Tuesday, October 05, 2004

NOAA-N-Prime Satellite Mishap Investigation Report Released

The NOAA-N-Prime satellite mishap investigation report has been released. This is a follow-up of this entry. Please note the following in the report:

Errors were made by other team members, who were narrowly focused on their individual tasks and did not notice or consider the state of hardware or the operation outside of those tasks
(Page 9.)

In my view, the conclusion of the report points to one thing, no matter how many "Q/A" people you have on-board, if the organizational structure is not working, then you cannot expect a Quality Band aid program to help in anyway.

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