NASA-LLIS-1084
Lessons Learned - Mishap Investigation Board Report Findings for the GSFC Building 24 Pressurized Steam Line Close Call of August 19, 1999
| 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.
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