groupthink

28. Groupthink /ˈɡro͞opˌTHiNGk/ Noun
…the desire for harmony or conformity in the group results in
irrational or dysfunctional decision-making

32. The “in” group vs “out” group

33. Modifying language
“In-Family” vs “Out-of-Family”
“Prove that it is unsafe”
“Prove that it is safe”

34. Hierarchy
Expertise

35. Intolerance for creativity

36. Sense of invulnerability

37. Diversity of Opinion

38. Deference to expertise

39. Stop work authority

40. Design staff engagement

43. “…reality must take precedence over public
relations, for nature cannot be fooled.”
—Dr. Richard Feynman,