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Case Study #109 — 300 Software Failure Case Studies

Boeing Starliner Crew Flight Test thruster failures

Boeing's first crewed Starliner flight suffered multiple thruster failures approaching the ISS; NASA ultimately decided to return the capsule uncrewed and keep the two astronauts on the station for an extra nine months, awaiting a SpaceX flight home.

2024-06-05
When it happened
Aerospace / Space
Sector
#109 of 300
Ranked by documented impact
01 — What Happened

The damage was public. The root cause was preventable.

Boeing's first crewed Starliner flight suffered multiple thruster failures approaching the ISS; NASA ultimately decided to return the capsule uncrewed and keep the two astronauts on the station for an extra nine months, awaiting a SpaceX flight home.

Aerospace
Sector affected
2024-06-05
Date of the event
#109
Rank in the 300 Software Failure Case Studies
3
Distinct root-cause clauses identified below
02 — The Root Cause

What the software actually got wrong

Overheating caused Teflon seals in the propulsion system's doghouse thrusters to swell and restrict propellant flow; the thruster-control software's response to the resulting thrust irregularities, and NASA's inability to fully model the failure in time, drove the decision not to trust the capsule for a crewed return.

01Root Cause

Overheating caused Teflon seals in the propulsion system's doghouse...

What Happened

Overheating caused Teflon seals in the propulsion system's doghouse thrusters to swell and restrict propellant flow

How Requs AI Catches This

Requs AI Edge Case flags this exact pattern at the requirements and architecture stage — before a single line of code implementing it exists — so the assumption behind it gets challenged while it is still cheap to fix.

02Root Cause

The thruster-control software's response to the resulting thrust irregularities

What Happened

the thruster-control software's response to the resulting thrust irregularities

How Requs AI Catches This

Requs AI Software FMEA traces this failure mode back to the system-level hazard it feeds, tagging it against the Common Defect Enumeration so it surfaces in review instead of in the field.

03Root Cause

NASA's inability to fully model the failure in time,...

What Happened

NASA's inability to fully model the failure in time, drove the decision not to trust the capsule for a crewed return

How Requs AI Catches This

Requs AI Edge Case and Software FMEA together treat this as a known, catalogued defect pattern — not a novel surprise — so it gets tested for deliberately rather than discovered after deployment.

03 — How This Gets Caught Before It Happens

Beyond code coverage and "shall" testing

Root causes like this one rarely show up in code coverage or requirements-compliance testing, because nobody wrote a requirement anticipating the specific edge case that broke. Requs AI Edge Case and Requs AI Software FMEA are built to surface exactly this class of overlooked failure mode — before the software is written.

Requs AI Edge Case

Surfaces this before code exists

Identifies edge cases like this one at requirements and architecture time, using the Common Defect Enumeration to catalog failure patterns seen across hundreds of real-world software failures — including this one.

Requs AI Software FMEA

Connects the failure mode to the hazard

Traces this class of root cause directly to the system-level hazard it can produce, so a defect pattern like this one gets flagged during design review instead of after it ships.

Find the overlooked root causes before they ship.

Schedule a demonstration, or explore how Requs AI Edge Case and Software FMEA use the Common Defect Enumeration.