REG NASA-LLIS-1433-2003 Lessons Learned - Accident Investigations Transition Process from NASA-led to Independent Board-led Investigation.pdf
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1、Lessons Learned Entry: 1433Lesson Info:a71 Lesson Number: 1433a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Transition Process from NASA-led to Independent Board-led Investigation Abstract: To avoid team leadership and publ
2、ic image concerns, NASA should recognize that it will not be the lead public investigative entity in a human space flight mishap.Description of Driving Event: Initially, NASA took a strong lead in organizing the Columbia accident investigation only to be required to allow the Columbia Accident Inves
3、tigation Board (CAIB) to take the lead causing team leadership and public image concerns.Lesson(s) Learned: NASA should recognize from the beginning that NASA will not be the lead public investigative entity of a manned spaceflight mishap.Recommendation(s): a71 Expand the charters of the NASA Accide
4、nt Investigation Team (NAIT), the Columbia Task Force (CTF) and the Columbia Accident Investigation Board (CAIB) more clearly in the NASA Contingency Action Plan (CAP).a71 Replace NASA managers who led the initial phases of the investigation and who were responsible for vehicle and mission operation
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