scope:

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.