REG NASA-LLIS-1339-2003 Lessons Learned Selection of Proper Equipment to Perform Task.pdf

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1、Lessons Learned Entry: 1339Lesson Info:a71 Lesson Number: 1339a71 Lesson Date: 2003-04-24a71 Submitting Organization: KSCa71 Submitted by: Robert A. GerronSubject: Selection of Proper Equipment to Perform Task Description of Driving Event: On March 20, 2003, a 128,500 lb. LOX dewar was being transpo

2、rted from the Kennedy Space Center (KSC) to the Cape Canaveral Air Force Station (CCAFS). A commercial carriers trailer was used for the operation. The particular trailer used was selected by the commercial carrier. The commercial carrier was a second-tier subcontract to the NASA prime contractor ac

3、tivating the Advanced Technology Development Center at Complex 20 on CCAFS. During the move, the dewar, trailer, and tractor rolled to the left, with the dewar ultimately breaking free from the trailer and coming to rest in the ditch.The dominant root cause of the mishap was the selection and use of

4、 a trailer which was undersized for the application. The trailer was overloaded approximately 200%.Lesson(s) Learned: Improper choice of equipment can occur if the choice is made solely upon the operators experience in lieu of documented load capacities.Recommendation(s): Verify load capacities prio

5、r to using equipment. Evidence of Recurrence Control Effectiveness: N/AProvided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Documents Related to Lesson: N/AMission Directorate(s): N/AAdditional Key Phrase(s): a71 Standarda71 TransportationAdditional Info: Approval Info: a71 Approval Date: 2003-06-26a71 Approval Name: Gena Bakera71 Approval Organization: KSCa71 Approval Phone Number: 321-867-4261Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-

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