REG NASA-LLIS-1474--2003 Lessons Learned Accident Investigations Public Inputs to the Investigation Utilization of a Public Website& Toll-Free Number.pdf

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1、Lessons Learned Entry: 1474Lesson Info:a71 Lesson Number: 1474a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Public Inputs to the Investigation/Utilization of a Public Website either personally, or by automatic reply.3. The

2、Public Database should be web-based and secure.4. It is important to make progress in reviewing submissions daily in order not to fall behind in review.a. If there are functions to be tailored, created, or developed, find a mechanism to review and evaluate actions in parallel with development. b. Ex

3、cel is valuable decision tools to keep the momentum in reviewing submissions- make sure the database elements can be downloaded to Excel. 1. It would be helpful if the reviewer of actions has access to the latest thinking and activities of each group. This would have precluded a number of actions fo

4、r the groups to work on due to the activity already being under consideration.2. Responses to the actions were not consistent within each group. It is important to set an early framework for the expectations and degree of response to each action. For example- some Provided by IHSNot for ResaleNo rep

5、roduction or networking permitted without license from IHS-,-,-closed actions without comments, others detailed at least a reason why the action was closed.Recommendation(s): The use of a website and toll free number for public inputs should be considered for all future large accident investigations

6、. The process used by the CAIB should be used as a starting point to document this process. Consideration should be given to documenting this in the Contingency Action Plan (CAP). Evidence of Recurrence Control Effectiveness: TBD NASA ResponseDocuments Related to Lesson: Agency Contingency Action Pl

7、an for Space Flight OperationsMission Directorate(s): a71 Space Operationsa71 Exploration SystemsAdditional Key Phrase(s): a71 Accident Investigationa71 Administration/Organizationa71 Information Technology/Systemsa71 NASA Standardsa71 Policy & Planninga71 Safety & Mission Assurancea71 SecurityAddit

8、ional 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-,-,-Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-