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ODIRESUME
Investigation:PE16-007
DateOpened:06/28/2016 DateClosed:01/19/2017
Investigator:KareemHabib Reviewer: JeffQuandt
Approver: StephenRidella
Subject: Automaticvehiclecontrolsystems
MANUFACTURER&PRODUCTINFORMATION
Manufacturer: TeslaMotors,Inc.
Products: MY2014-2016TeslaModelSandModelXPopulation: 43,781
ProblemDescription:TheAutomaticEmergencyBraking(AEB)orAutopilotsystemsmaynotfunctionasdesigned,increasingtheriskofacrash.
FAILUREREPORTSUMMARY
ODI Manufacturer Total
Complaints: 0 0 0
Crashes/Fires: 0 0 0
InjuryIncidents: 0 0 0
FatalityIncidents: 0 0 0
ACTION/SUMMARYINFORMATION
Action:ThisPreliminaryEvaluationisclosed.
Summary:
OnMay7,2016,a2015TeslaModelScollidedwithatractortrailercrossinganuncontrolledintersectiononahighwaywestofWilliston,Florida,resultinginfatalinjuriestotheTesladriver.DataobtainedfromtheModelS
indicatedthat:1)theTeslawasbeingoperatedinAutopilotmodeatthetimeofthecollision;2)theAutomaticEmergencyBraking(AEB)systemdidnotprovideanywarningorautomatedbrakingforthecollisionevent;and3)th
drivertooknobraking,steeringorotheractionstoavoidthecollision.OnJune28,2016,NHTSAopenedPE16-007to
“examinethedesignandperformanceofanyautomateddrivingsystemsinuseatthetimeofthecrash.”
TheOfficeofDefectsInvestigation(ODI)analyzedthefollowingsubjectsaspartofNHTSA’sexaminationofthedesignandperformanceofTesla’sAutopilotsystem:1)AutomaticEmergencyBraking(AEB)systemdesignandperformanceinthesubjectTeslaandpeervehicles;2)human-machineinterfaceissuesrelatedtoAutopilotoperatimode;3)datafromcrashincidentsrelatedtoTesla’sAutopilotandAEBsystems;and4)changesTeslahasimplementedintheAutopilotandAEBsystems.
NHTSA’sexaminationdidnotidentifyanydefectsinthedesignorperformanceoftheAEBorAutopilsystemsoftthesubjectvehiclesnoranyincidentsinwhichthesystemsdidnotperformasdesigned.AEBsystemsusedintheautomotiveindustrythroughMY2016arerear-endcollisionavoidancetechnologiesthatarenotdesignedtoreliablperforminallcrashmodes,includingcrossingpathcollisions.TheAutopilotsystemisanAdvancedDriverAssistanceSystem(ADAS)thatrequiresthecontinualandfullattentionofthedrivertomonitorthetrafficenvironmentandpreparedtotakeactiontoavoidcrashes.Tesla'sdesignincludedahands-onthesteeringwheelsystemformonitoringdriverengagement.Thatsystemhasbeenupdatedtofurtherreinforcetheneedfordriverengagementthrougha"strikeout"strategy.Driversthatdonotrespondtovisualcuesinthedrivermonitoringsystemalert
"strikeout"andloseAutopilotfunctionfortheremainderofthedrivecycle.
Asafety-relateddefecttrendhasnotbeenidentifiedatthistimeandfurtherexaminationofthisissuedoesnappeartobewarranted.Accordingly,thisinvestigationisclosed.TheclosingofthisinvestigationdoesnotconstituteafindingbyNHTSAthatnosafety-relateddefectexists.Theagencywillmonitortheissueandreservestherighttakefutureactionifwarrantedbythecircumstances.Formoreinformationabouttheanalysis,seetheattachedr
Investigation:PE16-007 CloseResumePage1of1
1.0INTRODUCTION
OnMay7,2016,a2015TeslaModelScollidedwithatractortrailercrossinganuncontrolledintersectiononahighwaywestofWilliston,Florida,resultinginfatalinjuriestotheTesladrivDataobtainedfromtheModelSindicatedthat:1)theTeslawasbeingoperatedinAutopilotmodeatthetimeofthecollision;2)theAutomaticEmergencyBraking(AEB)systemdidnotprovideanywarningorautomatedbrakingforthecollisionevent;3)thedrivertooknobraking,steeringorotheractionsthecollision;and4)thelastrecordeddriveractionwasincreasingthecruisecontrolsetspeedt
lessthantwominutespriortoimpaThecrashoccurredonacleardaywithdryroadconditions.t. OnJune21,2016,NHTSAdeployedaSpecialCrashInvestigationsteamtothecrashsitetoevaluatethevehicleandstudythecrashenvironment.NHTSA’scrashreconstructionindicatesthatthetractortrailer
shouldhavebeenvisibletotheTesladriverforatleastsevensecondspriortoimpact.OnJune28,2016,
NHTSAopenedPE16-007to“examinethedesignandperformanceofanyautomateddrivingsystemsinuseatthetimeofthecrash.”
TheOfficeofDefectsInvestigation(ODI)analyzedthefollowingsubjectsaNHTSA’spartofexaminationofthedesignandperformanceofTesla’sAutopilotsystem:1)AEBdesignandperformanceinthesubjectTeslaandpeervehicles;2)human-machineinterfaceissuesrelatedtoAutopilotopermode;3)datafromcrashincidentsrelatedTesla’sAutopilotandAEBsystems;and4)changesTeslato hasimplementedintheAutopilotandAEBsystems.
2.1AEBSYSTEM
2.2AEBtechnologies.AutomaticEmergencyBrakingincludesthefollowingcrashavoidancetechnologies:ForwardCollisionWarning(FCW),DynamicBrakeSupport(DBS),andCrashImminentBraking(CIB).AnFCWispresentedtothedriverifthesystempredictsacrashwithanobjectinthevehicle’sforwardpathisimminent.Tobeeffective,suchalertsareprovidedwithsufficientlead-timefothedrivertoassessthepotentialhazard,andtorespondwiththeappropriatebrakingorsteeringavoidthecrash.Ifthedriverchoosestoavoidthecrashbybraking,butdoesnotapplysufficientbratodoso,DBSautomaticallysupplementstheirapplication.Ifthedriverdoesnottakeactiontoavoidthecrash,CIBautomaticallyappliesthevehicle’sbrakessothatitmaybemitigatedoravoided.
2.3Background.AEBtechnologieshavebeeninuseforover10years.InSeptember2007,aNHTSA-sponsoredprojectwasinitiatedbytheCrashAvoidanceMetricsPartnership(CAMP)“todeveloptestmethodsforevaluatingcrashimminentbrakingsystemsandtoestablishbenefitsestimatmethodsforassessingtheireffectivenessatreducingtheseverityofpotentialinjuriesinvehiclecrashes.”1Thefinalreportfromthisproject,releasedinSeptember2011,validatedtheeffectivenessofradacameraandradar/camerafusionsystemsasrear-endcollisionmitigationoravoidanc2Thetechnologies.reportalsoidentifiedseveralcrashmodesthatwerenotvalidatedbytheproject,includingstraigcrossingpath(SCP)3andleftturnacrosspath(LTAP)collisions:
CrashImminentBraking(CIB)FirstAnnualReport.(2010).DOTHS811340.NationalHighwayTrafficSafetyAdministration.Washington,DC.
ObjectiveTestsforImminentCrashAutomaticBrakingSystemsFinalReportVolume1of2.(2011).DOTHS811521.NationalHighwayTrafficSafetyAdministration.Washington,DC.
TheclassicexampleofanSCPcrashisalaterallyapproachingvehicleinatrafficintersection.Challengesassociatedwiththesecrashmodesincreaseasspeedsoftargetand/orhostvehicleincrease.
ThetestmethodsrepresentingStraightCrossingPa[themphasisadded,LeftTurn]
Across–OppositeDirection,OppositeDirection,andpole/treecrashscenarioswere
alldesignatedas‘TestMethodNotValidated–BeyondScopeofCIBProject.’Whiletestscenariosweredevelopedanddemonstratedforthesecrashconditions,CIBsystemperformance,regardlessofsystemconfigurationorsettings,werenotcapableofreliablyrespondingtothesetests.Duetothedifficultyinpredictingthepre-crasheventsthatleaduptothesecrashtypes,thedifficultyinbalancingCIBactivationsforthesecrasheswithpotentialincreasesinundesirablefalseactivation,andmanyotherfactors,thesescenariosarealsonotlikelytobenear-termdeployablefeaturesofCIBsystemsandmaybebetteraddressedthroughotheractivesafetytechnologies.4
Figure1showsastraightcrossingpathtestconductedaspartoftheCIBproject.Thereportprovidesthefollowingassessmentofthetestresult,“Thelimitedtimethetargetisinthefieldofviewpriortoimpactchallengesthesystem’sabilitytoperformthreatassessmentandapplytheCIBsystem.Atargetisusuallyrecognizedverylateornotatallpriortoimpact.”5
Figure1.CIBProjectStraightCrossingPathTestScenario.
Sincemodelyear(MY)2010,NHTSAhasconductedtestingofFCWsystemperformanceaspartofitsNewCarAssessmentProgram(NCAP).Thetestsincludetherear-endcollisioncrashmodesvalidatedbytheCIBproject:LeadVehicleStopped(LVS),LeadVehicleMoving(LVM),andLeadVehicleDecelerating(LVD).OnNovember5,2015,theagencyannounceditwouldbeaddingAEBsystemevaluationstoNCAPeffectiveforthe2018modelyear.InMarch2016,NHTSAissuedajointstatementwiththeInsuranceInstituteforHighwaySafety(IIHS)providinginformationrelatedtothecommitme
ObjectiveTestsforImminentCrashAutomaticBrakingSystemsFinalReportVolume1of2,page84(2011).
DOTHS811521.NationalHighwayTrafficSafetyAdministration.Washington,DC.
ObjectiveTestsforImminentCrashAutomaticBrakingSystemsFinalReportVolume2of2,pageL-51(2011).DOTHS811521A.NationalHighwayTrafficSafetyAdministration.Washington,DC.
by20automobilemanufacturers,representing99percentoftheU.S.new-carmarket,tovoluntarilymAEB“standardonvirtuallyalllight-dutycarsandtruckswithagrossvehicleweightof8,500lbs.nolaterthanSeptember1,2022,andonvirtuallyalltruckswithagrossvehicleweightbetween8,5and10,000lbs.nolaterthanSeptember1,2025.”Thepredictedsafetybenefitscitedinthestatementarelimitedtorear-endcrashes:
IIHSresearchshowsthatAEBsystemsmeetingthecommitmentwourear-enldredudcecrashes[emphasisadded]by40percent.IIHSestimatesthatby2025–theearliest
NHTSAbelievesitcouldrealisticallyimplementaregulatoryrequirementforAEB–thecommitmentwillprevent28,000crashesand12,000injuries.6
ThecapabilitesofAEBsystemshavecontinuallyimprovedinperformanceandcapabilitiesasautomobilemanufacturersandsuppliersrefinesensorpackagesandthealgorithmsthatperformtheo
classificationsandmakethebrakingdecisions(e.g.,pedestriancollisionavoidance).Recognizingthis,
ODIsurveyedadozenautomotivemanufacturersandseveralmajorsupplierstodetermineiftheAEBcapabilitiesincrossingpathcollisionshadchangedsincetheCAMPCIBprojectwascompleted.NoneofthecompaniescontactedbyODIindicatedthatAEBsystemsusedintheirproductsthroughMY2016productionweredesignedtobrakeforcrossingpathcollisions.
2.4TeslaAEBsystem.TheTeslaAEBsystemisaradar/camerafusionsystemthatisfunctionalwhenswitchedONregardlessofAutopilotstatus.ThedrivercanswitchAEBON/OFFontheDriverAssistpageaccessibleviaadisplaymountedinthecenterofthedashboard.TheAEBisdefaultONforeachnewignitioncycle.ThedrivercanselectthetimingofFCWalertswithfouEarly,options:
Medium,Late,orOFF.IfFCWisOFF,thedriverwillstillgetaBrakeCapacityWarning(BCW)when
drivinginTraffic-AwareCruiseControl(TACC)mode(seeSection3below).BCWalertsthedriver
whentheclosingspeedtoaleadvehiclemaybetoogreattoavoidacollisionwiththestandardTAdecelerationlimits.AdjustingthetimingoftheFCWalertdoesnotaffecttheactivationtimingoftheTeslaAEBsystem.
Boththeradarandcamerasub-systemsaredesignedforfront-to-rearcollisionpredictionmitigaoravoidance.7Thesystemrequiresagreementfrombothsensorsystemstoinitiateautomaticbraking.ThecamerasystemusesMobileye’sEyeQ3processingchipwhichusesalargedatasetoftherearimages
ofvehiclestomakeitstargetclassificationdecisions.Complexorunusualvehicleshapesmaydelayorpreventthesystemfromclassifyingcertainvehiclesastargets/threats.
NHTSAconductedaseriesoftesttrack-basedAEBperformanceevaluationsshortlyaftertheMaycrashusinga2015TeslaModelS85Danda2015MercedesC3004Maticpeervehicle.Thevehicles
weretestedinthethreerear-endcollisioncrashmodes(LVS,LVM,andLVD)andthreedifferentvehoperatingmodes:manualdriving;adaptivecruisecontrol(ACC)systemsactivated;andACCandLaneCenteringControl(LCC)systemsactivated.ThistestingconfirmedthattheAEBsystemsintheTeslaandpeervehiclewereabletoachievecrashavoidanceinamajorityoftherear-endscenariostesteACCgenerallyprovidedenoughbrakingtoachievecrashavoidancewithoutalsorequiringCIBto
FactSheet,AutoIndustryCommitmenttoIIHSandNHTSAonAutomaticEmergencyBraking.(2016).NationalHighwayTrafficSafetyAdministration&InsuranceInstituteforHighwaySafety.Washington,DC.
ThesystemisalsodesignedtodetectandavoidimpactswithpedestriansandstationaryobjectsinthepathTeslawhenoperatingwithTACCenabled.
intervene;andthatneithervehicleeffectivelyrespondedtoarealisticappearingartifical“target”vehicleintheSCPorLTAPscenarios.
ODI’sanalysisofTesla’sAEBsystemfindsthat1)thesystemisdesignedtoavoidormitigateread-endcollisions;2)thsystem’scapabilitiesarein-linewithindustrystateoftheartforAEBperformacethroughMY2016;and3)brakingforcrossingpathcollisions,suchasthatpresentintheFloridafcrash,areoutsidetheexpectedperformancecapabilitiesofthesystem.8
3.1AUTOPILOT
TheAutopilotsystemisanadvanceddriverassistancesystem(ADAS),whichcontrolsvehiclespeeandpathbyautomatedcontrolofbraking,steeringandtorquetothedrivemot9FponentsusedbyAutopilottomonitorthedrivingenvironment.10ThemajorsubsystemsassociatedwithoperationinAutopilotmodeareTACCandAutosteer.
Figure2.2016TeslaModelSDriverAssistanceSensors(left)andFieldsofView(right).
3.2Traffic-AwareCruiseControl(TACC).TheTeslaTACCsystemusesinformationfromtheforwardlookingcameraandradarsensortodetermineifthereisavehicleinfrontoftheTeslainlane.IfthereisnovehicleinfrontoftheTesla,TACCmaintainsasetdrivingspeedselectedbytdriver.WhenthereisaleadvehicledetectedthatistravellingslowerthattheTesla’ssetspeed,theTACCwill
controlmotortorquestomaintainaselectedtime-baseddistancefromtheleadvehicle.
TheTeslaModelSowner’smanualstatesthatTACC“isprimarilyintendedfordrivingondry,straightroads,suchashighwaysandfreeways.Itshouldnotbeusedoncitystreets.”Themanual
includesseveraladditionalwarningsrelatedtosystemlimitations,usenearpedestriansandcyclistuseonwindingroadswithsharpcurvesorwithslipperysurfacesorpoorweatherconditions.Thesystemdoesnotpreventoperationonanyroadtypes.
3.3Autosteer.TheTeslaAutosteersystemusesinformationfromtheforward-lookingcamera,the
radarsensor,andtheultrasonicsensors,todetectlanemarkingsandthepresenceofvehiclesand
ObjectclassificationalgorithmsintheTeslaandpeervehicleswithAEBtechnologiesaredesignedtoavoidpositivebrakeactivations.TheFloridacrashinvolvedatargetimage(sideofatractortrailer)thatwouldnotbe“true”targetintheEyeQ3visionsystemdatasetandthetractortrailerwasnotmovinginthesamelongitudinadirectionastheTesla,whichisthevehiclekinematicscenariotheradarsystemisdesignedtodetect.
NHTSArecognizesthatotherjurisdictionshaveraisedconcernsaboutTesla’suseofthename“Autopilot.”Thisissueisoutsidethescopeofthisinvestigation.102016TeslaModelSOwner’sManual
toprovideautomatedlane-centeringsteeringcontrolbasedonthelanemarkingsandthevehicledir
infrontoftheTesla,ifpresent.TheTeslaowner’smanualcontainsthefollowingwarnings:1)“Autosteer
isintendedforuseonlyonhighwaysandlimited-accessroadswithafullyattentivedriver.WhenusAutosteer,holdthesteeringwheelandbemindfulofroadconditionsandsurroundingtraffic.Donot
Autosteeroncitystreets,inconstructionzones,orinareaswherebicyclistsorpedestriansmaybNeverdependonAutosteertodetermineanappropriatedrivingpath.Alwaysbepreparedtotakeimmediateaction.Failuretofollowtheseinstructionscouldcauseseriouspropertydamage,injuryodeath;”and2)“ManyunforeseencircumstancescanimpairtheoperationofAutosteer.Alwayskeepthisinmindandrememberthatasaresult,AutosteermaynotsteerModelSappropriately.Alwaysdriveattentivelyandbepreparedtotakeimmediateaction.”Thesystemdoesnotpreventoperationonanyroadtypes.
4.1HUMANMACHINEINTERFACE
4.2AutomationLevel.TheTeslaAutopilotsystemisaLevel1automatedsystemwhenoperatedwithTACCenabledandaLevel2systemwhenAutosteerisalsoactivated.Figure3showsasummary
ofthelevelsofdrivingautomationforon-roadvehicles,includingthedivisionofresponsibilityalevelforthedriverandsystem.11Level1and2systemrequirecontinuousattentionbytheoperatortomonitorthedrivingenvironmentandtakeimmediatecontrolwhennecessary.Itisimportantthat
operatorsrecognizethisresponsibilityandunderstandthecapabilitiesandlimitationsofthesyste
Figure3.SummaryofSAEInternational’sLevelsofDrivingAutomationforOn-RoadVehicles.
ThedesignofLevel2partialautonomoussystemsshouldconsiderhuman-machineinterfacedesignfactors,including:121)providetheoperatorwithinformationaboutsystemlimitations;2)includeamethodformonitoringdriverengagementwiththedrivingtaskandassistingthedriverwithmaintain
/misc/pdfs/automated_driving.pdf
HumanFactorsEvaluationofLevel2andLevel3AutomatedDrivingConcepts–ConceptsofOperation.(2014).DOTHS812044.NationalHighwayTrafficSafetyAdministration.Washington,DC.
attentiontotheenvironment;3)minimizethepotentialformodeconfusiontooccur,throughintuitifeedbackfromvehicledynamicsand/orwarningstothedriver;and4)considerrestrictingavailabilperformancewhenusedonroadsthatarenotintheintendeduseoperatingenvironments.
Systemlimitations.Teslaprovidesinformationaboutsystemlimitationsatmultiplelevels,including:1)theowner’smanual;2)inthereleasenotesfornewsoftwarereleases,whichrefertotheowner’smanual;3)auseragreementrequiredbeforeenablingAutosteerforthefirsttimeorafteraignitioncyclethatconcludedwithAutosteerbeingswitchedoff;4)adialogboxthatappearseveryAutosteerisactivatedremindingthedriverto“Alwayskeepyourhandsonthewheel”and“Beprepared
totakeoveratanytime”(Figure4);5)theinformationintheuserinterface,whichappearsatalltimewhiledriving-theblueshadedcirclearoundthewhitesteeringwheelindicatesAutosteerisinoperatasopposedtowhenthebackgroundisgraymeaningAutosteerisavailableshouldthedriverdecidetoenableit(Figure5).
Figure4.DialogBoxthatAppearsEveryTimeAutosteerisActivated.
Figure5.AutopilotUserInterfaceshowingSystemPerceivedLaneLines,OtherVehicles,andUltrasonicObjects.
Drivermonitoring.Teslamonitorsdriverengagement13throughtheinteractionswiththesteeringwheel,turnsignal,andTACCspeedsettingstalk.Ifthesystemdoesnotdetectthedriver’shandsonthesteeringwheel(assessedusingmicrotorquemeasurements)orothersignsofdriverengagementforperiodsoftimethatvarydependingonroadclass,vehiclespeed,roadcurvature,andtrafficcondiescalatingseriesofwarningsispresented.Thewarningsstartwithavisualalertindicatingthathandsonthesteeringwheelarerequired.Ifthedriverdoesnotrespondtothevisualwarning,anaudiblechimeissoundedafter15seconds.Amorepronouncedchimeisinitiatedifthedriverdoesnotrespondafteranother10seconds.Ifthedriverfailstorespondtothethirdalertstagewithinfiveseconds,thesy
graduallyslowsthevehiclewhilemaintainingpositioninthelane.Oncethedriver’shandsaredetectedonthesteeringwheel,thewarningsaresuspendedandAutopilotoperationresumes.
AspartofTesla’s8.0over-the-air(OTA)softwareupdateinSeptember2016,Teslarevisedthetimingofthehands-onwarningsandaddedafeaturethattakesawaytheAutopilotdrivingfeaturefremainderofthedrivecycleifthedriverfailstorespondtothealertsadequately(knownasan“Autopilotstrikeout”–Figure6).
Figure6.Autosteer"Strike-Out"Alert.
Modeconfusion.UnexpectedsystemresponseduringattemptedactivationorinadvertentoverrideofAutosteermayleavetheoperatorunawareofthestateofthevehicle(i.e.,“modeconfusion”).Tesla’sdesignisintendedtoprotectagainstmodeconfusionatseverallevels,including:1)informationavailableintheuserinterfaceregardingAutopilotavailability,Autopilotstate,andsuccessfula
transitionsbetweenstates;2)providingaudiovisual“TakeOverImmediately”warningwheneverthevehiclecrossesalanelineorroadedge,whilethedriver’shandsarenotdetectedonthesteeringwheel,within40secondsofanunsuccessfulactivationofAutosteeroranAutosteeroverride;and3)ifthattemptstoactivateTACCandAutosteerwithadouble-pullofthecruisestalkwhenAutosteerisnot
Driverengagementreferstothedriver’sengagementinmonitoringthedrivingenvironmentandbeingpreparedtotakeimmediateactiontoavoidcollisions,ifnecessary.
8
available,neitherfeaturewillactivateandtheAutosteerindicatoriconwillflashorange(Figure
audiblealertwillsound.
4.6
Roadrestrictions.
AccordingtoTesla,Autosteerisdesignedforuseonhighwaysthathavea
centerdividerandclearlanemarkings.
Thesystemdoesnotpreventoperationonanyroadtypes.
The
driverisresponsiblefordecidingwhentheroadtypeandotherconditionsareappropriateforsyst
activation.
Thehands-onwarningsoccurmorefrequentlyasafunctionofvehiclespeed,roadclass,an
existenceofheavytraffic.
5.1
CRASHINCIDENTS
5.2
Autopilotcrashes.
ODIanalyzeddatafromcrashesofTeslaModelSandModelXvehicles
involvingairbagdeploymentsthatoccurredwhileoperatingin,orwithin15secondsoftransitioning
from,Autopilotmode.
14
SomecrashesinvolvedimpactsfromothervehiclesstrikingtheTeslafrom
variousdirectionswithlittletonowarningtotheTesladriver.
Othercrashesinvolvedscenariosknownto
beoutsideofthestate-of-technologyforcurrent-generationLevel1or2systems,suchascut-ins,
andcrossingpathcollisions.
Ifavehicledrivingaheadofyousuddenly
swervesintoyourlane,thesystem
maynot
beabletoautomaticallyrestoretheselected
distance.Thisalsoappliestomajorspeed
differencestovehiclesdrivingaheadofyou,
e.g.,whenrapidlyapproachingatruck.
2016
BMW
7-
SeriesOwner’s
Manual,page174
Figure8.ACCCut-InScenarioWarning.2016BMW7-
SeriesOwner’s
Manual.
Figure9.ACCCut-OutScenarioWarning,2016Volvo
XC90Owner’sManual.
14
Datalogs,imagefiles,andrecordsrelatedtothecrasheswereprovidedbyTeslainresponsetoNHTSA
subpoenas.
9
Figures8and9showexamplesofwarningsfrompeervowner’shiclemanualsindicatingthatthesemodesarechallengingforACCsystems,inLevel1or2operatingmodes,andmayrequireactionbythdrivertoavoidacollision.Similarly,indiscussingACC,theBMWmanualdescribessystemlimitations,includingthatthesystemdoesnotdecelerateforcrosstraffic.15
5.3Driverbehaviorfactors.Manyofthecrashesappeartoinvolvedriverbehaviorfactors,includingtravellingtoofastforconditions,modeconfusion,anddistraction.Mostoftheseinvolvelatesteeringand/orbrakingactionsbythedrivertoavoidthecollision,butafewdonotshowanyactpriortoimpact.Highwayincidents,whichaccountedforalittleoverhalfofthecrashesreviewedbyODI,involvedcut-ins,cut-outs,andsuddenchangesintrafficflow.Somecrashesoccurredin
environmentsthatarenotappropriateforsemi-autonomousdriving(e.g.,citytraffic,highwayentrance/exitramps,constructionzones,inheavyrain,androadjunctions/intersections).
ODI’sanalysisofincidentsrelatedtomodeconfusiondidnotidentifyapatternoffailuresindapotentialdesigndefect.IncidentsincludedapparentmodeconfusionduringattemptedAutopilotactivationsandmodeconfusionafterinadvertantoverrides.Theincidentsassociatedwitheachofthesescenarioswereisolatedeventsthatinvolveddifferentsetsofcontributingfactors.Recentchanges
implementedbyTeslahavebeenmadetofurtherreducethepotentialformodeconfusioninthesubjec
vehicles.16
TheFloridafatalcrashappearstohaveinvolvedaperiodofextendeddistraction(atleast7seMostoftheincidentsreviewedbyODIinvolvedeventswithmuchshortertimeavailableforthesystanddrivertodetect/observeandreacttothependingcollision(lessthan3seconds).Anattentivedriver
hassuperiorsituationalawarenessinmostofthesetypesofevents,particularlywhencoupledwithabilityofanexperienceddrivertoanticipatetheactionsofotherdrivers.Teslahaschangeditsdrivermonitoringstrategytopromotedriverattentiontothedrivingenvironment.
5.4Driverdistraction.Figure10showsthedistributionsofoff-roadglancesbydurationthatwereobservedinaresearchstudybyGeneralMotorsofdriverbehaviorsinvehicleswithLimited-AbilityAutonomousDrivingSystems(LAADS)17whenoperatedinSAELevel1andLevel2modes.18Thedata
showdistractionsoccurineachoperatingmodeandthatthemajorityoccurfor3secondsorlesswh
drivinginACCmodeorwithACCandLaneCenteringControlusedtogether.ODI’sanalysisoffield
incidentsfoundthatmostofthecrashesdevelopedinlessthan3-4seconds.Distractionsgreatertsevenseconds,suchasappearstohaveoccurredinthefatalFloridacrashareuncommon,butforese
Tesla’sModelSOwner’sManualisnotasspecificastheexamplescitedhere;optinginsteadtoidentifyahanofscenariosunderwhichavehiclemaynotbedetected,followedbyabroadwarning:“Thelimitationsdescribedabovedonotrepresentanexhaustivelistofsituationsthatmayinter
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