1、Lessons Learned Entry: 1433Lesson Info:a71 Lesson Number: 1433a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Transition Process from NASA-led to Independent Board-led Investigation Abstract: To avoid team leadership and publ
2、ic image concerns, NASA should recognize that it will not be the lead public investigative entity in a human space flight mishap.Description of Driving Event: Initially, NASA took a strong lead in organizing the Columbia accident investigation only to be required to allow the Columbia Accident Inves
3、tigation Board (CAIB) to take the lead causing team leadership and public image concerns.Lesson(s) Learned: NASA should recognize from the beginning that NASA will not be the lead public investigative entity of a manned spaceflight mishap.Recommendation(s): a71 Expand the charters of the NASA Accide
4、nt Investigation Team (NAIT), the Columbia Task Force (CTF) and the Columbia Accident Investigation Board (CAIB) more clearly in the NASA Contingency Action Plan (CAP).a71 Replace NASA managers who led the initial phases of the investigation and who were responsible for vehicle and mission operation
5、s with senior manager who were not directly involved in day-to-day decisions.a71 Assign point(s) of contact for releasing reports (including interim and final), video imagery, public releases, etc., to the public and define these tasks clearly in the CAP. Assigned public Provided by IHSNot for Resal
6、eNo reproduction or networking permitted without license from IHS-,-,-affairs representatives from the Board and NASA should manage these tasks closely.a71 Identify a standing accident investigation entity on at least an annual basis. This standing team could also participate as needed in the traini
7、ng simulations, at least annually. Evidence of Recurrence Control Effectiveness: TBD NASA ResponseDocuments Related to Lesson: Agency Contingency Action Plan for Space Flight OperationsMission Directorate(s): a71 Space Operationsa71 Exploration SystemsAdditional Key Phrase(s): a71 Accident Investiga
8、tiona71 Administration/Organizationa71 External Relationsa71 NASA Standardsa71 Policy & Planninga71 Safety & Mission AssuranceAdditional 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-,-,-
