On January 28th, 1986, seven astronauts boarded the Challenger for its tenth launch into space. Its previous missions had included the first space walk and, at various times, the first American woman, African-American, Canadian and Dutchman in space. 73 seconds after lift-off, the Challenger broke apart, killing the entire crew. Why? Because the fuel tank exploded. So, the solution, of course, is to send the next shuttle up with a fuel tank that doesn’t explode, right? Only if you assume that the exploding fuel tank was a 100% isolated incident, completely unrelated to any other events. If that sounds fishy to you, it should. And this is where root cause analysis comes into play, a practice colloquially known as “the five whys”.
