Chief Health and Medical Officer's Spaceflight Mishap Investigation Flight Surgeon Handbook: A Quick Reference Guide for Mishap Investigations NASA-SP-2020-5006891
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Description
Contents
Reviews
Language
English
ISBN
Unknown
Introduction
1.0 Purpose: Handbook in Support of Human Spaceflight Mishaps
1.1 Contact Personnel
2.0 Overview and Definitions
2.1 Mishap Teams
2.1.1 Interim Response Team (IRT)
2.1.2 Mishap Investigation Team
2.1.3 Mishap Investigation Board
2.1.4 Mishap Interagency Investigation Board (MIIB)
2.2 Types of Mishaps
2.3 Privileged Information
2.3.1 Recognition of Privileged and Protected Information
2.3.2 Handling of Privileged and Protected Information
2.3.3 Privacy Act and HIPAA Considerations
2.4 Hazards
2.4.1 Vehicle-Specific Hazards
2.4.2 Environmental Hazards
2.4.3 Biohazards
2.4.4 Recognition of Hazards
2.4.5 Reporting and Management of Hazards
2.5 Aerospace Injury Patterns
3.0 Pre-Investigation Planning
3.1 Stakeholder Interfacing
3.1.1 Roles, Responsibilities, Hierarchies, and Authorities
3.1.2 Existing Agreements and Working Relationships
3.2 International Partners
3.3 Additional Considerations
3.3.1 Pathogen Transmission: Common Routes and Concerns
3.3.2 Public Affairs Planning
3.3.3 Security Planning
4.0 Immediate Post-Mishap Actions
4.1 Search and Recovery
4.2 Management of Decedents and Mortuary Interfacing
4.3 Ground Operations at the Mishap Site (Field Operations)
4.3.1 On-scene Hazards and Support
4.3.2 Family Support
4.3.3 Behavioral Health Considerations
5.0 The Investigation Process
5.1 Overview
5.2 Process and Procedures
5.3 Roles and Responsibilities
5.4 Initial Wreckage Evaluation
5.5 Interviews
5.5.1 General Interviewing and Data Gathering
5.5.2 Interviewing Basics
5.6 Photographs and Documentation
5.7 Diagrams
5.8 Preservation of Evidence and Materials
5.9 Autopsy
5.10 Death Certification
5.11 Reporting
6.0 Available Investigative Methods and Standardized Processes
6.1 SHELL-D
6.2 Causal Chain – Root Cause Analysis
6.2.1 Fault Tree
6.2.2 Events and Causal Factor Tree
6.3 Human Factors Analysis and Classification System (HFACS)
7.0 Analysis
APPENDIX A: Important Documents
APPENDIX B: Acronyms and Definitions
APPENDIX C: Standard Forms
NASA Written Witness Statement
Standard NASA Witness Form (Form 08-06)
72-Hour History Questionnaire
14-Day History
Impoundment of Records and Evidence
Data to Obtain
Chain of Custody
Mishap Evidence Property Tag
Mishap Evidence Log
Mishap Evidence Custody Form
NASA Mishap Investigation Evidence Property Tag Chain of Custody Tracking Log
NASA Mishap Investigation Evidence and Property Custody Document
Scene Diagram and Sketch Checklist
Photographic and Video Physical Evidence
Mishap Investigation Imagery Log
NTSB Form
APPENDIX D: Go-Kit / Mishap Surgeon’s Tool Kit
APPENDIX E: Contact List
References
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