REG NASA-LLIS-1441--2003 Lessons Learned - Accident Investigations Aerospace Safety Advisory Panel (ASAP) National Transportation and Safety Board (NTSB) Roles in Investigation.pdf

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1、Lessons Learned Entry: 1441Lesson Info:a71 Lesson Number: 1441a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Aerospace Safety Advisory Panel (ASAP)/National Transportation and Safety Board (NTSB) Roles in Investigation Abstr

2、act: The roles that organizations such as NASAs Aerospace Safety Advisory Panel and National Transportation Safety Board will play in an accident should be clearly established in advance.Description of Driving Event: The roles of the Aerospace Safety Advisory Panel (ASAP) and the National Transporta

3、tion and Safety Board (NTSB) are not clearly established in NASA accident investigations. Both organizations were called upon to play a limited advisory/data source role in the Columbia accident investigation.Lesson(s) Learned: Organizations, such NASAs ASAP, and the National Transportation and Safe

4、ty Board (NTSB) should be either held to their charter or provided some advisory role in investigations.Recommendation(s): a71 Outline clear roles for all anticipated participants in the Contingency Action Plan (CAP), including the ASAP and the NTSB.a71 Have a Letter of Agreement with each agency ah

5、ead of need.a71 Establish the role of the ASAP as a potential data source, but not an active player from an investigative standpoint. Evidence of Recurrence Control Effectiveness: Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-TBD NASA ResponseDocum

6、ents Related to Lesson: Agency Contingency Action Plan for Space Flight OperationsMission Directorate(s): a71 Space Operationsa71 Exploration SystemsAdditional Key Phrase(s): a71 Accident Investigationa71 Administration/Organizationa71 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-,-,-

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