Description of Driving Event:
There were a number of different organizations involved in the processing of the 2A hardware and each organization had its own set of work rules. This often caused confusion among the different organizations and KSC personnel that were required to work on the hardware. There were also policies and work practices that were new to the organizations and were not documented for a consistent implementation. These policies and rules ranged from topics like tool control and access control to topics such as scheduling and test readiness reviews. The confusion with the rules and policies often led to work delays and the loss of a team atmosphere. Root cause: Integration of multiple players was not factored into program planning at the lowest levels.
Lesson(s) Learned:
Processes requiring the support and participation of multiple entities must be pre-established by the host facility prior to need
Recommendation(s):
The 2A team established standard work policies to ensure consistent processing of the flight hardware. - The policies and processes were documented in a "2A Team Instruction" which was approved by all the effected organizations. The Team Instruction documented all approved processes for processing the hardware. Documented under the team instruction were tool control in and around the flight hardware, access to the flight hardware, contamination and foreign object debris (FOD) control methods, test readiness review and constraint review processes, configuration control procedures, red streamer and mate/demate log procedures, etc.
- Team Instructions have been established for other missions; however, it is recommended that a consistent set of Team Instructions be established for all Space Stations hardware. In addition, the methods and process learned should be applicable to all other ISS segments.
- Discipline should continue to be maintained by the facility host or responsible prime contractor.
Evidence of Recurrence Control Effectiveness:
N/A
Documents Related to Lesson:
N/A
Mission Directorate(s):
- Exploration Systems
- Science
- Space Operations
- Aeronautics Research
Additional Key Phrase(s):
- External Relations
- Facilities
- Flight Operations
- Ground Operations
- Industrial Operations
- Policy & Planning
- Range Operations
- Risk Management/Assessment
- Test Facility
Additional Info:
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