REG NASA-LLIS-1451--2003 Lessons Learned - Accident Investigations Configuration Management of Data.pdf

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1、Lessons Learned Entry: 1451Lesson Info:a71 Lesson Number: 1451a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Configuration Management of Data Abstract: Strong support to the CM organization is required to develop a fully fun

2、ctional action/request process and as quickly as possible and minimize the impact to the conduct of the investigation.Description of Driving Event: For the Columbia accident investigation, the end-to-end CM process for actions/requests for information took significantly longer than expected to be es

3、tablished and begin running smoothly. A manual, paper-based signoff process further hampered it.Lesson(s) Learned: To develop a fully functioning action/request for information process to support an accident investigation will take several weeks. Assure strong support to the CM organization because

4、until it is working, the investigation will be hampered.Recommendation(s): a71 Designate CM specialists to analyze and tune the various CM processes and sub-processes for improvements and efficiencies. The start-up phase for the full end-to-end CM process to support an accident investigation may tak

5、e 4-6 weeks. Additional CM personnel would probably speed up that startup inefficiency. After the start-up phase, the end-to-end CM process for a single action may still take on average around 3 weeks.a71 Designate a Board support member to ensure that Board members understand the CM processes, so a

6、s to not create management issues.a71 Use electronic OR manual concurrence for the CM process (not both). The process must Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-avoid multiple entries and differing status. Evidence of Recurrence Control Eff

7、ectiveness: 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 Administration/Organizationa71 Computersa71 Configuration Man

8、agementa71 Information Technology/Systemsa71 NASA Standardsa71 Policy & Planninga71 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-,-,-