7. HSI Implementation of COTS NDI


Overview

DoD 5000.2R directs that, when acquiring COTS software products or other commercial items, the PM shall implement a spiral development process. In this context, integration may encompass the amalgamation of multiple COTS components into one deployable system (or block of a system) or the assimilation of a single COTS product (such as an enterprise resource planning system). In either case, the PM shall ensure that the system co-evolves with essential changes to doctrine (for combat systems) or reengineered business processes (for combat support and IT systems). The PM shall apply commercial item best practices.

No matter how much of a system is provided by commercial items, the PM shall engineer, develop, integrate, test, evaluate, deliver, sustain, and manage the overall system. Using commercial items offers significant opportunities for reduced cycle time, faster insertion of new technology, lower life cycle costs, greater reliability and availability, and support from a more robust industrial base. The keys to success involve thinking and acting as an informed consumer; planning for continuous evolution of the system; and maintaining a flexible posture throughout the life of the program. The use of commercial items often requires changes in the way systems are conceived, acquired, and sustained, to include:

NDI has been defined as:

A commercial product is defined as a nondevelopmental item that has been produced for sale in the commercial marketplace. To have established market acceptability means that a product has been successfully marketed in substantial quantities to either the private sector or the Government.

Material requirements shall be satisfied to the maximum practicable extent through the use of NDI when such products will meet the user's needs and are cost-effective over the entire life cycle.

Material requirements will be stated to the extent practicable in terms of required function, performance, or physical characteristics.

NDI will be evaluated for operational use by considering all aspects of the items' suitability for the intended purpose.

Significant consideration must be given to logistics support when acquiring NDI.

The acquisition strategy should be tailored to the extent feasible to employ commercial practices when purchasing commercial products or other nondevelopmental items. Such practices include, but are not limited to:

Relationship to the systems acquisition process

Inputs

Outputs

Substeps/Activities/Guidelines

The process for applying HSI to the acquisition of NDI is depicted above. The steps of this figure are described below.

Step 1. Identify HSI Inputs to NDI Concepts and Issues

1.1 Determine the extent to which the NDI must meet users' needs in the users' environment.

1.2 Determine HSI issues in NDI operational requirements.

1.3 Provide inputs to ensure that the developer is responsive to legitimate needs but is also conscious of technical risks and affordability constraints.

1.4 Provide inputs to ensure that the user is realistic in stating needs and considering trade-offs. After weighing the benefits of proven capability and more rapid deployment against any performance limitations, the user must determine whether the trade-offs are acceptable.

1.5 Tailor the acquisition process for NDI

1.6 Provide inputs to NDI effectiveness trade-offs.

1.6.1 Assess NDI reliability vis-a-vis the total system reliability.

1.6.2 Provide inputs to evaluate producers' processes, production methods, and production control procedures.

1.7 Provide HSI inputs to the determination of Life Cycle Cost. Determine how to identify which NDI approach has the:

1.7.1 lowest projected life-cycle cost, within acceptable risks, and meets essential requirements, including human performance and safety requirements.

1.7.2 lowest human workload and manning requirements for operations and maintenance.

1.7.3 most effective training program

1.7.4 least safety and health hazards

1.7.5 best mean time to repair

1.7.6 best overall availability

1.7.7 best overall supportability

1.8 Provide HSI inputs to the determination of ILS requirements

1.9 Identify Safety and Environment Issues.

1.9.1 Determine the extent to which NDIs must comply with military standards.

1.9.2 Determine how to identify hazards

1.10 Determine Manpower and Personnel Issues.

1.10.1 Determine how to identify manning requirements

1.10.2 Determine how to identify skill requirements

1.10.3 Determine how to identify workload requirements

1.11 Determine Training Issues.

1.11.1 Determine how to identify training requirements

1.11.2 The acquisition of NDI may affect both formal classroom and on-the-job training.

1.11.3 Determine how to identify training device requirements

1.11.4 Training plans should consider not only the impact on training but also the possibility that the item may require new, additional, or modified training devices.

1.12 Determine Human Performance Issues

1.12.1 Human error potential

1.12.2 Time to respond

1.12.3 Time to perform

1.12.4 Workloads

1.13 Determine HSI Survivability Issues

1.13.1 Requirements for Cold weather gear

1.13.2 Requirements for NBC suits

1.13.3 Requirements for collective protection

1.13.4 Requirements for individual protection

1.14 Determine HSI Test and Evaluation Issues

1.14.1 HSI T&E requirements

1.14.2 HSI T&E methods, measures, criteria and procedures

1.15 Determine HSI issues for NDI Modification.

1.15.1 Determine what modifications are required to the human- machine interfaces, operating environments, maintenance access provisions, maintenance workspace, manning levels, skill requirements, training, and safety provisions.

1.15.2 Determine HSI inputs to evaluation of the total effect of modifications, particularly in the area of logistics support.

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Step 2. Provide HSI Inputs to market surveys

2.1 Provide HSI Inputs to Market Surveillance

2.1.1 Review technology requirements

2.1.2 Identify technology available

2.1.3 Assess technologies

2.2 Provide HSI Inputs to Market Investigation Plan

2.2.1 Finalize the operational requirement;

2.2.2 Develop a form, fit and function description to obtain competition;

2.2.3 Determine logistic support requirements;

2.2.4 Determine what additional testing is required.

2.3 Provide HSI Inputs to Market Investigations.

2.3.1 Collect data to support a definitive NDI decision.

2.3.2 Provide Input to Market Investigation Requirements.

2.3.2.1 Identify System Performance Requirements:

2.3.2.2 Identify Reliability, Maintainability, and Survivability Requirements

2.3.2.3 Identify Logistics Support Requirements

2.4 Input to Market Investigation - Questions to suppliers.

2.3.4 Analyze data from market investigations

2.3.4.1 Product quality, electromagnetic compatibility, reliability, human performance, training, and maintainability experience of similar users.
2.3.4.2 Are modifications to the NDI needed?
2.3.4.3 Stability of current configuration and technology.
2.3.4.4 Packaging, handling, storage, and transportation practices.
2.3.4.5 Commercial market acceptability-related data
2.3.4.6 Need for any pre-production or production qualification testing and special quality assurance requirements.
2.3.4.7 Hardware, software, and manpower interface issues such as human factors and product safety as experienced by similar users.
2.3.4.8 Repair parts availability and lead times, documentation, pricing, and distribution systems.
2.3.4.9 Customer service, installation, checkout, and user maintenance instructions.
2.3.4.10 Requirements and provisions for manpower and personnel.
2.3.4.11 Competitive or sole source repair and support base.
2.3.4.12 Training and training support requirements.
2.3.4.13 Requirements for and availability of tools, test equipment, computer support resources, calibration procedures, operations, and maintenance manuals.
2.3.4.14 Warranty procedures and commercial repair capabilities.
2.3.4.15 Degree of technical data package availability/adequacy.

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Step 3. Identify human performance requirements for NDI

3.1 determine human error potential

3.1.1 determine human error potential in NDI operation

3.1.2 determine human error potential in NDI maintenance

3.1.3 Determine potential problems with time to respond/perform

3.1.4 Determine the extent to which NDI tasks are unduly complex

3.1.4.1 Determine the potential for task simplification to reduce workload/manning.
3.1.4.2 Identify the potential for reducing physical task demands
3.1.4.3 Identify the potential for reducing cognitive task demands
3.1.4.4 Identify the potential for reducing perceptual-motor task demands
3.1.4.5 Identify Task Simplification approaches

3.1.4.6 Identify how task simplification will modify task sequences and/or reduce the likelihood of human error

3.2 Establish criteria which address the adequacy of the system design for fightability

3.3 Establish criteria which address the adequacy of the system design for operability

3.4 Establish criteria which address the adequacy of the system design for maintainability

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Step 4. Identify HSI supportability requirements for NDI

4.1 Identify procedures/documentation requirements

4.2 Evaluate procedures/documentation

4.3 Identify impacts of HSI on life cycle costs

4.3.1 Determine which NDI approach has the lowest projected life-cycle cost, within acceptable risks, and meets essential requirements, including human performance and safety requirements.

4.3.2 Determine which NDI approach has the lowest manning requirements including operations and maintenance.

4.3.3 Determine which NDI approach has the most effective training program

4.3.4 Determine which NDI approach has the least safety and health hazards

4.3.5 Determine which NDI approach has the best mean time to repair

4.3.6 Determine which NDI approach has the best overall availability

4.3.7 Determine NDI approach has the best overall supportability

4.3.8 Determine NDI approach has the least overall risk

4.3.9 Determine NDI approach has the best overall affordability

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Step 5. Identify safety and health requirements for NDI

5.1 Determine hazards due to materials

5.2 Determine hazards due to sharp edges/corners

5.3 Determine hazards due to lasers

5.4 Determine hazards due to RF

5.5 Determine hazards due to breakage

5.6 Determine hazards due to explosion

5.7 Determine hazards due to electric shock

5.8 Determine hazards due to environmental factors

5.9 Determine hazards due to man-machine interface design

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Step 6. Identify manpower & personnel requirements for NDI

6.1 Identify manpower requirements from system acquisition documentation

6.2 Identify manpower requirements from ILS/LSAR documentation

6.3 Identify manpower requirements from lessons learned

6.3.1 Identify problems in existing systems

6.4 Identify manpower requirements from HSI issues

6.5 Identify manpower requirements from function/task analysis data

6.6 Identify manpower requirements from manning/workload studies

6.7 Identify requirements for reduced manning

6.7.1 investigate alternate manpower/skill reduction options, such as:

6.7.2 identify task sequences where manpower/skill reduction is feasible and potentially beneficial

6.7.3 conduct workload analyses of alternate manpower reduction approaches

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Step 7. Identify training requirements for NDI

7.1 Identify training requirements from system acquisition documentation

7.2 Identify training requirements from lessons learned

7.2.1 Identify training problems in commercial systems

7.2.2 Identify training effectiveness in commercial systems

7.2.3 Identify training devices and equipment used in commercial systems

7.2.4 Identify applications of embedded training technology

7.2.5 Identify applications of onboard training technology

7.2.6 Identify requirements for special skills

7.3 Identify training requirements from HSI issues

7.4 Identify training requirements from function/task analysis data

7.5 Integrate training requirements

7.5.1 Identify skill requirements by tasks

7.5.2 integrate manning and skill requirements across task sequences

7.5.3 identify training system requirements in terms of

7.5.4 identify training device design requirements

7.5.5 review training devices approaches implemented in predecessor/baseline systems

7.5.6 identify problems with existing training devices for selected training objectives

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Step 8. Identify survivability requirements for NDI

8.1 Assess availability/adequacy of protection systems and devices

8.2 Assess expected human performance wearing protective ensembles

8.3 Assess adequacy of countermeasures

8.4 Assess adequacy of the design for survivability

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Step 9. Identify test and evaluation requirements for NDI

9.1 Identify extent to which T&E data will influence selection of design concepts, and incorporate into T&E planning

9.2 Identify the extent to which HSI T&E will be accomplished under operationally realistic conditions using personnel deemed to be typical users

9.3 Identify extent to which results of evaluations of predecessor systems will input HSI T&E exercises

9.4 Identify NDI test and Evaluation issues

9.4.1 Identify HSI inputs to T&E

9.4.2 Identify categories of HSI T&E required

9.4.3 Identify overall T&E objectives

9.4.4 Identify overall objectives of HSI T&E

9.4.5 Integrate HSI T&E objectives with system-level T&E objectives

9.5 Identify system features to be evaluated

9.6 Identify test conditions

9.6.1 Identify sources of information on test conditions

9.6.2 Identify tactical conditions to be evaluated or controlled

0. Identify conditions of readiness to be evaluated or controlled -
1. Identify workload conditions to be evaluated or controlled -
2. Identify personnel conditions to be evaluated or controlled -
3. Identify operational conditions to be evaluated or controlled -
4. Identify environmental conditions to be evaluated or controlled -
5. Integrate information on test conditions

9.7 Identify T&E data requirements

9.7.1 Identify test data validity requirements

9.7.2 Identify test data reliability requirements

9.7.3 Identify test data usability requirements

9.7.4 Identify test data accuracy requirements

9.8 Identify T&E methods

9.8.1 Identify candidate methods

9.8.2 Identify constraints on method selection

9.8.3 Identify considerations in method selection

9.8.4 Identify advantages/disadvantages of alternate methods

9.8.5 Select T&E methods

9.9 Identify T&E measures

9.9.1 Identify HSI T&E data requirements

9.9.2 Define HSI measures of effectiveness

9.9.3 Identify data to be acquired on each measure

9.9.4 Identify data acquisition and recording requirements

9.9.5 Identify data analysis and integration requirements

9.10 Identify T&E criteria

9.10.1 Identify T&E criteria based on system acquisition/development requirements

9.10.2 Identify T&E criteria based on lessons learned

9.10.3 Identify criteria based on HSI principles/design criteria

9.11 Develop test plan

9.11.1 Collect HSI T&E requirements and approaches

9.11.2 Develop experiment design

9.11.3 Identify requirements for mock-ups, models, facilities and instrumentation

9.11.4 Describe individual tests and evaluation procedures

9.11.5 Describe test procedures for experimenter and subjects

9.11.6 Integrate tests

9.12 Conduct HSI T&E

9.12.1 Select and prepare test subjects

9.12.2 Acquire and prepare test materials

9.12.3 Acquire and prepare test instrumentation

9.12.4 Identify test initial conditions

9.12.5 Initiate tests

9.12.6 Monitor the progress of tests

9.12.7 Terminate testing

9.13 Prepare test reports

9.6.13.1 prepare reports on HSI T&E describing major findings and implications for system design and operation

9.6.13.2 integrate HSI T&E with logistics and system level T&E

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Step 10. Identify ILS requirements for NDI

10.1 identify criteria which address the adequacy of the system design for supportability

10.2 determine the adequacy of system documentation

10.3 determine the adequacy of spares access

10.4 determine the adequacy of the design for supportability

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Step 11. Provide HSI input to the Procurement Documents

11.1 Provide HSI inputs to the Statement of Work.

11.1.1 Identify non-specification requirements for contractor efforts

11.1.2 Identify requirements for reliability programs,

11.1.3 Identify requirements for maintainability programs,

11.1.4 Identify requirements for reliability prediction,

11.1.5 Identify requirements for HSI design reviews

11.1.6 Establish tasks and identify the work effort to be performed expressed as minimal needs.

11.1.7 Statements of work should incorporate requirements from military specifications and standards only when absolutely necessary.

11.2 Provide HSI inputs to the Contract Data Requirements List.

11.2.1 Identify applicable HFE DIDs

11.2.2 Identify applicable MPT DIDs

11.3 Provide HSI inputs to the Contract Specification.

11.4 Provide HSI inputs to the selection of Requirements Documents

11.4.1 Ensure that stated requirements accurately reflect the user's operational and supportability requirements.

11.4.2 Establish criteria by which proposed items will be evaluated and best value determined.

11.5 Develop an Effective Requirements Document

11.5.1 Tailor the requirements documents

11.5.2 Identify tools and techniques for developing a requirements document.

11.5.3 Communicate with the User.

11.5.3.1 understand the operational requirement

11.5.3.2 establish communication between the user and the acquisition activity

11.6 identify new products, technologies, materials, etc. being used by industry. This information allows the user to evaluate operational requirement. The user also can validate the acceptability of new products, technologies, or materials being considered.

11.7 Establish flexibility in user's needs to allow consideration of a broader range of alternatives . Requirements document should reflect the user flexibility by stating requirements in terms of acceptable ranges or thresholds to be met rather than exact requirements.

11.8 Focus on Performance-Oriented Requirements. State requirements in performance rather than "how-to" terms allowing suppliers to offer existing products which meet the requirements.

11.9 Provide inputs to Application and Tailoring which allows the preparer to consider the pertinence and cost effectiveness of requirements imposed through standardization documents.

11.10 Tailoring is the process by which individual requirements of applicable specifications, standards, or related documents are evaluated to determine the extent to which they are most suitable for a specific acquisition and the modification of these requirements to ensure that each achieves an optimal balance between operational need and cost.

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Step 12. Provide HSI input to the Commercial Item Description

12.1 Establish requirements for the Commercial Item Description (CID) - a simplified specification that describes, by salient functional or performance characteristics, the available, acceptable commercial or commercial-type products that will satisfy the Government's needs. It is a type of Federal specification to prepare technical documents that are easier for suppliers to use and that allow manufacturers to provide products to DoD from their standard production line.

12.2 the item to provide potential suppliers and users a brief description of the item(s), which will allow suppliers to decide if they may be able to supply the item and users to decide if the CID is appropriate for use in meeting their requirements. The abstract may also be used in the synopsis of the procurement in the Commerce Business Daily.

12.3 Identify Salient Characteristics:

12.3.1 Describe salient characteristics which capture technical aspects of the item and provide a basis for its acceptance or rejection. User requirements and research and analysis of comparable items available commercially provide the basis for preparing the salient characteristics section of a commercial item description. Referencing non-government test methods and standards is the preferred method for incorporating technical characteristics, materials, and testing procedures. For HSI applied to maritime systems, the reference standards should be ASTM 1166 and the American Bureau of Shipping (ABS) Human Factors Standard. Commonly used commercial test methods and units of measurement should be used. If a non-government standard is not available for the entire item or sufficiently definitive, consider using non-government standards in part or as a basis. Determining the appropriate salient characteristics is an item specific, technically demanding task which is based on the judgment of the technical expert or engineer. However, user input and feedback, market research, and industry comments are essential considerations.

12.3.2 The following tools and techniques are available to the specification preparer in developing salient characteristics initially and in keeping them current, in response to changing user requirements and technology.

12.4 Identify Quality assurance provisions:

12.4.1 Manufacturer's Standard Quality Assurance Program - The quality assurance of products described using a CID should rely entirely or primarily on the manufacturer's standard quality assurance program in providing products for the commercial market. Quality assurance provisions should be directed toward determining compliance with the salient characteristics of the CID, Government acceptance of the product, and compliance human factors engineering standards such as MIL-STD-1472, ASTM 1166, and ABS.

12.4.2 Market Acceptability - Quality assurance provisions in a CID may be stated in terms of market acceptability. Market acceptability must be based on a reasonable assessment of the Government's minimum needs and should be developed considering the specific product and its market. Flexibility is encouraged in constructing market acceptability requirements to fit the product and may vary, i.e. volume of product, time on the market, etc.

12.4.3 Assess the extent to which the item meets requirements associated with achieving interoperability and integration of a family of systems. According to DoD 5000.1, interoperability is the ability of systems, units, or forces to provide data, information, materiel, and services to and accept the same from other systems, units, or forces, and to use the data, information, materiel, and services so exchanged to enable them to operate effectively together. Interoperability within and among United States forces and U.S. coalition partners is a key goal that must be addressed satisfactorily for all Defense systems so that the DoD has the ability to conduct joint and combined operations successfully. The use of standardized data shall be considered to facilitate interoperability and information sharing. To the extent possible, systems and software shall be designed to permit use in a multi-national environment.

12.4.4 Assess the item in terms of usability ­ a major requirement for ensuring quality of a commercial item is that it must be usable by the sailor irrespective of his or her level of computer literacy. Usability requires that user expectancies are met, that operations are intuitive, that displays are readable, that presented information and communications are immediately meaningful , and that human interfaces are designed in conformity with human engineering design standards. The activities involved in assessing the usability of technology are as follows:

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Step 13. Evaluate application of HSI to NDI

13.1 Identify equipment to be assessed for HSI problems or positive aspects and determine where (on what systems or other platforms) the equipment has had operational experience.

13.2 identify technique for collecting data on potential HSI problems/positive aspects for NDI

13.3 Determine if a Manpower , Personnel and Training (MPT) Analysis has been conducted for the equipment

13.3.1 If no - go to step 8.0

13.3.2 If yes - assess the results of the Manpower , Personnel and Training Analysis

13.3.2.1 Assess the Manpower Requirements Analysis

13.3.2.2 Assess the Personnel Pipeline Analysis

13.3.2.3 Assess the Training Resource Requirements Analysis

13.3.2.4 Assess manpower requirements

13.3.2.5 Assess training provisions

13.4 Determine if a Safety Hazard Analysis has been conducted for the equipment

13.4.1 If no - proceed to step 13.7

13.4.2 If yes - evaluate the results of the analysis

13.4.2.1 Review the Preliminary Hazard Analysis (PHA) to identify safety critical areas, evaluate hazards, and identify the safety design criteria to be used.

13.5 Determine if a human engineering assessment has been conducted for the equipment

13.5.1 If no - proceed to step 13.7

13.5.2 If yes - identify human engineering/human performance problems

13.6 Determine if 3-M data exist for the equipment

13.6.1 If no - proceed to step 13.7

13.6.2 If yes - review 3-M data as follows

13.6.2.1 determine what EIC code is associated with the equipment

13.6.2.2 retrieve 2-K reports for the equipment

13.6.2.3 review block 8 cause codes

13.6.2.4 review block 9 deferral codes

13.6.2.5 review block 15 - safety hazard identified?

13.7 Determine if test and evaluation data exist at OPTEVFOR or NAVSEA

13.7.1 If no - proceed to step 13.8, 13.9, 13.10, 13.11, 13.12, 13.13, 13.14, or 13.15

13.7.2 If yes - review sections of T&E reports that address design issues

13.7.2.1 assess system/equipment design for operability

13.7.2.2 assess system/equipment design for maintainability

13.7.2.3 assess system/equipment design for safety

13.7.2.4 assess system/equipment design for survivability

13.7.2.5 assess system/equipment design for supportability

13.7.2.6 assess system/equipment design for usability

13.7.2.7 assess system/equipment design for habitability

13.7.2.8 assess system/equipment design for installability/erectability

12.7.2.9 assess system/equipment design for affordability

13.7.2.10 assess system/equipment design for interoperability

13.7.3 Review sections of T&E reports that address MPT

13.7.3.1 Assess the training device design

13.8 Determine if training audits exist

63.8.1 If no - proceed to step 13.16

13.8.2 If yes - review results of audits

13.8.2.1 Assess Training Effectiveness

13.8.2.2 Assess training devices

13.9 Determine if incident reports exist at TYCOM or SYSCOMs which address HSI issues

13.9.1 If no - proceed to step 13.10

13.9.2 If yes - review incident reports

13.9.2.1 Identify where incidents were caused by inadequate human performance

13.9.2.2 Identify where incidents were caused by inadequate manning

13.9.2.3 Identify where incidents were caused by inadequate training

13.9.2.4 Identify where incidents were caused by inadequate procedures

13.9.2.5 Identify where incidents were caused by inadequate design

13.9.2.6 Identify where incidents were caused by inadequate organization

13.10 Determine if any casualty reports (CASREPS) exist

13.10.1 If no - proceed to step 13.11

13.10.2 If yes - review casualty reports

13.10.2.1 Identify where casualties were caused by human performance

13.10.2.2 Identify where casualties were caused by inadequate manning

13.10.2.3 Identify where casualties were caused by inadequate training

13.10.2.4 Identify where casualties were caused by inadequate procedures

13.10.2.5 Identify where casualties were caused by inadequate design

13.10.2.6 Identify where casualties were caused by inadequate organization

13.11 Determine if INSURV data exist which indicate HSI problems

13.11.1 If no - proceed to step 13.12

13.11.2 If yes - review casualty reports

13.11.2.1 Identify where problems were caused by human performance

13.11.2.2 Identify where problems were caused by inadequate manning

13.11.2.3 Identify where problems were caused by inadequate training

13.11.2.4 Identify where problems were caused by inadequate procedures

13.11.2.5 Identify where problems were caused by inadequate design

13.11.2.6 Identify where problems were caused by inadequate organization

13.12 Determine if FLTEX data exist which indicate HSI problems

13.12.1 If no - proceed to step 13.13

13.12.2 If yes - review casualty reports

13.12.2.1 Identify where problems were caused by human performance

13.12.2.2 Identify where problems were caused by inadequate manning

13.12.2.3 Identify where problems were caused by inadequate training

13.12.2.4 Identify where problems were caused by inadequate procedures

13.12.2.5 Identify where problems were caused by inadequate design

13.12.2.6 Identify where problems were caused by inadequate organization

13.13 Determine if Commanding Officer Narrative Reports (CONARs) exist which indicate HSI problems

13.6.13.1 If no - proceed to step 13.14

13.6.13.2 If yes - review casualty reports

13.6.13.2.1 Identify where problems were caused by human performance

13.6.13.2.2 Identify where problems were caused by inadequate manning

13.6.13.2.3 Identify where problems were caused by inadequate training

13.6.13.2.4 Identify where problems were caused by inadequate procedures

13.6.13.2.5 Identify where problems were caused by inadequate design

13.6.13.2.6 Identify where problems were caused by inadequate organization

13.14 Determine if any JAG investigation reports exist which indicate HSI problems

13.14.1 If no - proceed to step 13.15

13.14.2 If yes - review casualty reports

13.14.2.1 Identify where problems were caused by human performance

13.14.2.2 Identify where problems were caused by inadequate manning

13.14.2.3 Identify where problems were caused by inadequate training

13.14.2.4 Identify where problems were caused by inadequate procedures

13.14.2.5 Identify where problems were caused by inadequate design

13.14.2.6 Identify where problems were caused by inadequate organization

13.15 Determine if message traffic indicates problems or positive aspects of the equipment

13.15.1 If no - proceed to step 13.16

13.15.2 If yes - review casualty reports

13.15.2.1 Identify where problems were caused by human performance

13.15.2.2 Identify where problems were caused by inadequate manning

13.15.2.3 Identify where problems were caused by inadequate training

13.15.2.4 Identify where problems were caused by inadequate procedures

13.15.2.5 Identify where problems were caused by inadequate design

13.15.2.6 Identify where problems were caused by inadequate organization

13.16 Conduct interviews of ship personnel concerning HSI issues with the equipment

13.16.1 Determine if interviews are warranted, feasible, and required

13.16.1.1 If no - proceed to step 13.17

13.16.1.2 If yes - plan and conduct interviews

13.17 Conduct HSI observations/evaluations at the worksite

13.17.1 Determine if observations and on-site evaluations are warranted, feasible, and required

13.17.1 If no - proceed to step 13.4, 13.5, 13.6, 13.7, 13.8, 13. 9, 13.10, 13.11, 13.12, 13.13, 13.14, 13.15, or 13.16

13.17.2 If yes - plan and conduct observations/evaluations

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