1、Lessons Learned Entry: 1379Lesson Info:a71 Lesson Number: 1379a71 Lesson Date: 2002-08-29a71 Submitting Organization: JSCa71 Submitted by: Ronald A. MontagueSubject: Securing of Mishap Scene, Evidence, and Witnesses Abstract: The companys failure to implement and enforce their company safety program
2、 as defined in their Safety and a security guard posted until released by the MIB.4. Interviews with personnel on the scene at the time of the mishap were conducted within hours of the incident.All the above actions served to ensure an effective mishap investigation by the formal board. Lesson(s) L
3、earned: In order to conduct a thorough mishap investigation, quick securing of the mishap scene and interviewing all witnesses is essential.Recommendation(s): Publish this lesson as an example of excellence in preliminary mishap response and investigation. Evidence of Recurrence Control Effectivenes
4、s: Not applicable.Documents Related to Lesson: JPG 1700.1, “JSC Safety and Health Handbook,“ Chapter 2.7, Mishap and Incident InvestigationMission Directorate(s): a71 Exploration Systemsa71 Sciencea71 Space Operationsa71 Aeronautics ResearchAdditional Key Phrase(s): a71 Accident Investigationa71 Adm
5、inistration/Organizationa71 Emergency Preparednessa71 Human Resources & Educationa71 Industrial Operationsa71 Mishap ReportingProvided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-a71 Policy & Planninga71 Procurement Small Business & Industrial Relationsa7
6、1 Program and Project Managementa71 Risk Management/Assessmenta71 Safety & Mission AssuranceAdditional Info: Approval Info: a71 Approval Date: 2004-02-09a71 Approval Name: Ron Montaguea71 Approval Organization: JSCa71 Approval Phone Number: 281-483-8576Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-
