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WHAT HAPPENED
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The Shuttle Columbia Disaster - Lessons That Were Not Learned
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- 1 Intro
- 2 APOLLO 1 ACCIDENT CAUSES
- 3 CHALLENGER ACCIDENT CAUSES
- 4 WHAT HAPPENED
- 5 THE LANDSCAPE OF POOR COMMUNICATION
- 6 RISK REGISTER
- 7 BE BRAVE! BE HONEST!
- 8 FOAM SHEDDING WAS A CONSTANT PROBLEM
- 9 MANAGEMENT WANTS US TO BE BRIEF
- 10 THE PAST PREDICTS THE FUTURE
- 11 NORMALIZATION OF DEVIANCE
- 12 BUDGET ISSUES ABOUND
- 13 LEARN THE LESSONS