REG NASA-LLIS-1445--2003 Lessons Learned - Accident Investigations Database Collaborative Tool PBMA (Process Based Mission Assurance).pdf

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1、Lessons Learned Entry: 1445Lesson Info:a71 Lesson Number: 1445a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Database/Collaborative Tool PBMA (Process Based Mission Assurance) Abstract: Experience with PBMA indicates that a

2、single configuration management/electronic library will not meet needs of all investigation participants.Description of Driving Event: During the Columbia accident investigation, Information Technology (IT) and Configuration Management (CM) implementers assumed that the PBMA would meet all the CM/el

3、ectronic library tool needs of the investigation and expectations versus delivery caused frustrations. IT issues became backlogged and personnel were frustrated when their issues with the key CM software and Board management tool were not addressed in a timely fashion.Lesson(s) Learned: Do not assum

4、e that a single CM/electronic library tool will meet needs of all investigation participants.Recommendation(s): a71 Preplan the capabilities needed and the current tools available to quickly and easily begin Board and Task Force operations. Widespread long-term buy-in and use by the investigation an

5、d support teams of a single on-line CM/electronic library capability for action tracking and document search & retrieval may not be attainable.a71 Test the interfacing capabilities of the tools annually.a71 Avoid unknown tools. Complex tools will create backlogs of issues and training nightmares.Pro

6、vided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-a71 Do not under-estimate the constant care and feeding required to address IT availability, access control, and security issues. IT availability, access control, and security issues were numerous during s

7、tartup and although less frequent later on, still were persistent. When these issues arose, everyones issue becomes priority 1, which is understandable but difficult to manage. On-site, adequate co-located support will catch some of these before they became larger issues. Evidence of Recurrence Cont

8、rol Effectiveness: TBD NASA ResponseDocuments Related to Lesson: Agency Contingency Action Plan for Space Flight OperationsMission Directorate(s): a71 Space Operationsa71 Exploration SystemsAdditional Key Phrase(s): a71 Accident Investigationa71 Computersa71 Configuration Managementa71 Information T

9、echnology/Systemsa71 Policy & Planninga71 Procurement Small Business & Industrial Relationsa71 Safety & Mission AssuranceAdditional Info: Approval Info: a71 Approval Date: 2004-06-16a71 Approval Name: Ronald Montaguea71 Approval Organization: JSCa71 Approval Phone Number: 281-483-8576Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-