# Presentation: 692588

## June 8, 2004

*June 8, 2004*

**Notes:**
The flow should be

Team Chart
Process flow Chart mapped to the 3 year plan
Status of Project against deliverables
Product Examples & Demonstrations of Tools
Schedule FY04
Budget FY04

## ATC Vision and Mission

**Vision Statement**
**To weave together the fabric of NASA’s Safety and Mission Assurance expertise and guide the growth of knowledge thereby ensuring its continuance to future practitioners.**
**Mission Statement**
**The NASA Assurance Technology Center (ATC) assists the Office of Safety and Mission Assurance (SMA) in the management of Agency SMA activities in four  broad areas: SMA career management; mishap investigation; data collection and information management (including the SMA databases); and SMA research/development****. **

## ATC Operations

** **

-     **Programs **

**Mishap**
**(IRIS)**

**Education**
**&**
**Career**
**Mgt**

**R&D**

**PBMA**
**FY05**

**Future**
**Programs**
**&**
**Projects**

**Development**

**Implementation**

**Data **
**& **
**Info**
**Mgt**

**Strategic Marketing & Communications**

**Safety & Mission Assurance Support**

**Methods & Tools**

**NASA/OAI Assurance Technology Center**

**Technology & Infrastructure Support**

## Overall Goals

- Demonstrate “Fleet Leader” capabilities with products and services for the SMA Community
- Educate the agency on the vision and mission of the ATC
- Build agency wide program and project support
- Partner with other agency functions to improve products and service delivery
- Facilitate cultural change within the SMA Community
- Build awareness & unity
- Provide resource availability & support (Tools)

## Strategic Communications 

- Build a unified message linked with the agency’s overall strategic management plans
- Gain management endorsement agency wide
- Provide value added benefits at working level
- Provide hands-on training as change agents
- Utilize local Champions at the Field Centers
- Promote ATC programs at major conferences and NASA  events
- Leverage existing communications venues to promote the ATC, (i.e. Today @, NASA websites, etc.)
- Communications from Headquarters to the Agency regarding the ATC

## Competency Roadmap Storyboards

Agency-Wide Training Model

Certification White Paper for KSC

PRA Course Deployment/Reconfiguration

SkillSoft Evaluation for Code Q

Safety Course for Development of Top Managers

- Agency-Wide Training Model
- Certification White Paper for KSC
- PRA Course Deployment/Reconfiguration
- SkillSoft Evaluation for Code Q
- Safety Course for Development of Top Managers

- Education & Career Management*Products*

**Notes:**
Future plans are to have information on our website so SMA professionals can have easy, center-specific, access.

This info boils down to an agency-wide training model for SMA professionals.  Ease of use and accessibility are important.

KSC paper in draft form.  Request came out of site visit in February.

PRA course – partnering with KLI, working with Drs. Dezfuli and Stamatelatos. 

SkillSoft evaluation – formed Agency-wide focus group to evaluate their on-line catalogue of safety, environmental, and health courses.  Will cross-reference with SOLAR to determine which courses to offer in initial round.

Safety course – patterned after Navy safety course.  ATC involvement TBD.

## ATC Web PortalThe Window to SMA

- Functional
- Website feedback based enhancements (Utilizing Software Life Cycle)
- Develop an empowered community through user contributed content
- Incorporation of additional tools
- Further identification and unification of disparate data sources
- Expansion of linking & data categorization
- Technical
- Content Management System
- Configuration Management System
- Trending & Analysis of site data

- ATC Web Portal*The Window to SMA*

## Data Trending and Analysis

- Collection & Unification of Data
- One NASA Philosophy
- Disparate Data Sources (i.e. PRACA)
- Searching & Gathering of Data
- Easy yet Powerful
- Convera
- Trending & Analysis of Data *(NESC Interest)*
- Leverage cutting edge technology and SMA expertise to observe trends and take corrective actions preemptively
- Starlight
- Maintenance of Data
- Provide the resources and support needed to ensure data stays fresh

## Mishap InvestigationTechnical Issues BPA for the NESC

- Technical Issues Reporting Information System
- Reporting of technical issues using the Ex3 base product is being examined via a BPA by the ATC & Ex3
- Use application structure / functionality with anonymous reporting feature
- Logging, tracking of SPR’s and ITA documentation
- Management of NESC internal and external processes, action tracking, notifications, security
- Notification Hierarchy
- Help desk and training

## NESC Deputy for SafetyVisit to the ATC

- Identify current and historical center and agency Problem Reporting and Corrective Action (PRACA) documentation
- Identify agency wide major or high visibility programs and projects requiring processes analysis and independent assessment of Super Problem Reports (SPT’s).
- Analysis of current and historical PRACA documentation and processes to develop an agency amalgamated approach to PRACA.
- Creation of an agency standard PRACA SOP
- Development of trending techniques standard
- Actively participate in the NESC SMA board providing the following
- Identify the DOD safety center model elements that can be implemented into current agency safety centers such as the ATC and the NESC and IA’s.

**Notes:**
Identification of current and historical center and agency level processes, documentation, SOP, guidelines, policies related to Problem Reporting and Corrective Action (PRACA).
Identification of agency wide major or high visibility programs and projects requiring processes analysis and independent assessment of Super Problem Report (SPT).
Analysis of current and historical PRACA documentation and processes to develop an agency amalgamated approach to PRACA.  Perform GAP analysis of said documents, processes flow and procedures with coordinated ATC facilitated review by pertinent NASA program and enterprise leads.
Creation of an agency standard PRACA SOP. Institutionalize the PRACA and SPR identification, trending and analysis processes throughout the agency that allows continuous improvement as agency objectives evolve and new programs emerge.
Development of trending techniques standard.
Approaches to trending different classes of data
Tool use and analysis of data
Best Practices & models for data analysis and trending
Training & Staffing
Assist the NESC in the design and implementation of Operations and Analysis Center (OAC) to support the following:
Provide an overview of the health of identified programs
Trending and Analysis of Safety Data
Leveraging of State of the art tools & technology to perform safety reviews
Support Agency Wide communication in support of NESC objectives
Facilitate data mining across various agency databases
Actively participate in the NESC SMA board providing the following
Assist development of NESC SMA board charter, roles & responsibilities
Coordination of change in policy resulting from significant problem reports (SPR’s) resolutions 
management of the SPR summary list
establish the process to enforce and capture SPR’s from the programs and projects
assist in the preparation of briefing materials for “Red Flag” item
Identify the DOD safety center model elements that can be implemented into current agency safety centers such as the ATC and the NESC and IA’s.

## Research & DevelopmentProducts

- Workshop Meetings, Forums
- ATS/RMC V  (http://atc.nasa.gov)
- Hosting events at OAI facility
- Planning committee meetings
- Conference logistics & planning
- Website Development and Promotion
- One Week SMA Course ATC
- Center Tool Deployments via Road-shows
- (PBMA, IRIS, ATC Website, RBAM)
- ATC presence and literature distribution at conferences/workshops
- CQSDI, RAMS, Payload Safety and Mission Success, NESC, e-Gov, etc.
- Website Deployment

**Notes:**
Champion kick-off meeting September 2003
Identification of 8 SMA categories:
Reliability Engineering
Quality Engineering
Quality Assurance
Institutional Safety
Systems Safety Engineering
Software Assurance
Reliability Centered Maintenance Analysis
General SMA Requirements

Identified functions within each category; action item was to identify training resources for each functional area (show excel spreadsheet)

Champions called on for other information:
SkillSoft review
Certification info
Web beta test

TRD is a product stemming from the kick-off meeting with the Champions and is intended to be a centralized resource for assisting SMA practitioners and managers with finding technical training - thus resulting in increased SMA technical expertise.

Maria to demo database.

## What to Expect from the ATC

- _Awareness building at each center _
- _ATC Product Rollouts in 04’!_
- ATC Website – _[atc.nasa.gov](http://atc.nasa.gov/)_
- IRIS Agency-wide Implementation
- Training Resources Database
-  Future Releases
- ATC Career Roadmap
- Integration with PBMA 05’
- Integration of SMA Tools
- Project & Program Level Support
- Deployment of Additional Courses
- RMC Conference hosted by ATC
- Future Website Functionality Enhancements

## Questions and Comments

**Stephen Harris**
- ATC Project Director, OAI
- NASA Assurance Technology Center
- Cleveland,Ohio 44142
- Stephen.D.Harris@grc.nasa.gov
- 440-962-3239

- Please submit comments and questions to:

## Web-IRIS MissionAgency reporting: Mishaps and Close calls per NPR 8621.1

**Provides functionality which replaces center specific reporting systems**
**Encourages contractor input through direct input or interface agreement**
**Provides an electronic database where supervisors can input investigation details in the incident case / investigation records.**
**Functionality includes: hazard tracking and “quick incident” reporting (including** **electronic anonymous reporting and tracking). **
**Security application defines the depth of visibility into the system by use of “user defined roles” in addition to login and password **
**	**
**	**

## The Objectives of Web-IRIS 

**Safety**

**Industrial Hygiene & Ergonomics**

**Medical and Workers**
**Compensation**

**Chemical Management**

**Security/ Human Resources**

_**Improved communications**_
_**Information access**_
_**Tracking and closure of Corrective Actions**_
_**Improved Reporting & data collection**_

_**NPR 8621.1 and 29CFR 1960 and 1904.**_ **mishaps and close calls and includes serious workplace hazards..**

**Safety, Medical, Workers Compensation, environmental, ergonomic, programs and projects can communicate****.**

**Programs/**
**Projects/**
**Aircraft**

- The Objectives of Web-IRIS

- “the right information to the right people
-  at the right time”

**Notes:**
Improved communications: elimination of redundant systems as directed in the presidents management agenda.
Improved communications between safety, supervisors, medical and WC
Information access “the right information to the right people at the right time”. Elimination  of dysfunctional and /or   redundant databases
Tracking and closure of Corrective Actions Assignment,notification,escalation & tracking
Improved Reporting & data collection Structured data entry; trending/analysis, identification of best practices

## Web-IRIS and Federal Initiatives

**Strategic management and preservation of human capital**
**	**-Gather real-time data
- 	-Reduce need for resources
**Expanded use of the internet (E-Gov)**
**	****-**Establish improved safety related **communications**
**	****-**Enhancing communication between NASA and the 		DOL (OSHA,OWCP).

- Web-IRIS and Federal Initiatives

- S.Otero/2-2004/Pg.

**Presidents Management Agenda**

**Notes:**
Strategic management of human capital....Each agency will identify how it will reduce the number of managers, reduce the number of organizational layers, reduce the time it takes to make decisions....
				-the President’s Management Agenda
33 safety systems for close call, hazards at just 6 analyzed centers. This is for safety only. In medical I’m sure Dr. Hoffler found similar results. We need a partner in Code Z. Their current RFP in development includes items related to worker compensation. We have been working with Medical and clinic folks for 6 months now. These folks have seen the Ex3 system and 
IRIS (EHSDMS)....  Can establish networking with OSHA,OWCP, and DOL.  In addition, because of the system architecture of the IRIS (EHSDMS), NASA, Code Q and Code Z and Programs and Projects will be able to communicate better than before; meeting the Electronic Government (eGov) objective of the President’s Management Agenda as a program which:
“offers opportunities to break down... bureaucratic divisions.” 
Unfortunately, agencies often perceive this opportunity as a threat and instead make wasteful and redundant investments in order to preserve chains of command that lost their purpose years ago.”

			-President’s Management Agenda
			on effective electronic systems
E-Gov
“Many agencies do not take care to ensure that their IT systems can communicate with one another. ....The Administration will advance E-government strategy by supporting projects that offer performance gains across agency boundaries”.
				-President’s Management Agenda

## SHAREThe Safety, Health, and Return-to-Employment (SHARE) Initiative 

**NASA’s IRIS (EHSDMS) can produce real-time data relating to the four areas of performance**:
- Workplace injury and illness case rates
- Lost-time injury and illness case rates
- Timely reporting of injury and illnesses
- Fewer lost days resulting from work injuries and illnesses
**Web-IRIS Real-time analysis, action request assignment and tracking, will enable NASA to create safer work environments** and reduce worker’s compensation costs/losses and case rates (**NASA DASHO goals**)
**NASA as a possible pilot program**, could lead government agencies in participating in and accomplishing the goals of SHARE.

- SHARE**The Safety, Health, and Return-to-Employment (SHARE) Initiative **

**Notes:**
“Each department and agency will collaborate with the Department of Labor to establish challenging annual goals based on its current performance in the four areas...Lower workplace injury and illness case rates, lower lost-time injury and illness case rates, timely reporting of injuries and illnesses, and fewer lost days resulting from work injuries and illnesses.”
		-the President’s Memorandum on SHARE, January 9, 2004

## Web-IRIS and NASA Initiatives

**Dysfunctional Databases**

- Together, Code Q and Code Z can work together through
- use of the web-IRIS to create a disciplined safety system fostering effective communication by gathering dependable data, accessible for real-time analysis

**Notes:**
Creating a disciplined safety system and process capable of identifying, 
analyzing and controlling hazards...a system that will foster effective
communication
			-Columbia Accident Investigation Board
The NASA ATC, Ex3 and  IUG examine safety processes and how the web-IRIS 
can be improved to support those processes.  These exercises have resulted in
a move toward a unified approach to identifying, reporting, analyzing and 
controlling hazards.  The IUG meet once per week to discuss experiences 
in the field and how the web-IRIS should be used to support their goals. 
This has resulted in encouragement of minority opinions, fostering of new
trending and analysis techniques, and suggestions for system improvements to 
foster effective communications.
“Program Management made erroneous assumptions about the 
robustness of a system based on prior successes rather than dependable
 engineering data.....”
			- the Columbia Accident Investigation Board
With the web-IRIS, we are providing a system and database where data can 
be collected and used for trending and analysis on a scale that was not reliably feasible before.  This will give safety professionals the capability for real-time quantitative analysis for both institutional safety, and programs and projects.  In addition, through the use of security roles, program and project professionals will have capability to view reports and track trends on their specific programs.
“The Board found that the information systems that support the 
Shuttle Program are extremely cumbersome and difficult to use in
decision making at any level.”

The boards findings here pertained also to existing safety databases; Each center
examined had many databases, where they kept safety related data on mishaps,
close calls, hazards and safety concerns.  JSC was the only center working on the 
“Consolidated Safety Database” concept and recognized early on its embodiment
 in the web-IRIS (EHSDMS).  PRACA and Lessons Learned databases were also
 mentioned in the CAIB report.  The web-IRIS includes lessons learned fields 
which will need to be migrated to the LLIS.

## IRIS Implementation of the Efficient Enterprise Engineering COTS Product

**& Vehicle**

**Headcount**

**Programs/Projects**

**IRIS Core Modules**

**Electronic Medical Records  RFP**** **

**LLIS**

**Employee**

**Action **
**Request**

**Injury/Illness**
**W/Case Management**

**Safety Incident**

**Administration**

**Medical Appt.**
**Scheduling **
**Resource**

**Anonymous **
**Reporting**

**ERASMUS**

**IAM**

**    ****SHARE PILOT**** **
**Networking with DOL, OWCP,**
**OSHA. Work with Code Z to coordinate OWCP data link/real-time interface with DOL and initiate pilot program**

**Addition of**
** ****CA1 &CA2**
**Forms**

**IRIS Implementation of the Efficient Enterprise Engineering COTS Product**

**SIMS / IDMS**

**Investigation**
**Organizer**

**In flight **
**Databases**

**Notes:**
IRIS is the Incident Reporting Information system. The old system was used to meet the requirements of NPG 8621.1 (now NPR 8621.1)
Recording Mishaps and close calls only per NPD 8621.1
The system was a desk top two tier client server system with very little system support. 
 Because of the security application of Snareware, the old system has difficulty functioning.

In 2002, the NASa Assurance Technology Center was directed to identify a web-based COTS product which could meet the requirements of NPG 8621.1 and offer greater accessibility,data management, and increased functionality.

The employee module is critical to the operation of the system and good HR data transferred into this system is key. 

## IRIS Enhancement Implementation

**ATC**
**Facilitation**

**Training/ Implementation**
**at Field center**
**Beta Test issues submitted through **_[OPIE](http://ex3.com/opie)_
**ATC chairs IRIS configuration control process; center Safety POC’s and key players participate**
**Center specific transition plan evaluated by POC**

**Field centers identify  Safety POC’s**
**Safety POC’s  identify other key players**
**Initial training session**

**ALPHA**

**BETA**

**PRODUCTION**

**MEDICAL**

**W.C.**

**I.H.**

**SAFETY**

**AIRCRAFT**

**Notes:**
ATC personnel manage and conduct implementation of an enhanced Incident Report Investigation System (IRIS) for NASA by Efficient Enterprise Engineering. The ATC provides the facilitation of consensus building between the NASA centers regarding field definition of data entry and reporting processes 

The enhanced system replaces several existing non-networked data repositories of all safety related reporting data. Historical data will be entered into the system to complete the repository.

 Trend analysis of IRIS data will be conducted after the system is implemented throughout NASA.The implementation of this system will allow us to  be able to do analysis with a consistance quality controled database for the first time in the history of NASA.The quality of the current data is of issue. There is no consistancy of data found in the IRIS legacy data and this underscores the importance of structured data entry formats.trending from the existing system was extremely difficult and data retieval was compromised. In addition migration of the legacy data has been compromised because the data canot be mapped for easy migration.

NASA needs to evolve toward consistant data entry field definition. The ATC has been and could assisst in facilitating this effort.

ATC did competitive procurement for a COTS-based solution to the IRIS software and systems specifications developed by NASA.Efficient enterprise engineering (Ex3) was selected to provide their Cots product
ATC manages and conducts the implementation of an enhanced IRIS system at each NASA field center.
ATC will manage the maintenance and ongoing operational support of the enhanced IRIS system.  This will include provision of a help hotline for NASA IRIS users, and hosting with Ex3 as a third party host. At 50% of the cost of hosting at NASA. Eliminating stand alone systems at the field centes.  
ATC will evaluate potential upgrades and enhancements to the enhanced IRIS system.through the facilitation of the IRIS users group. The user’s group field definitions for consistancy and the definition of common reporting process. 

ATC will develop a protocol for extracting knowledge from the IRIS data using the Portal and Starlight and developing field consistency. ATC will powerfully implement Continuous Process Impmrovement.  
Development will include examination of the DOD models for extracting useful knowledge from large amounts of incident information. DoD currently experiences similar problems in database integrity and the ATC is watching closely what DoD is doing through the common subcontractor, Ex3.. Ex3 is  being queried for information on how other users of their product approach the task (leading to several planned site visits to Visteon, Los Alamos Laboratories, DOD and Intel) so that NASA can benefit from applied experience.

ATC will prepare and present a quarterly status incident trend report to NASA’s SMA Directors at appropriate venues.

Data analysis to include pareto analysis of any field in  the incident record trend analysis, text searches through the incident record. Plus you have the opyion to extend the analysis now that we are on a consistant database across all NASA centers
To date field center POC’s have been instrumental in identifying key players and initiatives, Michael Hulet, Dan Clem, Teresa Durrette,

## IRIS Management Plan

**NASA ATC/Ex3 Global Administrators**

-  Participate in the NASA MIWG
-  Coordination with  IFMP, IDMS, UUPIC
-  Maintain help desk functions
-  Establish security roles
-  Global Dropdowns
-  Training for new users and site administrators
-  Project planning and funding
-  Lead the CCB
-  Establish global processes

**NASA Site Administrators**

-  New user coordination/access criteria
-  New user training and familiarization
-  First line help desk function for users at the site
-  Site configuration management
-  IRIS CCB group participation

**Notes:**
ATC will initiate and coordinate a NASA IRIS users group that will be comprised of NASA center IRIS Administrators involved in the evaluation and management of IRIS data.  The users group will provide a forum for IRIS users to obtain support for system usage problems.

ATC will participate in the MI working group meetings and assist in facilitation of agency-wide implementation needs identified in proceedings.  The ATC will appoint a liaison to the Mishap Investigators Working Group (MIWG) and maintain a current listing of mishap investigation tools and techniques that are identified and utilized by members of the MIWG.  The ATC will support the MIWG to develop a Agency-wide Mishap Investigation Handbook.

ATC will conduct an inventory of NASA’s current Mishap Investigators to establish NASA’s current population of personnel trained to perform this function.  The results of this inventory will entered into the ATC’s SMA database and thereby become available for easy query. 

The ATC mangement  of the users group could facilitate other presenters

## Transition Plan

**Center **
**specific **
**transition**
** ****plan**

**Center **
**specific data **
**migrated**

**Analysis **
**& **
**Verification**** **

**Center **
**rollout**
** ****to **
**production**

** **_**Transition Challenges**_

**The Legacy system allowed for some operator error to occur**
** ****Lost Time calculation discrepancy**
** ****The new system allows for more detailed data input; **
** ****legacy data required some interpretation**
**	****	**
** ****Periodic data migration from legacy system**

**Notes:**
Each field center would determine how the new application would be implemented (security roles, quick incident, local administration, center specific dropdowns)
Each field centers determine how the new application would be implemented (security roles, quick incident, local administration, center specific dropdowns)

The project team consisting of the Safety POC, the center key players and 
the ATC would determine the schedule for roll out minimizing impact to the current established safety culture and processes

When the Center had concluded that the BETA test period had been sufficient and the Application was ready, the ATC was given the “go-ahead” by the field center to allow actual data entry into the production site.
			- integrity of current migration of legacy data
			- reports generation
			- IRIS functionality

A date and time is set for production data entry to begin. IRIS legacy data is migrated to the Ex3 IRIS on that date and time. The field center to told to begin entry into the Ex3 IRIS. However, prior to 

The project team consisting of the Safety POC, the center key players and 
the ATC would determine the schedule for roll out minimizing impact to the current established safety culture and processes

When the Center had concluded that the BETA test period had been sufficient and the Application was ready, the ATC was given the “go-ahead” by the field center to allow actual data entry into the production site.
			- integrity of current migration of legacy data
			- reports generation
			- IRIS functionality

A date and time is set for production data entry to begin. IRIS legacy data is migrated to the Ex3 IRIS on that date and time. The field center to told to begin entry into the Ex3 IRIS. However, prior to 

## IMPLEMENTATION STATUS

|  | Alpha | BETA | Production | Expanded Production |
| --- | --- | --- | --- | --- |
| ARC | √ | √ | √ |  |
| DFRC | √ | √ | √ |  |
| GRC | √ | √ | √ |  |
| GSFC | √ | √ |  |  |
| NASA HQ | √ | √ | √ |  |
| JPL | √ |  |  |  |
| JSC/WSTF | √ | √ |  |  |
| KSC | √ | √ | √ | √ |
| MSFC/Michoud | √ | √ | √ |  |
| SSC | √ | √ |  |  |
| WFF | √ | √ |  |  |

**IMPLEMENTATION STATUS**

## Current Activity/Forward Schedule

- KSC,MSFC,DFRC,ARC,GRC,NASA HQ are in production
- KSC post production issues being worked
- JSC is still in BETA test. Production rollout- June 23rd
- WSTF production rollout June 21-22. Data separation and site specific dropdowns load will be performed within the next week.
- GSFC, WFF in BETA test. Data separation and site specific dropdowns load will be performed. Anticipated June 15-16 production rollout
- LaRC production rollout June 16-17-18
- SSC awaiting resolution of data normalization
- JPL in ALPHA
- Michoud and IV&V will be implemented post production phase

## IRIS Main Screen

**IRIS Main Screen**

***Main Screen at ***_[https://ca.ex3host.com/ex303210/](https://ca.ex3host.com/ex303210/)_***Enter your user id and password here***

## You are at a basic Search or Query ScreenUse this to find the specific case you need to process

**Notice all the **_**pull down**_** options to help you with your search**
**Most times typing in the employee’s name is all you need to do – ****then click “search”**

## IRIS and ERASMUS

- Provide clear real-time indicators of the safety status throughout the agency
- Provide up to date information on Agency safety to the NASA Administrator using the IRIS application

- Goal

## Schedule-Yellow.  IFMP issue--cannot assess resource     performance; 757 safety standdown; X-43A     cost being absorbed in Vehicle Systems     Program.

## Code Q Safety Metrics Roll UpYear to Date FY 04 Total Civil Servant & Contractor Mishap Data as of 05/30/2004 

- $1,570K

**Totals Civil Servant/Contractor:**

**UA = Unavailable**

**** On-site and off-site property damage**

***On-site contractor values only**

- $1,202K

- $639K

- $13K

- $0

- $56K

-  $458K

- $0

- $0

- $34K

- $0

- $2,499

- $368K

- $0

- $220K

- $0

- $7K

- $51K

- $0

- $60K

- $0

- $30K

- $0

- Property Damage

- 279

- 123

- 8

- 8

- 97

- 0

- 28

- UA

- 12

- 1

- 2

- 422

- 21

- 3

- 65

- 20

- 202

- 13

- 26

- 64

- 8

- 0

- Close Calls

- 184

- 38

- 20

- 9

- 73

- 32

- 1

- UA

- 1

- 10

- 0

- 89

- 1

- 4

- 15

- 40

- 8

- 1

- 10

- 3

- 7

- 0

- Class D

- 79

- 11

- 5

- 6

- 22

- 22

- 4

- UA

- 1

- 8

- 0

- 16

- 0

- 2

- 3

- 2

- 3

- 3

- 2

- 0

- 1

- 0

- Class C

- 1

- 1

- 0

- 0

- 0

- 0

- 0

- UA

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- Class B

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- UA

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- Class A

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- UA

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- 0

- Fatalities

- 0.41

- 1.06

- 0.20

- 0.73

- 0.44

- 0.11

- 0

- UA

- 0.46

- 0

- 0

- 0.15

- 0

- 0.15

- 0.26

- 0.11

- 0.19

- 0.19

- 0.16

- 0

- 0.13

- 0

- L-T Rate

- Agency

- SSC

- MSFC

- LaRC

- KSC

- JSC

- GSFC

- GRC

- DFRC

- ARC

- HQ

- CS

- *Cont.

- **

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- UA

- Code Q Safety Metrics Roll UpYear to Date FY 04 Total Civil Servant & Contractor Mishap Data as of 05/30/2004

## ERASMUS / IRIS

- Phase I – June 1
**Agency Safety Link on Erasmus – Provides access to roll-up summary sheet for Agency**
**Code Q website link on Erasmus**
**Stop Lights on Erasmus **

## ERASMUS / IRIS

- Phase II
**Stop Lights** - Will show red or green and link to Centers’ status
- Center status will be drawn from the Incident Reporting and Information System (IRIS)
- Center status will include a short, publicly releasable description of mishap
- Mouse placed over icon will provide a description of criteria for red and green
- Red: Had a Type A, Type B, or Type C mishap in the last week
- Yellow?: TBD (return to work, corrective actions assigned)
- Green: No Type A, Type B, or Type C mishap in the last week

## IRIS Data Analysis

-  IRIS data analysis via reports
- -indicators
- -paretos
- -case statistics
- -causal factors
-  Agency data analysis done by 	ATC and the IRIS Control Board presented to HQ quarterly

**IRIS Data Analysis & Countermeasures**

## Next Steps: Post Production

- Production rollouts will continue at each center to supervisory personnel
- Major programs will receive presentations familiarizing them with IRIS and the reporting criteria;Center specific management plans
- Data analysis
- Notifications and escalations
- Implementation of “quick incident” reporting from internal center homepages

**Notes:**
Production ready April 30th, ORR to occur May 19,20
-	recommend NASA HQ distribute June 1st implementation memo to SMA directors 

Working relationships established with the safety communities at all centers

Code Z; close attention will be paid to the EMR RFP

IDA’s with identified systems

Streamlined Security process for user request and maintenance

Training needs (web tutorial)

## IRIS Enhancement Project Team Members

**KSC ****	****	****	****Alan Zoellner, ****Dave Barker**
**JSC****	****	****	****Dan Clem****, Ron Montague**
**MSFC****	****	****	****Kristie French****, Teresa Durrette, Lorraine Rabby**
**NASA Headquarters****	****Angela Stowes, Darrius Lewis, Jon Mullin**
**DFRC****	****	****	****Dean LeBret, Vincent Kinsey**
**ARC****	****	****	****Michael Hulet**
**GRC****	****	****	****Manny Dominguez, Debbie Ripley**
**SSC****	****	****	****Brian Hey, Charles Fallo**
**LaRC****	****	****	****Janet Edmondson, Chip Quinn**
**GSFC****	****	****	****Lisa Cutler**
**WFF****	****	****	****Howard Kilmon**
**WSTF****	****	****	****Don Hall**
**Michoud****	****	****Steven Turner ***
**IV&V****	****	****	****John Griggs ***
**JPL****	****	****	****Elaine Cottle**** ***

**Field Center Safety POC’s**

## IRIS Enhancement Project Team Members

**Code Z key players**

**ARC****	****	****	****Liesel Short**
**JSC****	****	****	****Teresa Lukor, Dr. James Long**
**SSC****	****	****	****Debbie Brousard**
**KSC****	****	****	****Jeanine Meister**
**MSFC****	****	****	****David Thaxton**
**DFRC****	****	****	****Dr. Greg Benderick**
**GRC****	****	****	****Patty Oleksiack, Jean Fallan**
**GSFC****	****	****	****Debra Weller**
**JPL****	****	****	****Elaine Cottle**
**WFF****	****	****	****Howard Kilmon**
**WSTF****	****	****	****Don Hall**
**NASA HQ****	****	****Sheri Zieschang**
**NASA HQ code Z****	****Alan Gettlemen and Catherine Angotti**

**International Space Station (ISS)**

**JSC****	****	****	****Vincent Berend**
**JSC****	****	****	****Arthur Perry**

## IRIS Enhancement Project Team Members

**Aircraft Safety**

**JSC,ASO****	****	****Scott Reagan**
**DFRC,ASO****	****	****Bart Henwood**
**LaRC, ASO****	****	****Les Kagy**
**GRC****	****	****	****Kirt Blankenship**
**MSFC****	****	****	**
**NASA HQ code JP****	****Jamal Abbed**
**NASA HQ code QS****	****Matt Gaier**

**Code FM Human Resources**

**NASA HQ****	****	****Patrick Simpkins* and Chris Carlson**

**Code J NASA CIO**

**Pat Dunnington****	****	****	****Lou Nosenzo (MSFC)**
**Scott Santiago****	****	****	****Portia Dischinger (MSFC)**
**Teresa Wenger (MSFC)****	****	****Brent Sherman**
**Ken Rosemond****	****(MSFC)****	****	****Patty Stockman**

## The Safety Community & IRIS

- IRIS provides the safety community with a comprehensive, accessible database and the ability to communicate the results of data analysis not only within each center but across the agency

## Questions and Comments

**Suzanne Otero**
- Project Lead, IRIS Enhancement Project
- NASA Assurance Technology Center
- Cleveland,Ohio 44142
- Suzanne.L.Otero@nasa.gov
- 440-962-3106

- Please submit comments and questions to:

## Back Up Charts

June 8, 2004

*June 8, 2004*

## POST ORR Application Changes 

- WSTF/WFF
-  JPL
- Drop downs
- Reports (CR 137,138,139,146)
- Supervisors information report (CR 145)
- Electronic signatures
- Pre-ORR OPIE issues
- Interim investigation board
- Printing of the 1627 information?
- Printing of the quick incident
- Investigator role/witness statements

## Initial Actions:

**Action 1#: Provide a ****list of key players**** that reside at your specific center. **
**	****Medical and workers compensation, Human resources, **
**	****IRIS database entry personnel (civil servant and contractor)**
**Action 2#: Provide a ****list of buildings and areas**** at your center that you**
**	**** ****would like to appear in the Ex3 IRIS dropdowns.**
**	**** ****These should be listed in the following order: building number,**
**	****building name, building acronym **
**Action 3#: Indicate on the provided NASA ****contractor list**** (reference email) **
**	****which company/organization listing are NASA and which are **
**	****contractor**
**Action 4#: Provide a current listing of all contractor organizations and **
**	****your specific ****NASA organizational Hierarchy**

## IRIS Data Entry

** ****Key Center personnel notified through creation of distribution lists**

**Step  I Injury/illness module or safety module**

**Safety Incident record**

**Step II Action request module**

**Step III Notifications**

**Injury/illness record**

**Find or create employee record**
**Link records, attachments,assign investigators**
**Notify safety, notify supervisor****.**

**Create and Assign Corrective Actions**

**Step IV Investigation and Closure**

**Assign investigators, create investigation notes,**
**attach electronic files relevant to the investigation, compile lessons learned**

**Notes:**
  Phase I Existing:
The IRIS Enhancement now includes the ability to anonymously report with out logging into the current system. 
This is done through the quick incident icon on the IRIS home page. Currently the data retrieved through this feature is stored in the IRIS database.

The user is returned a tracking number and encouraged to write it down so that they can “track” the status of the entry. The status of the record can be “tracked” using the track button.

This incident can be a safety or injury illness record. Or one of each can be entered and linked.

Right now this tracking feature returns rudimentary information such as case type.It is desired to return corrective actions.That cost has not been evaluated and is in discussion for phase I and II. 

This feature is the response to Action 13 initiated at JSC. The IRIS program absorbed this initial cost for the Icon and functionality of 6K. Subsequent costs for other capability is under review.

Phase II Proposed:
A subsequent change request, which has not been implemented is the ability of the “initiator” to view the corrective actions and to input into the system a feedback record. This feature is under assessment as is automatic notifications.

To customize this for NSRS or NESC we would no doubt need to add check boxes or a behind the scenes sorting and notification programming

Phase III proposed:
  Ex3 has already developed a relationship with Battelle and is looking to make IRIS and starlight work together. The ATC has had a precursory review of the modules in the Ex3 inventory (risk management, TRACKS, hazard analysis...) All Ex3 modules are designed to communicate and apply structured field entry. Ex3 has 33 modules that all work together for chemical management, industrial hygiene, Incident Reporting, medical monitoring. 

## Current IRIS CCB Process