Apollo 1 Accident Investigation Report
GPTKB entity
Statements (80)
| Predicate | Object |
|---|---|
| gptkbp:instance_of |
gptkb:investigation
|
| gptkbp:cause |
cabin fire
|
| gptkbp:crew |
gptkb:Virgil_I._Grissom
gptkb:Roger_B._Chaffee gptkb:Edward_H._White_II |
| gptkbp:date |
April 1967
|
| https://www.w3.org/2000/01/rdf-schema#label |
Apollo 1 Accident Investigation Report
|
| gptkbp:impact |
changes in NASA safety culture
|
| gptkbp:investigating_body |
gptkb:NASA
|
| gptkbp:location |
gptkb:Launch_Complex_34
|
| gptkbp:notable_work |
design flaws
poor communication inadequate training inadequate safety measures lack of redundancy failure to follow procedures |
| gptkbp:outcome |
loss of crew
|
| gptkbp:published_by |
gptkb:NASA
|
| gptkbp:recommendation |
improve safety protocols
increased funding for safety initiatives increased oversight development of contingency plans improved communication protocols improved incident reporting systems better risk assessment practices development of a safety management system better emergency protocols redesign of the command module improved design review processes improved safety communication channels greater emphasis on safety in contractor management better analysis of past incidents better documentation of safety procedures better integration of safety into design better materials for cabin construction better tracking of safety performance metrics better use of simulation in training creation of a safety committee development of a safety culture assessment tool development of a safety leadership program development of a safety training curriculum enhanced collaboration between teams enhanced fire safety measures enhanced focus on emergency preparedness enhanced testing procedures enhanced training for engineers establishment of a safety culture establishment of safety boards greater emphasis on safety in project execution greater emphasis on safety in project planning greater involvement of crew in safety discussions greater emphasis on safety in organizational culture implementation of safety metrics improved crew training improved safety training for contractors increased accountability for safety violations increased focus on human error prevention increased focus on human factors increased focus on operational safety increased focus on safety in design reviews increased focus on safety in project closeout increased transparency in safety reporting involvement of external safety experts more comprehensive safety assessments more frequent safety audits more frequent safety drills more rigorous testing more robust safety oversight for subcontractors more robust safety training programs more thorough evaluation of safety culture more thorough evaluation of safety risks more thorough investigation of incidents regular safety training for all personnel use of non-flammable materials increased focus on safety in supply chain management better integration of safety into procurement processes better integration of safety into project timelines |
| gptkbp:reports_to |
gptkb:final_report
|
| gptkbp:resolution |
over 200 pages
|
| gptkbp:subject |
gptkb:Apollo_1
|