People

Carolyn Turner

Carolyn Turner

Mishap Investigation Program Executive

Learn more about Mishap Investigation Program Executive Carolyn Turner.

Read More

Points of Contact

For details on contacting a Mishap Investigation Point of Contact (PoC) for your location, click below.

Find Your PoC

Learning

Launch SATERN 

SATERN Courses

Course Title Course Number Buttons
Completing the Investigation and Mishap Report
SMA-002-09
SMA-002-09 Details
Introduction to Human Factors in Mishap and Close Call Investigation SMA-001-07 SMA-001-07 Details
Mishap Investigation Board (MIB) Chair Training SMA-002-13 SMA-002-13 Details
Mishap Investigation Roles and Responsibilities
SMA-002-08
SMA-002-08 Details
NASA Human Factors in Mishap Investigation SMA-002-15 SMA-002-15 Details
NASA Interim Response Team Training SMA-002-11 SMA-002-11 Details
Overview of Mishap Investigations
SMA-002-07
SMA-002-07 Details
Root Cause Analysis
SMA-002-10
SMA-002-10 Details

Instructor-Led Courses

NASA Root Cause Analysis SMA-SAFE-OSMA-4003

This course provides training on Root Cause Analysis methodology that can be used in both general problem solving and Mishap and Close Call Investigation. It allows students to gain hands-on experience differentiating between events and conditions, identifying cause and effect relationships, discriminating between barriers and controls, constructing a timeline, and constructing Event and Causal Factor Trees. Examples and exercises will be provided from NASA and other government agencies.

SMA-SAFE-OSMA-4003 DetailsLaunch SATERN

Policy and Guidance

NASA

NPR 8621.1 NASA Procedural Requirements for Mishap and Close Call Reporting, Investigating, and Recordkeeping

This policy provides requirements to report, investigate and document mishaps, close calls and previously unidentified serious workplace hazards to prevent recurrence of similar accidents.

See NPR 8621.1
MPCP Logo

Mishap Preparedness and Contingency Plan Software

The Mishap Preparedness and Contingency Plan (MPCP) software is designed to assist NASA programs and projects in developing Contingency Plans required under NPR 8621.1, NASA Procedural Requirements for Mishap and Close Call Reporting, Investigating, and Recordkeeping. Program and project required inputs relating to mission success, pre-declares, hardware, hazards and key process phases are captured in a structured format with the final product generated in Microsoft Word.

Go to MPCP Software

Flight Safety Office Interactive Tools

The Johnson Space Center Safety and Mission Assurance Flight Safety Office developed a suite of interactive tools to communicate significant safety mishaps and risks in human spaceflight. The tools are intended to raise awareness of past incidents and lessons learned to prevent future mishaps and make missions safer.

Frequently Asked Questions