NASA Procedures and Guidelines

This Document is Obsolete and Is No Longer Used.
Check the NODIS Library to access the current version:
http://nodis3.gsfc.nasa.gov

NPR 8621.1

Eff. Date: June 02, 2000

Cancellation Date: February 11, 2004

NASA Procedures and Guidelines for Mishap Reporting, Investigating, and Recordkeeping

APPENDICES

A. Terms and Definitions

B.Guidelines for the Preservation of Evidence
B-1. Locating and Preserving Physical Evidence
B-2. Mapping the Mishap Scene
B-3. Photography
B-4. Documentary Evidence

C.Release of Information Concerning Mishaps and Casualties

D.Release of Mishap Investigation Reports

E.Guidelines for Witness Interviewing
E-1. Statement to Witnesses
E-2. Locating and Interviewing Witnesses

F.Mishap Organizational Responsibilities Matrices
F-1. NASA Mishap Reporting Requirements Matrix
F-2. Mishap Organizational Responsibilities Matrix
F-3. Mishap Appointing/Approving Official Matrix

G.Mishap Site Safety

H.Sample Documentation
H-1. Sample Appointing Official Appointment Letter
H-2. Mishap Investigation Board Appointment Letter
H-2.1. Attachment A to Appointment Letter
H-3. Mishap Investigation Report Format
H-4. Causal Factors and Recommendations
H-5. Finding, Cause, Observation, and Recommendation Format
H-6. Corrective Action Plan Format
H-7. Mishap Summary Report Format

I.Mishap Investigation Techniques
I-1. Root Cause Analysis Methodology
I-2. Evidence and Data Analysis
I-3. Advanced Analytical Techniques
I-3.1. Events and Causal Factors Diagramming
I-3.2. Management Oversight and Risk Tree (MORT)
I-3.3. Sequentially Timed Events Plotting (STEP)
I-3.4. Change Analysis
I-3.5. Fault Tree Analysis

J.Mishap Investigation Checklists
J-1. Mishap Investigation and Followup Process Checklist
J-2. Immediate Action Checklist
J-3. Mishap Board Checklist
J-4. Witness Interview Checklist
J-5. Human Factors Checklist
J-6. Training and Certification Checklist
J-7. Systems Investigator Checklist
J-8. Operations Checklist
J-9. Maintenance and Inspection Checklist
J-10. Investigation Kit
J-11 Aircraft Flight Mishap Checklist

K.Incident Reporting Information System (IRIS)

L.Acronyms

NASA Procedures and Guidelines

This Document is Obsolete and Is No Longer Used. Check the NODIS Library to access the current version: http://nodis3.gsfc.nasa.gov

NASA Procedures and Guidelines for Mishap Reporting, Investigating, and Recordkeeping

DISTRIBUTION: NODIS

This Document is Obsolete and Is No Longer Used. Check the NODIS Library to access the current version: http://nodis3.gsfc.nasa.gov

This Document is Obsolete and Is No Longer Used.
Check the NODIS Library to access the current version:
http://nodis3.gsfc.nasa.gov

DISTRIBUTION:
NODIS

This Document is Obsolete and Is No Longer Used.
Check the NODIS Library to access the current version:
http://nodis3.gsfc.nasa.gov