NASA-LLIS-0588
Lessons Learned – Solid Rocket Booster (SRB) Holddown Post Incident
| Organization: | NASA |
| Publication Date: | 13 May 1998 |
| Status: | active |
| Page Count: | 3 |
scope:
Description of Driving Event:
On October 8, 1997, a 7,000-pound Solid Rocket Booster Holddown Post (HDP) slid off a forklift while it was being moved up a slight ramp into the low bay of building M7-505 at the Launch Equipment Test Facility (LETF). Neither damage to the holddown post nor injuries to personnel occurred during this near miss.
Root Causes:
1. Design: The less than optimal design of the shipping/handling pallet and the load restraint configuration of the HDP provided a minimal margin for stability (see figure 1).
2. Procedure: The forklift operator's lack of attention to the HDP configuration and good forklift operating practices contributed to the unstable conditions.
3. Environment: Storage of equipment in the rollup door area hindered the forklift's approach and contributed to the improperly angled entry into the area.
Document History