REG NASA-LLIS-1328-2002 Lessons Learned Incorrect Flight Hardware Labeling Causes Potential Human Performance Errors.pdf

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1、Lessons Learned Entry: 1328Lesson Info:a71 Lesson Number: 1328a71 Lesson Date: 2002-10-11a71 Submitting Organization: KSCa71 Submitted by: Kristine RelviniSubject: Incorrect Flight Hardware Labeling Causes Potential Human Performance Errors Description of Driving Event: During Payload test and check

2、out System (PTCS) testing of flight hardware, steps in the testing procedure to verify a certain configuration was inconsistent with actual payload labeling.Lesson(s) Learned: For incorrect labeling, PRACA would be taken which requires signatures of the chain of command up to and including the CREW

3、office.Recommendation(s): To ensure appropriate labeling and compliance with SSP 57000 section 3.12, utilize the Human Factors Implementation Team (HFIT) to review payload at the developers site.Device a consistent nomenclature in standard procedures to differentiate clockwise versus counterclockwis

4、e.Evidence of Recurrence Control Effectiveness: N/ADocuments Related to Lesson: N/AProvided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Mission Directorate(s): N/AAdditional Key Phrase(s): a71 Ground Operationsa71 Human Factorsa71 Safety & Mission AssuranceAdditional Info: Approval Info: a71 Approval Date: 2003-03-17a71 Approval Name: Gena Bakera71 Approval Organization: KSCa71 Approval Phone Number: 321-867-4261Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-