Title: NASA Operations
1NASA Operations Engineering Board (OEB)
FY01 Safety Health (SH) Assessment
Jon Mullin/HQ/QS Art Lee/HQ/QS
Dr. Bill Barry/KSC/QA March 7,
2002
(1)
2Operations Engineering Board (OEB)
FY01 Assessments
- OEB Activities for FY01
- OEB Reviews Performed
- Ames Research Center (March 6-8, 2001)
- Unitary Plan Wind Tunnel (UPWT)
- Langley Research Center (August 28-31, 2001)
- National Transonic Facility (NTF)
- OEB Participants
- NASA Headquarters
- Safety Mission Assurance Office
- Chief Health Medical Office
- Facilities Engineering Division
- Environmental Management Division
- Institutional Program Offices
- NASA Centers
3Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
- Areas of Concern Include Safety Fire
Protection Lifting Devices and Equipment
Emergency Preparedness Security Occupational
Health Operations Maintenance - Safety
- Conduct a complete Safety Walk-down of UPWT by
experienced Safety, Fire, and Health Team - Include all Collateral Equipment (Drives,
Auxiliaries, etc.) in required Facility Condition
Assessment IAW NPD 8831.1B - Evaluate potential risks from a seismic event
since unmodified portion of UPWT not meeting
current seismic standard - Evaluate risks from potential Failure of
Compressed Gas Containers in event of an
Earthquake
4Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
(Contd.) - Safety (Contd.)
- Recommend ARC Code Q update Hazard Risk
Identification Control Documentation to include
System Safety Hazard Reports - What are the Root Causes from the extensive
number of Contractor Failures during UPWT Project
Upgrade - Evaluate Customer Requirements to insure against
Facility Failure - Explain the Process assuring Document changes are
flowed down to all related Documents - Lack of Knowledge Concerning Agencys
Lessons-Learned Information System (LLIS) - Implement the GIDEP process and provide user
training
5Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
(Contd.) - Safety (Contd.)
- Review Uninterruptible Power Supply (UPS)
Configuration and consider tying in model homing
system in case of Power loss - Confirm how Probabilistic Risk Assessments (PRAs)
have been satisfied for UPWT - Confirm Risk Based Acquisition Management (RBAM)
was conducted for UPWT contracts - Performance Evaluation Profile (PEP) results
should be utilized to improve UPWT Safety
Health Program - Review Reliance on Unassisted Voice
Communications in Test Environment and evaluate
Recording of Voice Loops in UPWT Control Rooms,
if Communication Systems installed
6Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
(Contd.) - Fire Protection
- Improper Storage of Chemicals and Flammable
Materials in violation of NFPA and NASA
requirements - Lack of Fire Alarm Pull Stations at all Exits in
violation of NFPA and NASA requirements - Placement of Fire Extinguishers is extremely
dense potentially causing unnecessary costs (ref.
NFPA 10) - Define and document Approval Process for
transporting Hazardous Materials to UPWT in the
Test Planning Guide WT Operations Division
H.S.T.P. - Add Fire Safety Information to the Test Planning
Guide WT Operations Division H.S.T.P.
7Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
(Contd.) - Lifting Devices and Equipment (LDE)
- Verify that Lifting Devices and Slings are
properly tested IAW NSS/GO 1740.9B for LDE - Confirm that required Hazard Analyses and Failure
Modes Effects Analyses (FMEAs) were done prior
to conducting Critical Lifts - Emergency Preparedness Security
- Evacuation Routes from the UPWT Control Rooms and
Other Intensive Work Areas need to be clearly
marked - All UPWT Workers need to be frequently trained
and updated on the proper Emergency Egress with
documentation of Training as required by OSHA - Conduct Human Factors Study to Evaluate
Standardized Emergency Shutdown Procedures for
all WTs
8Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
(Contd.) - Emergency Preparedness Security (Contd.)
- Add Emergency Information to the Test Planning
Guide WT Operations Division H.S.T.P. - Provide ARC Policy on Background Investigations
for New Employees, especially unescorted access
to Critical Facilities - Occupational Health
- WT Guide for ARC requires an Eye Exam every 4
years, but Center Medical Office unaware of the
requirement - need resolution - Concern with the Noise-levels in the UPWT
Control Rooms
9Operations Engineering Board (OEB)
FY01 SH Assessments
- Ames Research Center Review, March 6-8, 2001
- Reviewed Unitary Plan Wind Tunnel (UPWT)
- Observations
- ARC should consider using SOLAR Web-based
Training for improving Training opportunities
Center-wide - Lessons-Learned for ARC Wind Tunnels should be
better shared between Code R (Office of Aerospace
Technology) Centers - Revisiting Hazard Risk Analysis on a Regular and
Periodic Basis by UPWT is fundamental to a Good
Risk Management Program
10Operations Engineering Board (OEB)
FY01 SH
Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
- Areas of Concern Include Safety Emergency
Preparedness Fire Protection Lifting Devices
and Equipment and Operations Maintenance - Safety
- Assure Operational Staffing Levels are maintained
and Corporate Knowledge is being transferred and
captured - Explain how the Center Director is made aware of
the Risk Acceptance decisions made for the
Center - Establish and communicate a strong and formal
Timeout Policy Center-wide - NTF Management should become more familiar with
Johnson Controls (JCI) Safety Health Plan
11Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
(Contd.) - Safety (Contd.)
- Determine what Collateral Damage may occur should
the NTF as a Pressure Vessel and System (PV/S)
rupture during a Test and who updates the Hazard
Analysis as part of the Facility System Safety
Program - A complete Inventory of Flexible Hoses for PV/S
is required IAW NPD 8710.5 - Evaluate a Facility Closed Circuit TV System to
improve Safety and Security - Improve Confined Space Entry Management at the
NTF - Management should advocate Funding to Upgrade
Software/Hardware for Reliable WT Control Data
Acquisition System
12Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
(Contd.) - Safety (Contd.)
- Evaluate use of UPS in the NTF Control Room to
protect Oxygen Monitoring Systems, Computers,
Data Acquisition Systems - Explain why the Oxygen Monitoring System is on a
12- month Calibration Cycle - Recognize LaRCs VPP Star Status however,
Lock-Out/ Tag-Out (LO/TO) Program is less
stringent than at many other Centers and should
be re-evaluated independently - Utilize the Agencys Lessons-Learned Information
System (LLIS) Database - Reconsider Philosophy on displaying NSRS Agency
Safety Initiative (ASI) Information (Displays
currently limited), especially in High Traffic
Areas Center-wide
13Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
(Contd.) - Safety (Contd.)
- Project INFUSE should utilize the Agencys
Risk Assessment Training (sponsored by HQ/Code
QE) - Confirm Data Retention (5 Years) complies with
NPG 1441 - Review all Procedures or Actions to achieve
orderly or Emergency Shut-down and generate or
revise Procedures, where appropriate - As changes are made in Safety Emergency
Procedures, assure Personnel are properly trained
and training is documented
14Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
(Contd.) - Fire Protection
- Many Emergency Lights were either partially or
totally burned out along with a need to improve
Egress Identification - Evaluate Fire Extinguisher placement and Training
in the NTF - Review Under-floor Wet Fire Sprinkler System to
determine if Gaseous Suppression may be better - Lifting Devices and Equipment (LDE)
- Verify that LDE Program is consistent with NSS/GO
1740.9B - Ensure Compliance of Certifying and Tagging of
Slings IAW NSS/GO 1740.9B - Develop Center-wide Policy defining Critical
Lifts
15Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
(Contd.) - Operations Maintenance
- How is NTF Maintenance Data, including Roles
Responsibilities and reporting of Facility
Health, communicated to Center Management - Explain Value to be derived from Third Party
(Plexus Scientific) review of Maintenance Program - NTF Facility Safety Head should be included and
utilized as Critical input to Project INFUSE
Reliability Centered Maintenance (RCM) Plan - Use Incident Reporting Information System (IRIS)
as a source of information for developing Project
INFUSE RCM Plan - Include Construction of Facilities (CoF) in
Backlog of Maintenance Repairs (BMAR) reduction
planning
16Operations Engineering Board (OEB)
FY01 SH Assessments
- Langley Research Center Review, August 28-31,
2001 - Reviewed National Transonic Facility (NTF)
- Observations
- Suggest using Third Party to conduct Facility
Condition Assessment rather than the current
Maintenance Contractor - LaRC needs to continue their Program of replacing
the recalled Omega Fire Sprinklers Heads and
identifying recently recalled Central Sprinkler
Heads - Recommend installing Sound Discs for effective
repeatable Vibration Analysis Data collection - Suggest linking Customer satisfaction feedback
data to a set goal to trigger corrective/preventiv
e action part of ISO Program
17Operations Engineering Board (OEB)
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