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NASA-LLIS-1084

Lessons Learned - Mishap Investigation Board Report Findings for the GSFC Building 24 Pressurized Steam Line Close Call of August 19, 1999

active, Most Current
Organization: NASA
Publication Date: 24 March 2000
Status: active
Page Count: 7
scope:

Abstract:

The primary cause of this Central Power Plant (CPP) pressurized steam line incident was that no one took responsibility for coordinating all aspects of executing the outage.

Recommendations included revising procedures, conducting an independent safety audit of the CPP, Developing as-built drawings for the CPP, and establishing "Locked And Tagged Out" processes and requirements.

Document History

NASA-LLIS-1084
March 24, 2000
Lessons Learned - Mishap Investigation Board Report Findings for the GSFC Building 24 Pressurized Steam Line Close Call of August 19, 1999
Abstract: The primary cause of this Central Power Plant (CPP) pressurized steam line incident was that no one took responsibility for coordinating all aspects of executing the outage....
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