What do you see? What observations can you make?
When do we first learn about the primary O-ring problem?
Is there any written communication about the o-ring problems?
How much?
In what form: memo? letter? report?
What kind: solicited? unsolicited? (How do you know?)
How much is written about the secondary O-ring problem? Is the crack failure?
When?
To whom were they addressed?
In what form?
Are they solicited or unsolicited?
Where was most of the communication occurring? Not occurring?
Why wasn’t there more written communication about the problem?
Why did the warnings not escalate?
Why weren’t the warnings heeded?
Is it safe to assume that every manager has technical "shuttle" knowledge?
What role did technical communication play in this case study?