News

2 Day TapRooT® Incident Investigation and Root Cause Analysis Course in Philadelphia

Posted: April 14th, 2014 in Courses

I am in Philadelphia this week teaching the 2 day course. Here are some pictures of day one activities:

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Why not join us for the next course? You can see the schedule and register HERE

TapRooT® at the Interphex 2014 Conference

Posted: March 18th, 2014 in Courses

Thanks to the 200+ people who came by the TapRooT® Booth today. If you are at the conference and have not been by, you still have 2 days. Please come by and receive your free gift (while supplies last). Chris Vallee and I are here and are in booth 1008.

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5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training in London

Posted: March 3rd, 2014 in Courses

Derek Rutherford and I are teaching the 5 day course in London this week. Here are some pictures from day one activities:

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Why not join us for the next course? To see our schedule and register, click HERE

Pharma Friends: Come Visit Us (or be our guest) at Interphex

Posted: February 18th, 2014 in Current Events

If you are planning to be at Interphex in New York in March, please stop by the TapRooT® booth and say hello. Chris Vallee and I will both be there.

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If you are attending the conference, I hope you will also attend my talk, “the seven secrets of root cause analysis” on March 19 at 4:00 PM.

If you have not registered for the conference, you can register as our guest with our compliments for access to the exhibit hall. To take advantage of this opportunity, just go here:

http://www.interphex.com/DP526

5 Day TapRooT® Advanced Root Cause Analysis Team Leader training course in New Orleans

Posted: November 6th, 2013 in Courses

Dave Davis and I are teaching the 5 day course in “Nawlins” this week. Here are some pictures of Dave teaching and the students working on a root cause analysis of a vehicle accident:

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We hope to see you in a future course; to see our schedules and for registration, click HERE

TapRooT® at the NRECA Safety Leadership conference

Posted: October 31st, 2013 in Current Events

I am in San Antonio this week for the National Rural Electric Association Safety Leadership conference. Thanks to everyone who stopped by the TapRooT® Booth. It was our pleasure to be a sponsor for the event.

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A special thank you to Mike Williams from the Colorado Rural Electric Association for his presentation on incident investigation and all the positive comments about TapRooT®

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The next time you attend a conference, check to see if we are there and stop by and see us! Chris Vallee and I will be at INTERPHEX in New York in March; Chris, Megan Craig, and I will be as the ASQ conference in May in Dallas; and Linda Unger, Michelle Wishoun, and Benna Dortch will be at the ASSE conference in Orlando in June. We look forward to seeing you.

5 Day TapRooT® Advanced Root Cause Analysis Team Leader training in Pittsburgh

Posted: October 7th, 2013 in Courses

Dan Verlinde and I are teaching the 5 day course this week in Pittsburgh. Here are some pictures of the day one activities:
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Why not join us for the next course? You can see the schedule and enroll HERE

2 Day TapRooT® Incident Investigation and Root Cause Analysis Course in Atlanta

Posted: October 2nd, 2013 in Courses

Ralph Blessing and I are teaching the 2 day course in Atlanta this week. Here are some pictures of the day 1 activities:

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We still have a few courses this year, but they are starting to fill up, so if you want to join us, please register as soon as possible. You can see the schedule HERE

2 Day TapRooT® Incident Investigation and Root Cause Analysis Course in Austin, TX

Posted: September 25th, 2013 in Courses

This week brings us to Austin, Texas for the 2 day course. Here are some pictures of the day one activities:

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We are entering into our busiest time of the year, and courses are filling quickly, so if you still want to be trained this year, you should enroll right away. Here is the schedule and enrollment link: SCHEDULE AND ENROLLMENT

2 Day TapRooT® Incident Investigation and Root Cause Analysis course in Dayton, OH

Posted: September 17th, 2013 in Courses

Jonathan Ellgass and I are in Dayton teaching the 2 day course today. Here are some pictures of the day one activities:

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Why not join us for the next course? You can see the schedule HERE

Best Practices for Reducing Serious Injuries and Fatalities Using TapRooT® Course coming in October!

Posted: September 3rd, 2013 in Courses, Current Events

The course was developed in response to TapRooT® User requests to help them stop fatalities and serious injuries.

Many TapRooT® Users have multiple programs to improve safety. Yet, despite their best efforts, they continued to have rare but troubling serious injuries and fatalities. Some even had statistics that showed improvements in their lost time rate were not proportional to improvement in their fatality rate. Lost time injuries had been reduced more than serious injuries.

Mark Paradies, President of System Improvements, went to work to discover why this phenomenon might exist and what TapRooT® Users could do to focus on serious injury prevention. His discoveries could refocus your safety improvement efforts.

To share the new insights he worked with Dave Janney (former safety leader at Delta Air Lines) and created an interactive course to share practical methods to focus on your most pressing issues and achieve sustained safety improvement.

The course will be held in Knoxville, TN on October 24-25. To enroll in the course, click HERE

5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training in Dallas, TX

Posted: August 19th, 2013 in Uncategorized

Jonathan Ellgass and I are teaching the 5 day course here in Dallas this week. Here are some pictures of the day one activities:

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Why not join us for the next course? You can see the schedule and register HERE

Pictures from onsite TapRooT® Root Cause Analysis course in NJ

Posted: July 30th, 2013 in Courses

Steve Swarthout sent me these pictures from an onsite course he taught last week for one of my good clients:

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If you would like a course held at your site (10 or more people) just e-mail us at info@taproot.com and we will set it up.

2 Day TapRooT® Root Cause Analysis course in Calgary, AB

Posted: July 24th, 2013 in Courses

Kevin Palardy and I are teaching the 2 day course this week in Calgary, Here are pictures of Kevin teaching and the students working on exercises:

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We are entering our busy time of the year and our courses are starting to fill up in the fall, so my advice to you if you want to attend a course this year would be to enroll as soon as possible. To see the schedule and enroll, click HERE

2-Day TapRooT® Incident Investigation & Root Cause Analysis Course in Houston

Posted: July 15th, 2013 in Courses, Pictures, TapRooT

Ken Turnbull and I are teaching the 2 day course this week in Houston. Here are some pictures of Ken teaching and the students working on their first exercise:

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This course filled up, so if you wanted to attend and could not, I’m sorry.  Our courses have really been filling up, so if you want to attend a course this year I recommend you enroll as soon as possible.  You can see our schedule and enroll HERE

TapRooT® at ASSE

Posted: June 24th, 2013 in Current Events

If you are at the ASSE Conference in Las Vegas this week, please stop by the TapRooT® Booth (#745) and say hello. We have a special gift for you (while supplies last). To help you find us, here is a picture of our booth (and Ken):

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2 Day TapRooT® Course in Las Vegas

Posted: June 20th, 2013 in Courses

Ken Reed and I are in Las Vegas this week teaching the two day course. Here are some pictures of Ken teaching and the day one activities:

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Why not join us for the next course? See the schedule HERE

Root Cause Tip – Work Direction

Posted: May 29th, 2013 in Root Cause Analysis Tips

I wanted to take some time today to discuss one of our basic cause categories on the TapRooT® Root Cause Tree®; Work Direction.

Work Direction includes the near root causes of preparation, selection of worker, and supervision during work.

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The main focus of my comments is on preparation; however, let me touch on the other two first.

Selection of worker is fairly straightforward; the person(s) is (are) not properly qualified for the task or are in some way not capable of performing the task. It is the supervisor’s responsibility to ensure workers are qualified and capable.

Supervision during work ensures that there is a “reasonable level” of supervision and also includes a very important consideration, crew teamwork. Since “reasonable level” is debatable, there can be differing interpretations and opinions on this, and one must consider that each situation is different. However, in my experience, this root cause can be overused. Every situation or task cannot be expected to have someone there to oversee a trained adult, so be careful not to use that as a crutch and blame lack of supervision for every problem.

Which brings me to preparation; this is everyone’s responsibility, not just the supervisor’s. You have self-directed teams as well as people working alone, and preparation is needed whether a supervisor is present or not. I have seen the tendency to cross off work direction when a supervisor is not directly involved. Remember, someone is always in charge, whether they have the title of supervisor or not.

No preparation is straightforward. Work Package/Permit NI includes JSA/JHA’s and risk assessments as well as things requiring a work package or permit. I often see people trying to fit JSA’s into other areas, but this is where it fits on the tree.

Pre-job briefings are another root cause I feel can be overused, or used as a “crutch.” Briefings can tell people things that are specific to the shift, anything out of the ordinary, any specific risk, crew coordination, etc. However, can the supervisor or person in charge tell a trained adult everything they might need to know today? Here is an example:

Someone made an error because they did not use a required procedure (and they know it is required). A student selects pre-job briefing as a root cause because………..”if the supervisor had told them to use the procedure in the pre-job…..” But they are a trained adult who knows the procedure is required! I think that is taking things a little too far.

The same concept applies to walk-thru NI; I see less abuse on this one, but remember, walk-thrus are for infrequently occurring tasks, not something I do every day.

Make sure you are being very deliberate when going through the Root Cause Tree®, use the dictionary, and of course, the evidence. One of the common things I see among new users is the tendency to “go shopping when they are hungry.” What do I mean by that? Here is the analogy:

When you were a kid, your Mom gave you $20 and said milk, bread, and eggs. You went to the store and got the three items. So far, so good. But on the way to checkout, you passed the cookies…..and the chips…and the candy. The problem is when you got to the checkout you had to pay the bill. And when you got home Mom asked the dreaded question; “where is my change?” In this scenario think of the checkout as your corrective action program and your Mom as the boss. Eventually you must account for everything, and if you load up your corrective action program with cookies, what happens to the important stuff? No one knows……..at least until they try to clean up the open items.

Be careful and happy investigating.

2 Day TapRooT® Incident Investigation and Root Cause Analysis Course in Pittsburgh, PA

Posted: May 15th, 2013 in Courses

Ken Scott and I teaching the two day course this week, here are some pictures of the students working on their first exercise:

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Sorry if you missed us on this one, the course filled up several weeks out. We have been experiencing high demand for our training, so if you want to attend, you should enroll as soon as possible. To view the schedule and register, click HERE

2 Day TapRooT® Root Cause Analysis Course in Indianapolis, IN

Posted: May 9th, 2013 in Courses

I am teaching the 2 day course this week here in Indianapolis. Here are some pictures of the students working on day 1 exercises:

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Why not join us for a future course? To see the schedule and register, click HERE

TapRooT® at the ASQ World Conference for Quality and Improvement

Posted: May 6th, 2013 in Current Events

Thanks to the 150 people who stopped by our booth last night at the opening reception. If you are at the conference and have not come by yet, we are in Booth 615. We have a special gift for you while supplies last. Here is a picture of our booth (and Chris Vallee) to help you find us:

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Final Presentations from 5 Day TapRooT® Team Leader course in Doha, Qatar

Posted: April 25th, 2013 in Courses

Today marks the end of yet another successful TapRooT® course in the Middle East.  All TapRooT® courses end with an exercise where students get to use what they learned on an investigation from their company, followed by management presentations.  I must say the presentations today were some of the best I have seen!  Here are some pictures of the final presentations and the class picture:

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We hope to see you at a course soon; see the schedule HERE

5 Day TapRooT® Root Cause Analysis Team Leader training in Doha, Qatar

Posted: April 21st, 2013 in Courses

I am teaching the 5 day course in Doha this week.  Here are some pictures of the day one activities:

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If you wanted to attend and missed this one, the next course in Doha is scheduled for October.  To register click HERE

2 Day TapRooT® course in Lake Charles, LA

Posted: March 13th, 2013 in Courses

Mark Byrnes and I are teaching the 2 day course this week in Lake Charles.  Here are some pictures of Mark teaching and the students working on their first exercise:

 

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Why not join us for the next course?  You can see our schedule and register HERE

Another successful TapRooT® course!

Posted: February 28th, 2013 in Courses, Great Human Factors, Pictures, TapRooT

I just finished our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course in Dubai.  What a great group we had.  Here is the class picture:

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Our next courses in the region will be in April, the 5 Day in Doha and 2 Day in Dubai.  Both courses are already half full, so if you want to attend, you should register right away.  DOHA OR DUBAI REGISTRATION CLICK HERE

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