1、Lessons Learned Entry: 1211Lesson Info:a71 Lesson Number: 1211a71 Lesson Date: 2002-01-01a71 Submitting Organization: JSCa71 Submitted by: Randy Willhite/ Ronald A. MontagueSubject: Establishing formal handling, packaging, and shipping processes Description of Driving Event: A contractor reported th
2、at there had been some discrepancies with the shipment of the Robotic Work Stations (RWS). The preliminary discrepancies were lack of shock indicators, improper Electrostatic Discharge (ESD) packaging, and improper packaging of the shipment. A formal investigation was conducted to determine the root
3、 cause and corrective actions.Root cause: The following root causes were identified by the investigation: 1. Packaging instructions for the RWS assemblies were not being followed, as noted through review of the documentation which showed the personnel handling RWS assemblies several times (to correc
4、t packaging discrepancies) prior to being accepted by customer. Specifically, the units were not disassembled into components and the cables were not properly coiled and secured. Adequate packaging interface data, information, and description of hardware was not provided in the packaging instruction
5、s. Packaging engineering was not informed of names of authorized personnel for coordinating the activities related to packaging engineering, plus the instructions from the vendor were not provided to the packaging engineer.2. No formal process was established for the organization having custody of t
6、he hardware/software to maintain the Acceptance Data Packages (ADP) for the contractor-furnished equipment (CFE) and government-furnished equipment (GFE) in its possession, although the data required to maintain the ADP was generated in this case.3. The packaging instructions were subject to interpr
7、etation by the user. For example a contractors receiving inspection documented that temperature monitoring equipment and shock recording equipment were not present upon opening the container. Per the contractors packaging procedure, these items are not required in the shipping containers but were as
8、sumed by the contractor to be required since they are required per NHB 6000.1D for mission critical equipment.Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Lesson(s) Learned: Rigorous packaging / shipping / handling design and review processes must
9、 be established to protect the integrity of hardware and software while being shipped or transported.Recommendation(s): 1. An approval process for packaging plans, which ensures specific plans are developed and utilized for mission critical equipment, should be established.2. 3. Formal procedures an
10、d responsibilities should be established to ensure proper communication of data and requirements from CFE and GFE providers to the receiving facility.4. A formal process should be established to ensure all effected organizations (i.e., test, manufacturing planning, quality assurance, safety, and shi
11、pping/ receiving/ packaging) review and concur with the data and requirements from the CFE and GFE providers before the hardware/ software arrives.5. Packaging and shipping instructions for mission critical equipment should include all of the required monitoring equipment. They should not depend on
12、the interpretation of requirement documents by receiving organizations to ensure the proper configuration.Evidence of Recurrence Control Effectiveness: N/ADocuments Related to Lesson: N/AMission Directorate(s): N/AAdditional Key Phrase(s): a71 Configuration Managementa71 Explosives Handlinga71 Fligh
13、t Equipmenta71 Ground Equipmenta71 Hardwarea71 Independent Verification and Validationa71 LogisticsProvided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-a71 Packaging Handling Storagea71 Parts Materials & Processesa71 Payloadsa71 Policy & Planninga71 Procu
14、rement Small Business & Industrial Relationsa71 Risk Management/Assessmenta71 Safety & Mission Assurancea71 Softwarea71 Spacecrafta71 Test & Verificationa71 TransportationAdditional Info: Approval Info: a71 Approval Date: 2002-06-17a71 Approval Name: Ronald A. Montaguea71 Approval Organization: JSCa71 Approval Phone Number: 281-483-8576Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-