REG NASA-LLIS-1238-2002 Lessons Learned - Mishap Investigation Boards (MIBs) MIB Policy and Procedures Human Factors Expertise on MIBs.pdf

1、Lessons Learned Entry: 1238Lesson Info:a71 Lesson Number: 1238a71 Lesson Date: 2002-06-17a71 Submitting Organization: HQa71 Submitted by: David LengyelSubject: Mishap Investigation Boards (MIBs)/MIB Policy and Procedures/Human Factors Expertise on MIBs Description of Driving Event: Lack of requireme

2、nt for inclusion of human factors expertise on MIBs as a matter of policy.Lesson(s) Learned: There is no requirement for Mishap Investigation Boards (MIBs) to include individuals specifically trained in accident investigation and human factors.Recommendation(s): Adopt a requirement for the inclusion

3、 of accident investigation and human factors expertise on MIBs. Evidence of Recurrence Control Effectiveness: NPD 8621.1G states that it is NASAs policy to conduct NASA mishap investigations, using NASA MIBs, with properly trained personnel. At the Space Shuttle Program level, this has been implemen

4、ted through the assignment of the Mishap Investigation Team. All members of this team have had accident investigation training and the Chairman has completed the NTSB accident investigation school and USC Aviation Safety curriculums.Documents Related to Lesson: N/AProvided by IHSNot for ResaleNo rep

5、roduction or networking permitted without license from IHS-,-,-Mission Directorate(s): a71 Exploration Systemsa71 Sciencea71 Space Operationsa71 Aeronautics ResearchAdditional Key Phrase(s): a71 Administration/Organizationa71 Aerospace Safety Advisory Panela71 Human Factorsa71 Human Resources & Educ

6、ationa71 Policy & Planninga71 Risk Management/Assessmenta71 Safety & Mission AssuranceAdditional Info: Approval Info: a71 Approval Date: 2002-06-27a71 Approval Name: Bill Loewya71 Approval Organization: HQa71 Approval Phone Number: 202-358-0528Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-