NASA Headquarters' Directives
HQPR 8621.1 Effective Date: November 08, 2011 Expiration Date: November 08, 2016 Responsible Office: LM	Mishap Reporting, Investigating, and Recordkeeping Program and Plan

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TABLE OF CONTENTS

PREFACE
P.1 PURPOSE
P.2 APPLICABILITY
P.3 AUTHORITY
P.4 APPLICABLE DOCUMENTS
P.5 MEASURMENT/VERIFICATION
P.6 CANCELLATION

CHAPTER 1. Mishap and Close Call Reporting, Investigating, and Recordkeeping

1.1 Overview
1.2 Policy

CHAPTER 2. Roles and Responsibilities

2.1 The Executive Director, Office of HQ Operations
2.2 Officials in Charge (OIC)
2.3 Employees
2.4 Supervisors
2.5 HQ Safety Office, Facilities and Administrative Services Division (FASD)
2.6 Mishap Investigator(s)
2.7 HQ Security Office
2.8 HQ Health Unit
2.9 Office of the General Counsel
2.10 Contracting Officers (CO) and Contracting Officer’s Technical Representative (COTR)
2.11 Office of Public Affairs

CHAPTER 3. Notification and Reporting Procedures

3.1 Notification to HQ Safety Office of an Incident
3.2 Notification to the Executive Director of an Incident
3.3 Notification to NASA HQ Offices of an Incident
3.4 Notification to OSHA of an Incident
3.5 Notification by Contractor of an Incident
3.6 Notification to HQ Employees of an Incident

CHAPTER 4. Mishap Response Procedures

4.1 Securing the Mishap/Incident Site
4.2 Safety Precautions

CHAPTER 5. Mishap/Incident Classification and Investigation Process

5.1 Determining Classification Level and Type of Investigation
5.2 Investigation Appointing Official
5.3 Appointing the Investigating Authority
5.4 Conducting an Incident Investigation
5.5 Corrective Action Plan (CAP)
5.6 Lessons Learned
5.7 Mishap Warning-Action-Response
5.8 Process to Close an Incident Case File
5.9 Closing the Incident Case File in IRIS
5.10 Distributing Mishap Report Information
5.11 Incidents Involving Criminal Activity, Weather, Aircraft, or Motor Vehicle

CHAPTER 6. Recordkeeping

6.1 Mishap Documents
6.2 OSHA 300 Log

CHAPTER 7. Training

APPENDIX A: Terms and Definitions

APPENDIX B: HQ Mishap Response Checklist

APPENDIX C: Notification Checklist for Executive Director, HQ Operations

APPENDIX D: HQ Notification and Contact List

APPENDIX E: Example of 1-Hour Phone Report to OSMA/SARD

APPENDIX F: Mishap Classification Levels

APPENDIX G: Mishap Classification and Investigation Type

APPENDIX H: Example of Investigating Authority Appointment Letter

APPENDIX I: Mishap/Incident Investigation Form

APPENDIX J: Example - Statement of Witnesses

APPENDIX K: Example of HQ Type C, Type D, and Low- VisibilityIncident/Mishap Report

APPENDIX L: Acronyms