Author Archives: Barb Carr

What does a bad day look like?

Posted: September 19th, 2017 in Accidents

Monday Accidents & Lessons Learned: Five People Die After Using Weight Loss Balloons

Posted: September 18th, 2017 in Accidents, Investigations, Medical/Healthcare


According to the Food & Drug Administration’s report, five people have died since 2016 after being treated with weight loss balloon devices. The science behind this technology is that the balloon takes up space in the stomach after being filled with solution and this leaves less room in the stomach for food. The balloon is left in the patient’s stomach for six months while the patient learns to eat differently.

The five deaths occurred within a month of balloon placement.  We know that four of the deaths involved a balloon from the same manufacturer. However, nothing has been found linking the deaths to the medical device. In the TapRooT® System, an investigator would examine an incident like this by first creating a sequence of events. Once the sequence of events is completed,  more information would be collected.  For example:

Did the patient understand the risks?

Was the patient closely monitored by the healthcare team for possible deteriorations?

Did the patient understand which symptoms required medical assistance?

These are just a few of the types of questions that should be answered to help determine all the Causal Factors. There could be multiple things that went wrong. TapRooT® doesn’t stop at Causal Factors. Each Causal Factor is taken through the TapRooT® Root Cause Tree to find the Root Causes. Just like there may be (and probably is) more than one Causal Factor, there is probably more than one Root Cause that needs to be fixed to prevent this from happening again.

Mark Paradies recently posted an article that may be helpful in a situation like this, “Root Cause Analysis for the FDA.”

It takes some deep diving to understand all of the lessons learned here. Learn more about how to prevent unnecessary deaths like this in one of our upcoming 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Trainings:

October 2: Knoxville, Tennessee

October 16: Orlando, Florida

October 23: Bogota, Colombia (Spanish)

October 30: Reykjavik, Iceland

November 13: Brisbane, Australia

November 13: New Orleans

November 27: Johannesburg, South Africa

November 27: Monterrey, Mexico

November 27: Perth, Australia

Join us for the 2018 Global TapRooT® Summit!

Posted: September 18th, 2017 in Summit

Registration is now open! Check out the Global TapRooT® Summit website to view an exciting video about our 2018 event.

Click the image above to view video on the Summit website!

Monday Motivation: Let your accomplishments do the talking

Posted: September 18th, 2017 in Career Development, Career Development Tips



“Action speaks louder than words but not nearly as often.”
― Mark Twain

I was reading profiles on LinkedIn today and couldn’t help but notice how many people describe themselves as “innovative” and “visionary.” The funny thing is, I couldn’t find one thing in the experience/accomplishments sections of their profiles that supported that. Adjectives are easy to throw out there but are you describing yourself more in words than proving it with accomplishments?  If you truly have those magnificent characteristics and are only using words to prove it, you’re not convincing anyone.

Your accomplishments speak for themselves.  Take a look at your LinkedIn profile this week and replace those words with your proven track record. Actions always speak louder than words. And while you’re on LinkedIn, follow us! We post news every day to help you expand your knowledge for further success!

TapRooT® around the World: Tennessee

Posted: September 15th, 2017 in Media Room

We miss Gabby Miller, our former Marketing & Communications Strategist, but it was fun catching up with her today in her new role at WBIR. Benna Dortch and I were glad to deliver donations sponsored by TapRooT® to WBIR’s Hurricane Donation Drive at The Main Event in Knoxville.

Technically Speaking: New TapRooT® VI Updates

Posted: September 14th, 2017 in Software, Software Updates, Technical Support, Technically Speaking

The new release of updates in the TapRooT® VI software are here!

Check out the variety of enhancements we’ve made:


We are extremely excited to announce our partnership with Enablon in providing an Application Programming Interface (API) which allows TapRooT® VI and Enablon’s Safe Operations solution to share critical investigation data.

Enablon, a Wolters Kluwer business, is the world’s leading provider of Sustainability, EH&S and Operational Risk Management Software. More than 1,000 global companies and 1 million users rely on Enablon software solutions to manage their environmental and social performance, minimize risks and improve profitability. Enablon offers the most comprehensive platform in the industry, and is consistently recognized as a global leader and visionary. For more information, please visit or email


Are you an Enterprise License owner with TapRooT® hosting the software for you?
Great news! The update is already on your TEST site. Contact when you are ready to schedule the updates to your PRODUCTION site.

Are you an Enterprise License owner that hosts the software in your network?
Contact to make sure your license is up to date and get access to this software update.

Are you a subscriber to
The updates are already there and ready to use! Login to check them out.

Are you interested in getting access to for yourself?
Click here to purchase

Technically Speaking is a weekly series that highlights various aspects of the TapRooT® VI software and occasionally includes a little Help Desk humor.
Remember, just because it’s technical, it doesn’t mean it has to be complicated!

TapRooT® in Monterrey, Mexico

Posted: September 12th, 2017 in Courses

We recently received these great photos from a recent public course in Monterrey, Mexico. Get in the picture! REGISTER for one of many root cause analysis courses around the world!

TapRooT® Root Cause Analysis Course in Reykjavik!

Posted: September 12th, 2017 in Courses, Local Attractions

TapRooT® is excited to go to Reykjavík to see the beautiful nature and rich Viking heritage. While we’re there, we’ll be teaching a 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training. Join us for this course and check out the delicious food, attractions, and beautiful scenery Reykjavik has to offer.


Fjorugardurinn – Viking style decor and meals make this a one-of-a-kind Icelandic experience!

Icelandic Fish & Chips – Traditional English-style food with an organic & Icelandic spin.

Gandhi – Indian cuisine using a combination of local ingredients and spices shipped straight from India.

Hereford Steakhouse – Carefully selected cuts of steak, chicken, and pork in an upscale setting.


Nightlife – Reykjavík is famous for its nightlife that has only just begun when the clock strikes midnight.

Whale watching – Join a tour group to see these majestic creatures.

Fishing – Go alone or with a day tour group and enjoy the waters of Iceland.

Hallgrímskirkja – The largest church building in Iceland houses a pipe organ reaching 15 meters tall and weighing 25 tons. It is truly a beautiful sight to see.

Tjörnin – “The pond” in Icelandic, this small lake is located in the city center and is perfect for strolling or just relaxing after a long week of learning TapRooT®.


REGISTER for our 5-Day TapRooT® Reykjavik, Iceland October 30, 2017.

What does a bad day look like?

Posted: September 12th, 2017 in Accidents

TapRooT® at Torex Gold, Minera Media Luna Project

Posted: September 11th, 2017 in Courses

TapRooT® instructor, Jesus Alonso sent in these great photos from a recent onsite course. Get in the picture! Contact us to schedule an onsite course at your facility!

Monday Motivation: Build your personal advisory board!

Posted: September 11th, 2017 in Career Development, Career Development Tips

“Pulling a good network together takes effort, sincerity and time.”
Alan Collins, author of “Unwritten HR Rules”

Part of valuing your time is investing in the right relationships. Spend your time on relationships that matter the most.  For career development, those relationships include people who are willing to help guide your career goals. It takes thought, time and effort to find them. However, the more you procrastinate building your own personal advisory board, the more disconnected you will be from opportunities that could advance your career.

Join us for a fun, exciting and rewarding opportunity to network and build relationships at the 2018 Global TapRooT Summit in Knoxville, Tennessee, February 26 – March 2.  Learn more here.

Remembering an Accident: Ryanggang Explosion in North Korea

Posted: September 9th, 2017 in Accidents

On this day in history, September 9, 2004, a mysterious explosion occurred in North Korea suspiciously close to the border of China. Deep in the mountains in the Ryanggang Province where a secret underground military base was located, a large mushroom cloud arose causing concern and confusion. The seismic activity reported after the accident helped them determine that the large cloud indicated a nuclear explosion, but there wasn’t enough evidence to determine if it was actually an accident. Needless to say, this explosion did not only cause concern for the local citizens, but also other countries. Fortunately, there weren’t any casualties. But the question on everyone’s mind was, “Why would there be a mysterious yet seemingly planned nuclear explosion?”.



Although this explosion was more than likely not an accident, the TapRooT® Advanced Root Cause Analysis and Team Leader Training public courses teach our dynamic techniques that are the best for investigating incidents like this. TapRooT® techniques are also frequently used so prevent incidents from ever occurring.

Find out more about TapRooT® Advanced Root Cause Analysis Training.

Friday Joke: Today’s Special

Posted: September 8th, 2017 in Jokes

And if you can’t, well good luck to you!

New Caption Contest!

Posted: September 7th, 2017 in Contest

This is an unconventional way to get the job done. How would you caption this video? Put on your creative hat and enter your caption in the comments below.

Contest Instructions:
1. Create your caption to the photo above in five words or less. All captions with more than five words will be disqualified.
2. Type your caption in the comments section of this post by October 31.
3. If you haven’t already, subscribe to the Tuesday TapRooT® Friends & Experts e-newsletter. You must be a subscriber to win!

Have fun!

Caption Contest Winner!

Posted: September 7th, 2017 in Contest

Thanks for playing along with us during our recent contest.

Judging was fierce and so close! But our winner is:

Toney Mitchell with “He lost the ‘boxing’ match.”

Congratulations Toney!


Job Postings for People with TapRooT® Root Cause Analysis Training

Posted: September 5th, 2017 in Career Development, Job Postings


TapRooT® root cause training can take your career to the next level.  Here are some openings for people with TapRooT® skills:

HSE Manager, Arkema, Geneseo, New York “Investigator for TapRooT® investigations; provide incident investigation training to site.”

Health & Safety Manager, Bristol, Pennsylvania “Investigator for TapRooT® investigations”

FieldCore (Multiple locations) (“Lead investigator – TapRooT®”)

What are you waiting for? Expand your career options. Sign up for training today!

August 10 Caption Contest

Posted: September 5th, 2017 in Contest

Thanks to those who entered our August 10 caption contest. Our staff is voting for a winner and we’ll announce who it is Thursday, September 7.  Stay tuned!

TapRooT® featured on Worldwide Business with kathy ireland®

Posted: September 5th, 2017 in Human Performance, Media Room, Pictures, Root Cause Analysis Tips, TapRooT, Video

Mark & Kathy discussing root cause analysis and human performance.

Watch the recorded television broadcast below.

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Barb CarrBarb Carr

Editorial Director

Chris ValleeChris Vallee

Human Factors

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Garrett BoydGarrett Boyd

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Linda UngerLinda Unger


Mark ParadiesMark Paradies

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