-----------------------------------------------------------------------
  **MSFC PRACA : 2003-02-12 07:54**

  -----------------------------------------------------------------------

  -----------------------------------------------------------------------
  MSFC Problem Reporting and Corrective Action (PRACA) System

  WHOLE RECORD REPORT( + ADDENDUM)
  -----------------------------------------------------------------------

+--------------+---------------+-----------+---------+------+--------+
| **MSFC       | **In-Flight   | **C       | **      | *    |        |
| Record \#**\ | Anomaly       | ontractor | JSC#**\ | *KSC |        |
| A00012       | Number**\     | Report    | \--     | #**\ |        |
|              | \--           | Number**\ |         | \--  |        |
|              |               | P-025     |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Problem    |               |           |         |      |        |
| Title**\     |               |           |         |      |        |
| FRACTURED    |               |           |         |      |        |
| PYRO BOLT    |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **EICN#**\   | **ELEMENT**\  | **Cont    | **F     | **   |        |
| \--          | ET            | ractor**\ | SCM#**\ | FCRI |        |
|              |               | MMMSS     | \--     | T**\ |        |
|              |               |           |         | 1    |        |
+--------------+---------------+-----------+---------+------+--------+
| **HCRIT**\   | **Sys_Lvl**\  | **Misc    |         |      |        |
| \--          | N             | Codes**\  |         |      |        |
|              |               | A **(2)** |         |      |        |
|              |               | B **(X)** |         |      |        |
|              |               | C D E F G |         |      |        |
|              |               | H I J K L |         |      |        |
|              |               | M N O     |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| *            | **NO          | *         | **SER/  | *    |        |
| *HARDWARE**\ | MENCLATURE**\ | *PART#**\ | LOT#**\ | *MAN |        |
| EIM          | N/A           | N/A       | N/A     | UFAC |        |
|              |               |           |         | TURE |        |
|              |               |           |         | R**\ |        |
|              |               |           |         | N/A  |        |
+--------------+---------------+-----------+---------+------+--------+
| *            | **NO          | *         | **SER/  | *    |        |
| *HARDWARE**\ | MENCLATURE**\ | *PART#**\ | LOT#**\ | *MAN |        |
| LRU          | GND UMB CARR  | 826290    | N/A     | UFAC |        |
|              | PLT           | 21000-029 |         | TURE |        |
|              |               |           |         | R**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| *            | **NO          | *         | **SER/  | *    |        |
| *HARDWARE**\ | MENCLATURE**\ | *PART#**\ | LOT#**\ | *MAN |        |
| NCA          | PYRO BOLT     | PD50      | 000     | UFAC |        |
|              |               | 00020-029 | 0018&19 | TURE |        |
|              |               |           |         | R**\ |        |
|              |               |           |         | HI-S |        |
|              |               |           |         | HEAR |        |
+--------------+---------------+-----------+---------+------+--------+
| **Test/      | **Prevailing  | **F /     | **Fail  | **   |        |
| Operation**\ | Condtion**\   | U**\      | Mode**\ | Caus |        |
| D - DEV      | \--           | F         | \--     | e**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **System**\  | **Defect**\   | **Ma      | **Work  | **   |        |
| PROPULSION   | \--           | terial**\ | Con     | Fail |        |
|              |               | \--       | tact**\ | Dat  |        |
|              |               |           | ALOST   | e**\ |        |
|              |               |           |         | 10   |        |
|              |               |           |         | /25/ |        |
|              |               |           |         | 1978 |        |
+--------------+---------------+-----------+---------+------+--------+
| **Received   | **Date        | **FMEA    | **IFA:  | *    |        |
| at MSFC**\   | Isolated**\   | Ref       | Mission | *Mis |        |
| 06/27/1979   | \--           | erence**\ | P       | sion |        |
|              |               | 2.4.1     | hase**\ | Ela  |        |
|              |               |           | \--     | psed |        |
|              |               |           |         | Tim  |        |
|              |               |           |         | e**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| *            |               | **S       |         | **   |        |
| *Location**\ |               | ymptom**\ |         | Time |        |
| KSC          |               | MW - INT  |         | Cycl |        |
|              |               | LEAK      |         | e**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| *            |               |           |         |      |        |
| *Effectivity |               |           |         |      |        |
| Text**\      |               |           |         |      |        |
| ET-1 AND     |               |           |         |      |        |
| SUBS         |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Vehicle    |               |           |         |      |        |
| Effectivity  |               |           |         |      |        |
| Codes**      |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Vehicle    | **Vehicle     | **Vehicle | **      | *    |        |
| 1**\         | 2**\          | 3**\      | Vehicle | *Veh |        |
| \--          | \--           | \--       | 4**\    | icle |        |
|              |               |           | \--     | 5**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **Mission    |               |           |         |      |        |
| Effectivity  |               |           |         |      |        |
| Codes**      |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Mssn 1**\  | **Mssn 2**\   | **Mssn    | **Mssn  | **   |        |
| \--          | \--           | 3**\      | 4**\    | Mssn |        |
|              |               | \--       | \--     | 5**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **Estimated  |               |           |         |      |        |
| Completion   |               |           |         |      |        |
| Dates**      |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **MSFC       | **Contractor  | **LVL 3   | *       |      |        |
| Approved     | Req Defer     | Close**\  | *Remark |      |        |
| Defer Until  | Until Date**\ | \--       | /       |      |        |
| Date**\      | \--           |           | Ac      |      |        |
| \--          |               |           | tion**\ |      |        |
|              |               |           | \--     |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **I          |               |           |         |      |        |
| nvestigation |               |           |         |      |        |
| / Resolution |               |           |         |      |        |
| Summary**    |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Last MSFC  | **CN RSLV     | **Defer   | **Add   | *    |        |
| Update**\    | SBMT**\       | Date**\   | Date**\ | *R/C |        |
| 10/07/1987   | 10/02/1979    | \--       | \--     | Code |        |
|              |               |           |         | s**\ |        |
|              |               |           |         | 1 -  |        |
|              |               |           |         | DES  |        |
|              |               |           |         | \--  |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **Assignee** |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Design**\  | **Chief       | **S &     | **Pro   | *    |        |
| R. ZAGRODZKY | Engineer**\   | MA**\     | ject**\ | *Pro |        |
|              | \--           | D. NEWMAN | C.      | ject |        |
|              |               |           | CRANE   | MG   |        |
|              |               |           |         | R**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **Approval** |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Design**\  | **Chief       | **S &     | **Pro   | *    |        |
| R. ZAGRODZKY | Engineer**\   | MA**\     | ject**\ | *Pro |        |
|              | \--           | D. NEWMAN | J. ODOM | ject |        |
|              |               |           |         | MG   |        |
|              |               |           |         | R**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **PAC        | **PAC Review  | **MSFC    | **St    | *    |        |
| Assignee**\  | Complete**\   | Closure   | atus**\ | *F/A |        |
| C. NEWTON    | CN            | Date**\   | C -     | C    |        |
|              |               | 1         | CLOSED  | ompl |        |
|              |               | 0/26/1979 |         | etio |        |
|              |               |           |         | n**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **Problem    | **SEV**\      | **Program | **      | **O  |        |
| Type**\      | \--           | Name**\   | REVL**\ | PRIN |        |
| \--          |               | \--       | \--     | C**\ |        |
|              |               |           |         | \--  |        |
+--------------+---------------+-----------+---------+------+--------+
| **FUNC       | **Software    | *         |         | **SU | **So   |
| MOD**\       | E             | *Software |         | BTYP | ftware |
| \--          | ffectivity**\ | Fail      |         | E**\ | C      |
|              | \-- \-- \--   | CD**\     |         | \--  | losure |
|              | \-- \--       | \--       |         |      | CD**\  |
|              |               |           |         |      | \--    |
+--------------+---------------+-----------+---------+------+--------+
| **RES PERSON | **Approval    |           |         |      |        |
| L2**\        | Signature     |           |         |      |        |
| \--          | L3**\         |           |         |      |        |
|              | \--           |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    | **Related     |           |         |      |        |
| Document     | Document      |           |         |      |        |
| Type**\      | ID**\         |           |         |      |        |
| \--          | \--           |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    |               |           |         |      |        |
| Document     |               |           |         |      |        |
| Title**\     |               |           |         |      |        |
| \--          |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    | **Related     |           |         |      |        |
| Document     | Document      |           |         |      |        |
| Type**\      | ID**\         |           |         |      |        |
| \--          | \--           |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    |               |           |         |      |        |
| Document     |               |           |         |      |        |
| Title**\     |               |           |         |      |        |
| \--          |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    | **Related     |           |         |      |        |
| Document     | Document      |           |         |      |        |
| Type**\      | ID**\         |           |         |      |        |
| \--          | \--           |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Related    |               |           |         |      |        |
| Document     |               |           |         |      |        |
| Title**\     |               |           |         |      |        |
| \--          |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Contractor |               |           |         |      |        |
| Status       |               |           |         |      |        |
| Summary**    |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Reliabi    |               |           |         |      |        |
| lity/Quality |               |           |         |      |        |
| Assurance    |               |           |         |      |        |
| Concerns,    |               |           |         |      |        |
| Recomm       |               |           |         |      |        |
| endations:** |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Problem    |               |           |         |      |        |
| D            |               |           |         |      |        |
| escription** |               |           |         |      |        |
|              |               |           |         |      |        |
| DURING       |               |           |         |      |        |
| UMBILICAL    |               |           |         |      |        |
| CARRIER      |               |           |         |      |        |
| PLATE        |               |           |         |      |        |
| TESTING AT   |               |           |         |      |        |
| KSC, THE     |               |           |         |      |        |
| FOLLOWING    |               |           |         |      |        |
| FAILURES     |               |           |         |      |        |
|              |               |           |         |      |        |
| TO PYRO      |               |           |         |      |        |
| BOLTS        |               |           |         |      |        |
| OCCURRED: 1. |               |           |         |      |        |
| DURING DROP  |               |           |         |      |        |
| TEST NO. 1 & |               |           |         |      |        |
| NO. 4, BOLT  |               |           |         |      |        |
| S/N          |               |           |         |      |        |
|              |               |           |         |      |        |
| 000018 & S/N |               |           |         |      |        |
| 000019       |               |           |         |      |        |
| SHOWED       |               |           |         |      |        |
| EVIDENCE OF  |               |           |         |      |        |
| EXHAUSTING.  |               |           |         |      |        |
| MARS T19402  |               |           |         |      |        |
| 2            |               |           |         |      |        |
|              |               |           |         |      |        |
| SUDDEN       |               |           |         |      |        |
| RELEASE OF   |               |           |         |      |        |
| PRESSURE 30  |               |           |         |      |        |
| HOURS AFTER  |               |           |         |      |        |
| FIRING. MARS |               |           |         |      |        |
| T19534 BOLT  |               |           |         |      |        |
| S/N          |               |           |         |      |        |
|              |               |           |         |      |        |
| 000024\. 3.  |               |           |         |      |        |
| BOLT S/N     |               |           |         |      |        |
| 000025 WAS   |               |           |         |      |        |
| DISCOVERED   |               |           |         |      |        |
| IN A STORAGE |               |           |         |      |        |
| LOCKER WITH  |               |           |         |      |        |
| A            |               |           |         |      |        |
|              |               |           |         |      |        |
| PRESSURE     |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| ASSEMBLY     |               |           |         |      |        |
| SEPARATED    |               |           |         |      |        |
| FROM BOLT.   |               |           |         |      |        |
| SIMILAR      |               |           |         |      |        |
| CIRCUMSTANCE |               |           |         |      |        |
|              |               |           |         |      |        |
| FOR S/N 026  |               |           |         |      |        |
| & S/N 027.   |               |           |         |      |        |
| MARS T19534  |               |           |         |      |        |
| 4. DURING    |               |           |         |      |        |
| GH2 VENT     |               |           |         |      |        |
| SYSTEM DROP  |               |           |         |      |        |
| TEST         |               |           |         |      |        |
|              |               |           |         |      |        |
| NO. 10, S/N  |               |           |         |      |        |
| 000022 BROKE |               |           |         |      |        |
| PREMATURELY  |               |           |         |      |        |
| DURING       |               |           |         |      |        |
| RANDOM       |               |           |         |      |        |
| MOTION       |               |           |         |      |        |
| TESTS. MARS  |               |           |         |      |        |
|              |               |           |         |      |        |
| T16945       |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **Contractor |               |           |         |      |        |
| In           |               |           |         |      |        |
| vestigation/ |               |           |         |      |        |
| Resolution** |               |           |         |      |        |
|              |               |           |         |      |        |
| RE           |               |           |         |      |        |
| SOLUTION: 1. |               |           |         |      |        |
| ANALYSIS OF  |               |           |         |      |        |
| BOLTS FOR    |               |           |         |      |        |
| THE BLOW-BY  |               |           |         |      |        |
| CONDITION    |               |           |         |      |        |
| RESULTED IN  |               |           |         |      |        |
|              |               |           |         |      |        |
| A            |               |           |         |      |        |
| D            |               |           |         |      |        |
| ETERMINATION |               |           |         |      |        |
| THAT THE     |               |           |         |      |        |
| BOLT/STEM    |               |           |         |      |        |
| \"O\" RING   |               |           |         |      |        |
| WILL BE      |               |           |         |      |        |
| REPLACED     |               |           |         |      |        |
| WITH AN      |               |           |         |      |        |
|              |               |           |         |      |        |
| OMNI SEAL    |               |           |         |      |        |
| AND VERIFIED |               |           |         |      |        |
| BY QUAL      |               |           |         |      |        |
| TEST.        |               |           |         |      |        |
| Q            |               |           |         |      |        |
| UALIFICATION |               |           |         |      |        |
| TEST         |               |           |         |      |        |
| COMPLETE     |               |           |         |      |        |
|              |               |           |         |      |        |
| (CLOSED). 2. |               |           |         |      |        |
| S/N 0000018  |               |           |         |      |        |
| AND S/N      |               |           |         |      |        |
| 0000019      |               |           |         |      |        |
| BOLTS        |               |           |         |      |        |
| ANALYZED AND |               |           |         |      |        |
| DETERMINED   |               |           |         |      |        |
|              |               |           |         |      |        |
| \"O\" RING   |               |           |         |      |        |
| SEAL LEAKED. |               |           |         |      |        |
| REF. MARS    |               |           |         |      |        |
| T19402.      |               |           |         |      |        |
| (CLOSED). 3. |               |           |         |      |        |
| A FAILURE    |               |           |         |      |        |
| ANALYSIS     |               |           |         |      |        |
|              |               |           |         |      |        |
| PLAN WAS     |               |           |         |      |        |
| IMPLEMENTED  |               |           |         |      |        |
| WITH THE     |               |           |         |      |        |
| EXCEPTION OF |               |           |         |      |        |
| FIRING NOS.  |               |           |         |      |        |
| 4 THRU 7     |               |           |         |      |        |
| WHICH        |               |           |         |      |        |
|              |               |           |         |      |        |
| NOT          |               |           |         |      |        |
| NECESSARY.   |               |           |         |      |        |
| THE          |               |           |         |      |        |
| CONCLUSIONS  |               |           |         |      |        |
| OF THE       |               |           |         |      |        |
| FAILURE      |               |           |         |      |        |
| ANALYSIS     |               |           |         |      |        |
| WERE: A. A   |               |           |         |      |        |
|              |               |           |         |      |        |
| PRESSURE     |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| FAILED AS    |               |           |         |      |        |
| THE RESULT   |               |           |         |      |        |
| OF SUSTAINED |               |           |         |      |        |
| FLAW GROWTH  |               |           |         |      |        |
| IN THE       |               |           |         |      |        |
|              |               |           |         |      |        |
| PRESENCE OF  |               |           |         |      |        |
| AN           |               |           |         |      |        |
| AGGRESSIVE   |               |           |         |      |        |
| ATMOSPHERE & |               |           |         |      |        |
| A STATIC     |               |           |         |      |        |
| LOAD. THE    |               |           |         |      |        |
| AGGRESSIVE   |               |           |         |      |        |
|              |               |           |         |      |        |
| ATMOSPHERE   |               |           |         |      |        |
| IS           |               |           |         |      |        |
| ATTRIBUTED   |               |           |         |      |        |
| TO COMBUS-   |               |           |         |      |        |
| TION         |               |           |         |      |        |
| PRODUCTS &   |               |           |         |      |        |
| THE STATIC   |               |           |         |      |        |
| LOAD IS      |               |           |         |      |        |
|              |               |           |         |      |        |
| DUE TO       |               |           |         |      |        |
| RESIDUAL     |               |           |         |      |        |
| PRESSURE IN  |               |           |         |      |        |
| THE          |               |           |         |      |        |
| CARTRIDGE.   |               |           |         |      |        |
| B. THE MODE  |               |           |         |      |        |
| OF FRACTURE  |               |           |         |      |        |
| WAS          |               |           |         |      |        |
|              |               |           |         |      |        |
| IN           |               |           |         |      |        |
| TERGRANULAR. |               |           |         |      |        |
| C. NO        |               |           |         |      |        |
| EVIDENCE OF  |               |           |         |      |        |
| PRE-EXISTING |               |           |         |      |        |
| FLAWS WAS    |               |           |         |      |        |
| FOUND.       |               |           |         |      |        |
| CRACKS       |               |           |         |      |        |
|              |               |           |         |      |        |
| APPARENTLY   |               |           |         |      |        |
| WERE         |               |           |         |      |        |
| INITIATED    |               |           |         |      |        |
| DURING       |               |           |         |      |        |
| FIRING. D.   |               |           |         |      |        |
| THE PRESENCE |               |           |         |      |        |
| OF A SHARP   |               |           |         |      |        |
|              |               |           |         |      |        |
| RADIUS ON    |               |           |         |      |        |
| THE MAIN     |               |           |         |      |        |
| CHARGE       |               |           |         |      |        |
| CAVITY OF    |               |           |         |      |        |
| THE PRESSURE |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| MAY HAVE     |               |           |         |      |        |
|              |               |           |         |      |        |
| CONTRIBUTED  |               |           |         |      |        |
| TO THE       |               |           |         |      |        |
| FAILURE. IN  |               |           |         |      |        |
| EACH OF THE  |               |           |         |      |        |
| 5 CARTRIDGES |               |           |         |      |        |
| WHICH WERE   |               |           |         |      |        |
|              |               |           |         |      |        |
| EXAMINED,    |               |           |         |      |        |
| CRACKS       |               |           |         |      |        |
| INITIATED IN |               |           |         |      |        |
| THIS RADIUS  |               |           |         |      |        |
| & PROPAGATED |               |           |         |      |        |
| THROUGH THE  |               |           |         |      |        |
| WALL         |               |           |         |      |        |
|              |               |           |         |      |        |
| THICKNESS.   |               |           |         |      |        |
| THE RESULTS  |               |           |         |      |        |
| HAVE CAUSED  |               |           |         |      |        |
| A REDESIGN   |               |           |         |      |        |
| TO ELIMINATE |               |           |         |      |        |
| THE STRESS   |               |           |         |      |        |
|              |               |           |         |      |        |
| RISER AND    |               |           |         |      |        |
| INCREASED    |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| WALL         |               |           |         |      |        |
| THICKNESS.   |               |           |         |      |        |
| IN ADDITION, |               |           |         |      |        |
| PROPER HEAT  |               |           |         |      |        |
|              |               |           |         |      |        |
| TREATMENT OF |               |           |         |      |        |
| THE          |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| CLARIFIED ON |               |           |         |      |        |
| DRAWING.     |               |           |         |      |        |
| REF. ETFA-29 |               |           |         |      |        |
| (CLOSED)     |               |           |         |      |        |
|              |               |           |         |      |        |
| 4\. S/N      |               |           |         |      |        |
| 0000022      |               |           |         |      |        |
| FAILURE      |               |           |         |      |        |
| ANALYSIS     |               |           |         |      |        |
| INDICATED    |               |           |         |      |        |
| FAILURE WAS  |               |           |         |      |        |
| DUE TO       |               |           |         |      |        |
| MOTION       |               |           |         |      |        |
|              |               |           |         |      |        |
| SIMULATOR    |               |           |         |      |        |
| MISALIGNMENT |               |           |         |      |        |
| MARS T16945. |               |           |         |      |        |
| (CLOSED) 5.  |               |           |         |      |        |
| S/N 0000024  |               |           |         |      |        |
| INITIATORS   |               |           |         |      |        |
|              |               |           |         |      |        |
| FORWARDED TO |               |           |         |      |        |
| JSC FOR      |               |           |         |      |        |
| FAILURE      |               |           |         |      |        |
| ANALYSIS. NO |               |           |         |      |        |
| ABNORMAL     |               |           |         |      |        |
| CHA          |               |           |         |      |        |
| RACTERISTICS |               |           |         |      |        |
|              |               |           |         |      |        |
| NOTED. REF.  |               |           |         |      |        |
| MARS T19534. |               |           |         |      |        |
| DESIGN       |               |           |         |      |        |
| CHANGE TO    |               |           |         |      |        |
| INSTALL      |               |           |         |      |        |
| ORIFICE      |               |           |         |      |        |
| PLATE        |               |           |         |      |        |
| BETWEEN      |               |           |         |      |        |
|              |               |           |         |      |        |
| CARTRIDGE    |               |           |         |      |        |
| AND NSI.     |               |           |         |      |        |
| COMPLETE.    |               |           |         |      |        |
| Q            |               |           |         |      |        |
| UALIFICATION |               |           |         |      |        |
| TEST IS      |               |           |         |      |        |
| COMPLETE     |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+
| **MSFC       |               |           |         |      |        |
| Response/C   |               |           |         |      |        |
| oncurrence** |               |           |         |      |        |
+--------------+---------------+-----------+---------+------+--------+

  -----------------------------------------------------------------------
  MSFC Problem Reporting and Corrective Action (PRACA) System

  ASSESSMENT ADDENDUM REPORT
  -----------------------------------------------------------------------

  ---------------- ----------------- ---------------- ----------- ----------- ------------
  **MSFC           **IFA#**\         **Contractor     **JSC#**\   **KSC#**\   **EICN#**\
  Report#**\       \--               RPT#**\          \--         \--         \--
  A00012                             P-025                                    

  **Asmnt Part#**\ **Asmnt Part      **Asmnt                                  
  \--              Name**\           Serial/Lot#**\                           
                   \--               \--                                      

  **HCRIT CD**\    **FCRIT CD**\     **CAUSE CD**\    **FAIL                  
  \--              \--               \--              MODE**\                 
                                                      MW - INT                
                                                      LEAK                    

  **Asmnt FMEA**\  **Asmnt FM**\     **FMEA CSE**\    **FMEA                  
  \--              \--               \--              SCSE**\                 
                                                      \--                     

  **Asmnt FMEA**\  **Asmnt FM**\     **FMEA CSE**\    **FMEA                  
  \--              \--               \--              SCSE**\                 
                                                      \--                     

  **Asmnt FMEA**\  **Asmnt FM**\     **FMEA CSE**\    **FMEA                  
  \--              \--               \--              SCSE**\                 
                                                      \--                     

  **Correlated     **Correlated      **Correlated                             
  Part#**\         Part#**\          Part#**\                                 
  \--              \--               \--                                      

  **Associated     **Associated      **Associated                             
  LRU#**\          LRU#**\           LRU#**\                                  
  \--              \--               \--                                      

  **MAJOR DESIGN                                                              
  CHANGES**                                                                   

  **APRV DATE**\   **DESCRIPTION OF                                           
  \--              CHANGES**\                                                 
                   \--                                                        

  **ASSESSMENT                                                                
  TEXT**                                                                      
  ---------------- ----------------- ---------------- ----------- ----------- ------------