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NASA-LLIS-1758
Lessons Learned – Communicate Departures From Standard Operating Conditions (Video Lesson)
Year: 2006
Abstract: Abstract:
A video clip lesson learned on the topic of Process Control. During the process of machining a piece of mission critical hardware, a metal lathe was shut down so that a new filter system could be installed. Coolant was emptied from the lathe and replaced with a cleaning solution. After the operator on the next shift began work on the part, he noticed that the appearance of the fluid was different and shut down the equipment. Cleaning solution contains acids that can permanently damage hardware. The hardware was inspected for damage, and a lock and tag-out procedure was instituted to prevent a future incident. Mission success depends on alert employees who notice problems when the system doesn?t. This 1-minute, 55-second video is a product of the Space Shuttle Program and its Process Control Focus Group.
A video clip lesson learned on the topic of Process Control. During the process of machining a piece of mission critical hardware, a metal lathe was shut down so that a new filter system could be installed. Coolant was emptied from the lathe and replaced with a cleaning solution. After the operator on the next shift began work on the part, he noticed that the appearance of the fluid was different and shut down the equipment. Cleaning solution contains acids that can permanently damage hardware. The hardware was inspected for damage, and a lock and tag-out procedure was instituted to prevent a future incident. Mission success depends on alert employees who notice problems when the system doesn?t. This 1-minute, 55-second video is a product of the Space Shuttle Program and its Process Control Focus Group.
Subject: Additional Categories.Configuration Management
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| contributor author | NASA - National Aeronautics and Space Administration (NASA) | |
| date accessioned | 2017-09-04T16:22:00Z | |
| date available | 2017-09-04T16:22:00Z | |
| date copyright | 04/28/2006 | |
| date issued | 2006 | |
| identifier other | TOXCQCAAAAAAAAAA.pdf | |
| identifier uri | https://yse.yabesh.ir/std/handle/yse/85371 | |
| description abstract | Abstract: A video clip lesson learned on the topic of Process Control. During the process of machining a piece of mission critical hardware, a metal lathe was shut down so that a new filter system could be installed. Coolant was emptied from the lathe and replaced with a cleaning solution. After the operator on the next shift began work on the part, he noticed that the appearance of the fluid was different and shut down the equipment. Cleaning solution contains acids that can permanently damage hardware. The hardware was inspected for damage, and a lock and tag-out procedure was instituted to prevent a future incident. Mission success depends on alert employees who notice problems when the system doesn?t. This 1-minute, 55-second video is a product of the Space Shuttle Program and its Process Control Focus Group. | |
| language | English | |
| title | NASA-LLIS-1758 | num |
| title | Lessons Learned – Communicate Departures From Standard Operating Conditions (Video Lesson) | en |
| type | standard | |
| page | 3 | |
| status | Active | |
| tree | NASA - National Aeronautics and Space Administration (NASA):;2006 | |
| contenttype | fulltext | |
| subject keywords | Additional Categories.Configuration Management | |
| subject keywords | Additional Categories.Hardware | |
| subject keywords | Additional Categories.Human Resources & Education | |
| subject keywords | Additional Categories.Industrial Operations | |
| subject keywords | Additional Categories.Parts | |
| subject keywords | Materials | |
| subject keywords | & Processes | |
| subject keywords | Additional Categories.Safety & Mission Assurance | |
| subject keywords | Manufacturing and Assembly | |
| subject keywords | Safety and Mission Assurance.Advanced planning of safety systems | |
| subject keywords | Safety and Mission Assurance.Configuration Change Control | |
| subject keywords | Safety and Mission Assurance.Maintenance | |
| subject keywords | Safety and Mission Assurance.Product Assurance | |
| subject keywords | Safety and Mission Assurance.Quality |