REG NASA-LLIS-1458--2003 Lessons Learned - Accident Investigations Recorders.pdf

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1、Lessons Learned Entry: 1458Lesson Info:a71 Lesson Number: 1458a71 Lesson Date: 2003-08-31a71 Submitting Organization: JSCa71 Submitted by: David LengyelSubject: Accident Investigations/Recorders Abstract: Ground rules, methods, and equipment for witness interview transcription, review, and revision

2、should be established up front to preclude subsequent issues.Description of Driving Event: The Columbia Accident Investigation Board (CAIB) experimented with different methods to record private witness interviews creating problems with transcriptions.Lesson(s) Learned: For accident investigations, g

3、round rules, processes and equipment necessary for review and revision of transcribed interviews should be established prior to the first interview.Recommendation(s): a71 Assign a Support Staff member to pre-test recording equipment under a variety of circumstances (e.g. where interviews will actual

4、ly take place) to make certain it will accomplish the task it is intended to accomplish.a71 Address room logistics, including room size, access control, and documentation control.a71 Use analog tape (not digital) for electronic recorders; it is easier to copy and duplicate, and the files are in a st

5、andard format unlike some digital devices. Laptop-based recording did not work for this investigation. Evidence of Recurrence Control Effectiveness: Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-TBD NASA ResponseDocuments Related to Lesson: Agency

6、Contingency Action Plan for Space Flight OperationsMission Directorate(s): a71 Space Operationsa71 Exploration SystemsAdditional Key Phrase(s): a71 Accident Investigationa71 Administration/Organizationa71 Computersa71 Configuration Managementa71 Information Technology/Systemsa71 Logisticsa71 NASA St

7、andardsa71 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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