Author Archives: Barb Carr

Monday Accident and Lesson Learned: Aviation Safety Callback

Posted: August 21st, 2017 in Accidents

As a Tower Controller, your role is vital to ensure the pilots have the information and guidance they need when descending and landing their aircrafts. One Tower Controller was working alone on midday shift when an aircraft was coming in for landing while experiencing minor turbulence. The Tower Controller cleared him for landing and gave instruction, but also had to leave his station to record a PIREP for moderate turbulence on the AISR website. When he returned, the pilot had descended past the assigned altitude, which could have been avoided if the Tower Controller could do two things at once, submit the PIREP to the AISR website and the FSS at the same time.

The suggested corrective action is to allow the Tower Controllers to enter the PIREP to just the FSS allowing them to focus on the current operation.

What do you think?

(Resource: ASRS Callbacks)

Friday Joke

Posted: August 18th, 2017 in Jokes

Monday Accident and Lesson Learned: Unsecured Load Falls Onto Worker

Posted: August 14th, 2017 in Accidents

Just a couple of days ago at Pacific Northwest National Laboratory in Washington, a worker backed into a cart that had a large, heavy cylinder loaded on it. He soon figured out the cylinder was not secured properly as it tipped over slightly hitting the workers back. Luckily he walked away unharmed, but large, heavy objects should be secured well to avoid any major injuries. Another lesson learned is to always check your surrounding well before you begin working.



Friday Joke

Posted: August 11th, 2017 in Jokes

How Far Away is Death?

Posted: August 10th, 2017 in How Far Away Is Death?


How to Be a Great Root Cause Facilitator (Part 2)

Posted: August 9th, 2017 in Video, Video Depot

In the second part of this series, Benna Dortch, Ken Reed and Mark Paradies, Creator of TapRooT®, discuss more important and valuable traits of a great root cause facilitator. If you want some best practice tips to help you improve your investigations and just be better at your job, watch this series.


A great facilitator also has great training. Register for a TapRooT® Advanced Root Cause Analysis Team Leader Training course.

How to Effectively Perform a Cognitive Interview for an Incident Investigation

Posted: August 7th, 2017 in Video, Video Depot

In this video, TapRooT® Instructor, Barb Phillips, discusses the benefits of an effective cognitive interview when gathering evidence for your incident investigations.

Interested in learning more about planning your investigations and gathering evidence correctly? Take our one day course in Houston this November.

Monday Accident and Lesson Learned: Collision of Trains at Plymouth Station

Posted: August 7th, 2017 in Accidents

In April of last year a train collided with an empty, still train that was waiting at Plymouth Station. The train that caused the accident was going 15 mph when it collided, and the conductor stated that he “misjudged” the amount of space he had to pull in behind the other train. He had also never operated a train so closely to another so he lacked the experience needed to complete the procedure. There were no fatal injuries, but 48 passengers were hurt and the two trains were damaged.

Corrective action: improve the training and assessment of new drivers, look at emergency door release controls, check procedure for permissive movements between trains



Monday Motivation: Are you making a living? Or making a life?

Posted: August 7th, 2017 in Career Development, Career Development Tips, Wisdom Quote

What are you working for? To buy some new things? Did you know that buying experiences, not possessions, leads to greater happiness? A San Francisco State University study (2009) demonstrated that experiential purchases, such as a meal out or theater tickets, result in increased greater well-being than material possessions. These experiences tend to satisfy higher order needs, specifically the need for social connectedness and vitality—a feeling of being alive.

Another thing to think about… a Harvard Business School study (2009) revealed people tend to overestimate the influence of wealth on happiness by 100%. When basic needs are met, money does not lead to nearly as much happiness as people think it will.

Let making a living support what really important, making a happier life!

Friday Joke

Posted: August 4th, 2017 in Jokes

Interviewing and Evidence Collection Tip: Why Sketch the Scene?

Posted: August 3rd, 2017 in Investigations, Root Cause Analysis Tips

Sketch the scene after video and photography.

So, an incident occurred and you’re moving along in your evidence collection efforts.  You’ve recorded the scene with both video and photography. You’re feeling pretty good about your documentation.  Is there any reason to also sketch the scene?

Yes, there are – and here are two very good reasons:

1. Sketching the scene on paper is valuable because photographs and video can make objects appear closer together or farther apart than they really are.  If the evidence needs to have proportional measurements included in it, sketch it!

2. Sketches can be used in sensitive situations.  For example, if the recordings (photographs and videos) of an accident scene are disturbing to witnesses, you can use sketches of the scene when interviewing them.

To learn more about evidence collection, join me in Houston, Texas in November for a 3-day root cause analysis and evidence collection course, or just 1 day of evidence collection training.

How to Be A Great Root Cause Facilitator (Part 1)

Posted: August 2nd, 2017 in Performance Improvement, RCA Tip Videos, Video, Video Depot

In this new series, Benna Dortch and Ken Reed discuss the most important and valuable traits of a great root cause facilitator. Take note and implement them at work to be a more effective investigator. There is always room for improvement!

How to Be a Great Root Cause Facilitator (Part 1) from TapRooT® Root Cause Analysis on Vimeo.

A great facilitator also has great training. Register for a TapRooT® Advanced Root Cause Analysis Team Leader Training course.

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