
InvestigationOrganizer is a Web-based collaborative information management and modeling tool designed to support mishap investigation teams. InvestigationOrganizer provides a centralized information repository that can be used by a distributed team of investigators to store digital products relevant to an ongoing mishap investigation. The repository is intuitively organized so that related pieces of information are cross-indexed and easily accessible. Users can also create and view overarching analysis models that identify causal factors or hypothesized event sequences leading up to a mishap. The causal models are cross-linked with repository items that provide evidence to support or refute the hypothesized causes. These models can be viewed with linear, hierarchical and network diagrams displayed by the user interface.
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Conducting an effective investigation is difficult to accomplish in a distributed
envrionment where the investigators and the evidence are not centrally located.
A large investigation team typically has different members who are organizationally
and geographically distributed, and each investigation team member uses different
information technologies such as different e-mail tools, document repositories,
and databases. Many types of information products -- including hundreds of
megabytes of digital images, documents, schematics, and other information
-- need to be referenced and archved for use during the investigation. Providing
fast, convenient access to such information is critical to the success of
an investigation. In addition, reporting of mishap causes and lessons
learned stemming from an investigation has been inconsistent and difficult
to document. An objective of developing a solution to this problem
is to enable distributed teams to better organize and analyze investigation
information that they collect in distributed ways using the world-wide web,
and by integrating diagrammatic aspects of investigation support with database
aspects of investigation support.
Another motivating concern for the development of InvestigationOrganizer
is the investigator's need to correlate evidence with analysis models constructed
during a mishap investigation. Typically, the investigation team will
develop a set of analytical models to explain the mishap and drive the investigation
process. For example, the team will develop models of mishap causality,
such as a fault tree or a MORT (Mishap Oversight Risk Tree) diagram, which
break down the possible causes of the mishap into fine levels of detail.
The team may also try to reconstruct the sequence of events leading up to
the mishap. Another model-based approach is to determine the differences
between similar situations that did not exhibit a mishap and the mishap situation.
In all these cases, the model describes an hypothesis about some aspects of
the mishap, and the hypothesis must be verified or refuted based on the fit
of actual evidence gathered by the investigation team. Although there
are failure analysis tools available in the commercial marketplace, these
tools do not provide an integral link back to the primary supporting or refuting
evidence gathered by the team.
For further information on information systems aspects of this research contact Dr. Richard Keller.
NASA Official: Richard
M. Keller, Ph.D.
Last Updated: February, 2003