Author Archives: Susan Napier-Sewell

Friday Joke

Posted: September 21st, 2018 in Jokes

If It’s Wednesday, It’s TapRooT® on Facebook Live, Noon EST!

Posted: September 19th, 2018 in Career Development Tips, Investigations, Meet Our Staff, Performance Improvement, RCA Tip Videos, Root Cause Analysis Tips, Topic of the Week

Tune in today for TapRooT®’s Facebook Live conversation. At noon EST, join TapRooT® professionals Benna Dortch and Chris Vallee discussing, Do you perform incident investigations like you watch the news?

We look forward to being with you on Wednesdays! Here’s how to connect with us for today’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 19

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort. You don’t want to miss a minute of the TapRooT® Summit!

TapRooT® Around the World: Cork, Ireland

Posted: September 18th, 2018 in Career Development, Courses, Human Performance, Meet Our Staff, Performance Improvement, Pictures, TapRooT® Instructor, Training

Look into the Two-Day TapRooT® Techniques course in Cork, Ireland, where students and TapRooT® Instructors Thomas Di Giacomo and Chris Vallee gathered at the Imperial Hotel Cork on South Mall. Attendees enjoyed a bit of history along with the TapRooT® course, as guests such as Sir Walter Scott, William Thackeray, Franz Liszt, and Charles Dickens have stayed at the hotel.

In the span of the two-day course, students learned to find and fix the root causes of incidents, accidents, quality problems, precursor events, operational errors, hospital sentinel events, and many other types of problems. Upon course completion, attendees received a certificate and a 90-day subscription to TapRooT® VI, the online software service.

Many thanks to Tom and Chris for capturing and sharing these great pictures of action and insights into the interactive learning during the course!

Put yourself in the picture by becoming trained in troubleshooting and identifying root causes of issues and incidents. Register today for a TapRooT® course and gain advantage, experience, and expertise from our professional instructors. Here are some of our upcoming courses:

Calgary, Canada, September 24, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Atlanta, Georgia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 08, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Dubai, United Arab Emirates, October 14, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Edmonton, Alberta, Canada, October 18, 2018: Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course

Bogota, Colombia, October 22, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Albuquerque, New Mexico, October 29, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

New Orleans, Louisiana, November 12, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Monterrey, Mexico, November 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Johannesburg, South Africa, November 19, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Bogota, Colombia, November 21, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Perth, Australia, November 26, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Houston, Texas, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Edmonton, Canada, December 10, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

Join the Conversation: TapRooT® & Facebook Live Tomorrow at Noon EST

Posted: September 18th, 2018 in Career Development Tips, Meet Our Staff, Performance Improvement, RCA Tip Videos, Root Cause Analysis Tips, Topic of the Week, Video

Join us tomorrow for TapRooT®’s Facebook Live conversation. We’ll begin at noon EST with TapRooT® professionals presenting a workplace-relevant discussion full of insights and improvements to implement in your job and to include in other roles in your organization.

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

We look forward to being with you on Wednesdays! Here’s how to connect with us for tomorrow’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 19

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

What does a bad day look like?

Posted: September 18th, 2018 in Bad day, Pictures

Because signage matters, right?

Career Opportunities for Candidates with TapRooT® Skills

Posted: September 17th, 2018 in Career Development, Courses, Job Postings, Performance Improvement, Training

You’re telling everyone that you’re an effective problem-solver when you have the expertise of TapRooT® training on your resume. Professional training and skill sets in investigation, problem-solving, and root cause analysis convey competency to everyone you meet, especially prospective employers. If you have TapRooT® training and skills, explore your professional advancement through these global opportunities.

Technical Manager

Regional H&S Advisor

Manager, Health, Safety, & Environment

Safety Technician

Project Planner

Commissioning Engineer

Lab Quality Technician

Environmental Safety & Health Manager 

Quality Inspector

Quality, Health, Safety, & Environmental Manager

Project Manager

Process Safety Advisor

HSE Manager

If you are not TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is the proven path to develop your skills and training. Pursue your goals through one of these TapRooT® courses to advance your professional development and your career.

Atlanta, Georgia: September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Amsterdam, Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 8, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Dubai, UAE, October 14: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Houston, Texas, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Singapore, Singapore, November 15, 2018: 2-Day TapRooT® Root Cause Analysis Training

Perth, Australia, November 26, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Houston, Texas, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Edmonton, Canada, December 10, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

Friday Joke

Posted: September 14th, 2018 in Jokes

TapRooT® Around the World: Johannesburg, South Africa

Posted: September 13th, 2018 in Career Development, Courses, Human Performance, Meet Our Staff, Performance Improvement, Pictures, TapRooT® Instructor, Training

Take a look into a recent 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training, taught by TapRooT® Instructor Sanjay Gandhi. We are grateful to Sanjay for sharing these pictures that show teamwork, the TapRooT® learning experience, and a great time in the process!

Through TapRooT® Training with our exceptional instructors, students learn to find and fix the root causes of incidents, accidents, quality problems, precursor events, operational errors, hospital sentinel events, and many other types of problems. Take a course taught by one of our expert TapRooT® instructors and you will understand how to identify the root cause of any issue and/or incident.

Put yourself in the picture by becoming trained in troubleshooting and identifying root causes of issues and incidents. Register today for a TapRooT® course and gain advantage, experience, and expertise from our professional instructors. Here are some of our upcoming courses:

Denver, Colorado, September 18, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Atlanta, Georgia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 08, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Dubai, United Arab Emirates, October 14, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Edmonton, Alberta, Canada, October 18, 2018: Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course

Bogota, Colombia, October 22, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Albuquerque, New Mexico, October 29, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

New Orleans, Louisiana, November 12, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Monterrey, Mexico, November 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Johannesburg, South Africa, November 19, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Bogota, Colombia, November 21, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Perth, Australia, November 26, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Houston, Texas, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Edmonton, Canada, December 10, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

If It’s Wednesday, It’s TapRooT® on Facebook Live, Noon EST!

Posted: September 12th, 2018 in Career Development Tips, Meet Our Staff, Performance Improvement, RCA Tip Videos, Topic of the Week, Video

Tune in today for TapRooT®’s Facebook Live conversation. At noon EST, join TapRooT® professional Michelle Wishoun who will discuss TapRooT® Certified Instructors. You’ll also learn more about our upcoming Global TapRooT® Summit during today’s session.

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

We look forward to being with you on Wednesdays! Here’s how to connect with us for today’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 12

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort. You don’t want to miss a minute of the TapRooT® Summit!

Join the Conversation: TapRooT® & Facebook Live Tomorrow at Noon EST

Posted: September 11th, 2018 in Career Development Tips, Meet Our Staff, Topic of the Week, Video

Join us tomorrow for TapRooT®’s Facebook Live conversation. We’ll begin at noon EST with TapRooT® professionals presenting a workplace-relevant discussion full of insights and improvements to implement in your job and to include in other roles in your organization.

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

We look forward to being with you on Wednesdays! Here’s how to connect with us for tomorrow’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 12

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

What does a bad day look like?

Posted: September 11th, 2018 in Accidents, Bad day, Great Human Factors, Pictures

Because who doesn’t want to take a trip in their hot tub?

Monday Accidents & Lessons Learned: Ensure Safety Behind the Wheel

Posted: September 10th, 2018 in Accidents, Great Human Factors, Investigations, Root Cause Analysis Tips

In June 2018, a Queensland owner/operator truck driver was reversing his single-deck truck up to a ramp to load cattle used in a rodeo. It appears he placed the truck in reverse and began to idle backwards. The gearing of the truck in reverse was sufficiently low that it did not require the driver to have his foot on the accelerator. He then opened the door and stood on the running board of the truck holding onto the steering wheel to maneuver the truck while looking backward to where he was going. He fell from the running board of the truck and was fatally crushed under the front wheel as the truck continued to reverse itself.

Also, in June 2018, a courier van driver sustained serious fractures when he was dragged under his vehicle. He had returned to the parked van to retrieve an item through the front window when it rolled backward. It appears he was dragged under the vehicle while trying to stop it.

Both investigations are continuing.

Contributing factors
Some contributing factors to these incidents include:

  • Workers being under a heavy vehicle or trailer, or in its path
  • Unsafe systems of work being applied, such as poor separation of traffic from pedestrian areas
  • Failing to immobilize:
    -the handbrake of the vehicle not applied
    -the wheels of the heavy vehicle or trailer not immobilized
    -components of the heavy vehicle or trailer not restrained or adequately supported
    -brakes malfunctioning
  • Not conducting a risk assessment before working on the vehicle

Action required in immobilizing heavy vehicles
If an employee needs to work near a heavy vehicle, or between a heavy vehicle and another object, first make sure the vehicle is immobilized by:

  • Switching off the motor and removing the key from the ignition to render it inoperable
  • Applying the handbrake
  • Using wheel chocks, if warranted and required

Establish a safe operating procedure and ensure workers follow it to eliminate the risk of anyone failing to immobilize their vehicle.

Consider installing a handbrake warning system to alert drivers when the handbrake has not been applied (these can be easily retrofitted).

Working under heavy vehicles and trailers
For work under heavy vehicles and trailers, ensure an appropriate load support is used (e.g. stands or lifting devices).

Risk assessments before commencing work
Before commencing work, identify hazards and assess risks associated with working under and around heavy vehicles or trailers. Where appropriate:

  1. Establish an exclusion zone that is clearly marked and enforced.
  2. Use safe work procedures for maintenance and repair tasks, and ensure that workers are trained in these procedures.
  3. Ensure worker training, experience, and competency is consistent with the nature and complexity of the task.

Similar risks exist for light and smaller vehicles, and a risk assessment should be conducted before commencing work.

Preventing similar incidents
There have been incidents where vehicle drivers and others have been killed or seriously injured after being hit, pinned, or crushed by the uncontrolled movement of vehicles. The risk of a vehicle moving in an uncontrolled or unexpected manner must be managed by ensuring appropriate control measures are in place. Controls may include, but are not limited to, the following:

  • Before leaving a vehicle, ensure it is stationary and out of gear with the emergency brake applied.
  • Do not climb into a moving vehicle.
  • Do not allow any movement of the truck or vehicle unless there is someone in the driver’s seat who is able to receive oral or visual warnings and can immediately act to prevent harm (e.g. apply brakes or steer the truck).
  • When reversing, ensure the area around the vehicle is clear.
  • Always employ reverse with the aid of mirrors or a spotter.

The person conducting a business or undertaking should conduct a risk assessment of work practices, develop appropriate safe work systems, conduct appropriate training, and ensure the system is enforced at the workplace.

Statistics
Since 2012, there have been 47 incidents involving workers or others being crushed, struck or run over by a truck moving in an uncontrolled method. Eleven were fatal, and 27 involved a serious injury. In the same period, 49 improvement notices and 25 prohibition notices were issued for uncontrolled movement or rolling of trucks, semitrailers, and more.

Since 2012, there have been 10 work-related deaths involving a person being run over by a vehicle or some other type of machinery. In the same period, 10 prohibition notices and eight improvement notices have been issued in relation to a person being run over by a vehicle or other type of machinery.

Each year, there are around 130 accepted worker compensation claims involving a worker being struck or crushed by a truck. Of these claims, more than a third involve a serious injury, and two are fatal.

Annually, there are around 600 accepted workers compensation claims involving a worker injured by mobile plant*. Of these claims, about 40 percent involve a serious injury requiring five or more days off work, and two are fatal.

Prosecutions and compliance
In May 2017, a company was fined $60,000 and an individual $3,000 following the death of a worker who was run over by a truck and trailer. The worker was lying under the back of the trailer to check on bouncing that had occurred while driving. Moments later, the truck and trailer began moving backward. The trailer wheels rolled over the worker, followed by the truck wheels.

In February 2017, a regional council was fined $170,000 following the death of a worker. The worker was killed after he was struck and run over by a reversing truck on a civil construction site.

In December 2016, a road freight transport company was fined $60,000 and a court ordered undertaking for two years with recognizance of $60,000 following the death of a worker who was run over by a trailer. The prime mover and trailer appeared to have trouble releasing its trailer brakes. The worker went to the rear of the trailer and attempted to release a trailer brake. When the vehicle began rolling backward, he tried to reengage the spring brake but was struck by the trailer wheels.

In June 2016, a company was fined $120,000, after a worker was killed operating a six-ton mobile yard crane to perform shifting the load of steel product. The worker was seen running alongside the crane which was traveling down a slope, uncontrolled, with no one in the operator’s seat. He was either struck by the crane, or it tipped, then run over and killed. The driver was not licensed to operate this type of crane.

*Powered mobile plant is defined by the Work Health and Safety Regulation 2011 (WHS Regulation) to mean any plant that is provided with some form of self-propulsion that is ordinarily under the direct control of an operator, and includes: earthmoving machinery (e.g. rollers, graders, scrapers, bobcats) excavators.

Thanks to WorkCover Queensland for this information highlighting the risks associated with workers being crushed or hit by heavy vehicles or trailers.

Circumstances can crop up anywhere at any time if proper and safe sequence and procedures are not planned and followed. We encourage you to learn and use the TapRooT® System to find and fix problems. Attend one of our courses. We offer a basic 2-Day Course and an advanced 5-Day Course. You may also contact us about having a course at your site.

Career Opportunities for Candidates with TapRooT® Skills

Posted: September 10th, 2018 in Career Development, Courses, Human Performance, Performance Improvement, Training

You’re telling everyone that you’re an effective problem-solver when you have the expertise of TapRooT® training on your resume. Professional training and skill sets in investigation, problem-solving, and root cause analysis convey competency to everyone you meet, especially prospective employers. If you have TapRooT® training and skills, explore your professional advancement through these global opportunities.

Regional HES Advisor

Quality Inspector

PSM Safety Advisor 

Safety Technician

Lab Quality Technician

Environmental Safety & Health Manager 

Quality Inspector

Program Manager HSE

Quality, Health, Safety, & Environmental Manager

Field Service Representative

Project Manager

Health & Facilities Manager

Process Safety Advisor

HSE Manager

HSE Associate Coordinator

Wireline Field Service Manager

If you are not TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is the proven path to develop your skills and training. Pursue your goals through one of these TapRooT® courses to advance your professional development and your career.

Denver, Colorado, September 18, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Atlanta, Georgia: September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Amsterdam, Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 8, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Dubai, UAE, October 14: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Houston, Texas, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Singapore, Singapore, November 15, 2018: 2-Day TapRooT® Root Cause Analysis Training

Perth, Australia, November 26, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Houston, Texas, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, December 3, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Edmonton, Canada, December 10, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

Friday Joke

Posted: September 7th, 2018 in Jokes

TapRooT® Around the World: 3-Day Equifactor® in Bogota, Colombia

Posted: September 5th, 2018 in Career Development, Courses, Equipment/Equifactor®, Investigations, Meet Our Staff, Performance Improvement, Pictures, TapRooT® Instructor, Training

Here’s a glimpse into a recent 3-Day Equifactor® course in Bogota, Colombia, taught by TapRooT® Instructors Hernando Godoy and Piedad Colmenares. We really appreciate Diana Munevar for sharing these pictures that show teamwork, the TapRooT® learning experience, and a great time in the process!

The 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Failure Analysis Course is designed to help investigators troubleshoot equipment problems to get the information they need to find and fix the root causes of equipment-related failures. These tools can be used by equipment troubleshooting experts, maintenance and equipment reliability specialists, or other investigators who don’t have an extensive understanding of equipment engineering.

Through TapRooT® Training with our exceptional instructors, students learn to find and fix the root causes of incidents, accidents, quality problems, precursor events, operational errors, hospital sentinel events, and many other types of problems. Take a course taught by one of our expert TapRooT® instructors and you will understand how to troubleshoot and identify the root cause of any issue and/or incident.

Put yourself in the picture by becoming trained in troubleshooting and identifying root causes of issues and incidents. Register today for a TapRooT® course and gain advantage, experience, and expertise from our professional instructors. Here are some of our upcoming courses:

Denver, Colorado, September 18, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Atlanta, Georgia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 08, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Edmonton, Alberta, Canada, October 18, 2018: Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course

Bogota, Colombia, October 22, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Albuquerque, New Mexico, October 29, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Johannesburg, South Africa, November 19, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Bogota, Colombia, November 21, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

If It’s Wednesday, It’s TapRooT® on Facebook Live, Noon EST!

Posted: September 5th, 2018 in Career Development Tips, Human Performance, Meet Our Staff, Performance Improvement, RCA Tip Videos, Root Cause Analysis Tips, TapRooT, TapRooT® Instructor, Topic of the Week, Uncategorized, Video

Tune in today for TapRooT®’s Facebook Live conversation. At noon EST, join TapRooT® professionals Benna Dortch and Mark Paradies who will offer insights and improvements to implement in your job and to include in situations throughout your organization.

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

We look forward to being with you on Wednesdays! Here’s how to connect with us for today’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 5

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

Join the Smart Conversation: TapRooT® & Facebook Live Tomorrow at Noon EST

Posted: September 4th, 2018 in Career Development Tips, Meet Our Staff, Performance Improvement, RCA Tip Videos, Root Cause Analysis Tips, TapRooT, TapRooT® Instructor, Topic of the Week, Video

Join us tomorrow for TapRooT®’s Facebook Live conversation. We’ll begin at noon EST with TapRooT® professionals Benna Dortch and Mark Paradies presenting a workplace-relevant discussion full of insights and improvements to implement in your job and to include in other roles in your organization.

NOTE: Be sure to tap on the Follow button on our videos so you will get notifications the next time TapRooT® goes live.

We look forward to being with you on Wednesdays! Here’s how to connect with us for tomorrow’s Facebook Live session:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, September 5

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

Monday Accidents & Lessons Learned: “Brute Force” Compromises Assets

Posted: September 3rd, 2018 in Accidents, Current Events, Great Human Factors, Human Performance, Investigations, Root Causes

Fighting today’s cybercrime has become a scenario in which businesses continually strive to stay ahead of the most recent evolution. Technology has forever changed the way we work, and the company culture that stays cybersecurity-alert is less likely to spend worklife looking over its collective shoulder.

The very real situation that follows is a Lesson Learned, the Risk of Internet Accessible Cyber Assets, from Western Electric Coordinating Council and NERC (North American Electric Reliability Corporation).

The Problem 
An electronic access point connected to the internet from a low-impact facility for remotely accessing a capacitor bank was compromised by unauthorized internet users for seven months prior to discovery.

Details
A registered entity discovered a compromised electronic access point connected to the internet from a low-impact facility. The access point was originally intended to be temporary and was installed by a SCADA (supervisory control and data acquisition) Manager who subsequently left the entity without providing adequate documentation and turnover to the next SCADA Manager. The access point was misidentified as a remote terminal unit (RTU) with an end-of-life (EOL) operating system and left in place. Unauthorized personnel accessed the cyber asset for seven months before the registered entity became aware of the compromise. Because the device was identified as an EOL system, the compromised system was not maintained (patched, monitored, etc.) by the registered entity and was thus more susceptible to exploitable vulnerabilities.

The initial compromise resulted from an unauthorized internet user guessing via a “brute force”1 method the weak password for the administrators’ account, which permitted remote access. The compromised cyber asset was used over a seven-month period as a mail relaying (SMTP) and remote desktop (RDP) scanner.2 Additionally, the IP address and credentials for the cyber asset were posted on a Russian-based media site, and the cyber asset was subsequently infected with ransomware. The compromise was discovered after support staff could not remotely access the cyber asset. The purpose of the internet-connected access point was to remotely access and operate the capacitor banks to ensure the reliability of the system. Upon looking into the matter further, personnel discovered that the cyber asset was compromised with ransomware, so the registered entity immediately powered off the cyber asset.

Forensic analysis on the compromised system identified several different scanning tools designed to locate remotely accessible RDP or SMTP servers along with text files containing IP addresses for the scanners to target. Although the attackers likely conducted reconnaissance on the local network to identify other vulnerable devices, the primary focus of their activity appears to identify other remote systems to target for attacks.

Corrective Actions
The registered entity removed the compromised device from service and performed forensic analysis to identify all malware on the affected device and determine agent(s) of the compromise, time lines, and reveal (to the most possible extent) the underlying activities and motives of the compromise. A virus scan was also performed on all devices at the same site as well as a review of logs on all of the devices to look for anomalous activity. Other locations were also scanned to determine whether they had similar installations or issues.

Lesson Learned
Cyber assets at low-impact facilities capable of remote internet connectivity are susceptible to unauthorized access from the internet or unsecured networks if not properly secured. These remote access points are typically used to provide communication paths for monitoring and control purposes to maintain BES (Bulk Electric System) reliability. Remote connectivity that can provide unauthorized and potentially malicious access to systems that supply auxiliary power, power quality, voltage support, fault monitoring, and breaker control is of particular concern.

Failure to develop and follow appropriate policies and procedures to control the installation and maintenance of cyber assets may create exploitable vulnerabilities that could negatively impact BES reliability. In this case, installation of, inaccurate identification of, and failing to provide adequate security protections for a device connected to a registered entity’s network led to the compromise of the device. There may be several practical lessons learned that can be derived from this event that apply to low-impact cyber assets and constitute good cybersecurity practices in general.

Policy and Procedures

  1. Train employees and contractors on cybersecurity awareness, policy, and practices
  2. Catalog cyber assets at low-impact facilities to determine use and facilitate accurate records
  3. Consult with and obtain authorization from responsible IT departments as well as compliance and risk management groups to evaluate potential risks and impacts of internet-facing and internet-worked cyber assets at low-impact facilities
  4. Have personnel (e.g., operations, maintenance) who perform periodic onsite visits conduct cyber-device inventory checks as part of routine safety and maintenance inspections
  5. Consider using a checklist
  6. Periodically reevaluate risks and potential impacts of the inventoried cyber assets as new threats and vulnerabilities are revealed or vendor support is discontinued
  7. An entity’s IT department could use tools such as Shodan3 and nmap4 on the entity’s own public IP space on a regular basis to verify only authorized ports are open to the internet
  8. When an employee or contractor leaves the company or is terminated, ensure appropriate turnover and knowledge transfer processes occur

Cybersecurity practices to consider for low-impact facilities

  • Identify and secure cyber assets at low-impact facilities capable of remote connectivity
  • Where possible, implement network access controls within the system to prevent the installation of unauthorized hardware
  • Implement network segmentation into trust zones
  • Change default passwords with strong passwords on user accounts and administrative accounts and restrict operational use of administrative accounts
  • Implement MFA (multi-factor authentication) for all internet-facing resources that support these technologies
  • Provide for a patch management plan for evaluating security patching for cyber assets at low-impact facilities
  • Whenever practical, monitor the network for anomalous behavior

1“Brute forcing” is an automated method of attempting authentication with many different passwords until the attacker is able to successfully login to the system.

2A network scanner performs a scan on a network and collects an electronic inventory of the systems and the services for each device on the network. In this case, the server was used to scan for open SMTP (Simple Mail Transfer Protocol) servers and RDP (Remote Desktop Protocol) servers for potential compromise.

3Shodan is an internet site used to discover devices that are connected to the internet, where they are located and who is using them.

4Nmap (“Network Mapper”) is a free and open source (license) utility for network discovery and security auditing.

TapRooT® recommends the following modifications to your online behavior to reduce the possibility of cybercrime:

  • Change passwords regularly; be the sole owner of your passwords; avoid using personal information in passwords; create passwords with random keyboard patterns, numbers, and special characters.
  • Don’t respond to emails or messages requesting personal or financial information.
  • Sending your password in an email is a definite no-no.
  • Never give unauthorized persons access to business computers—at the workplace or at home.
  • Don’t interact with money-sending instructions in emails.
  • Always call clients and vendors to verify any financial/billing changes.
  • Choose automatic software updates.
  • Back up data to reduce the likelihood of ransomware attacks, and ensure that your backup management is secure. (Often, a company’s most valuable asset is its intellectual property, so a loss in this area can be disastrous.)
  • Install/maintain antivirus and anti-spyware software and a firewall on all business computers.
  • Secure all WiFi networks and passwords.
  • Educate all employees what comprises business information, and the risks in sharing this with anyone.
  • Grant administrative privileges only to trusted staff and limit employee access to data systems that are workload-critical.
  • Require administrative approval and assistance in any and all downloads by employees.

Circumstances can crop up anywhere at any time if proper and safe sequence and procedures are not planned and followed. We encourage you to learn and use the TapRooT® System to find and fix problems. Attend one of our courses. We offer a basic 2-Day Course and an advanced 5-Day Course. You may also contact us about having a course at your site.

Career Opportunities for Candidates with TapRooT® Skills

Posted: September 3rd, 2018 in Courses, Human Performance, Job Postings, Performance Improvement, Training, Uncategorized

When you have the expertise of TapRooT® training on your resume, you’re communicating to others the level of your career development. Professional training and skill sets in investigation, problem-solving, and root cause analysis convey competency to the prospective employer. If you have TapRooT® training and skills, explore your professional advancement through one of these global opportunities.

Safety & Health Manager

Patient Safety Analyst

EMT Safety Technician

Safety Officer

HSE Manager

MWD Specialist

Health & Safety Advisor

HSE Manager

Health, Safety, & Environmental Manager

Health & Safety/CDM Director

HSE Officer

Environmental Health & Safety Manager

QHSE Manager

HSE Manager

Site Safety Coordinator

Safety Coordinator

Nurse

Specialist HSE

If you are not TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is the proven path to develop your skills and training. Pursue your goals through these TapRooT® courses to advance your professional development and your career.

Newcastle, Australia, September 12, 2018: 2-Day TapRooT® Root Cause Analysis Training

Denver, Colorado, September 18, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Atlanta, Georgia: September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Amsterdam, Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 8, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Dubai, UAE, October 14: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Houston, Texas, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Singapore, Singapore, November 15, 2018: 2-Day TapRooT® Root Cause Analysis Training

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

TapRooT® Around the World: Onsite at TransCanada in Mexico

Posted: August 31st, 2018 in Career Development, Courses, Human Performance, Investigations, Meet Our Staff, Performance Improvement, Pictures, Root Cause Analysis Tips, Training

Here’s a glimpse into recent TapRooT® Root Cause Analysis Training courses, held onsite in Mexico at TransCanada. The courses were taught by TapRooT® Instructors Marco Flores, Jesus Alonso, and Piedad Colmenares. We appreciate Piedad passing along these great images of teamwork and the learning process!

Through TapRooT® Training with our exceptional instructors, these students learned to find and fix the root causes of incidents, accidents, quality problems, precursor events, operational errors, hospital sentinel events, and many other types of problems. Take a course taught by one of our expert TapRooT® instructors and you will understand how to troubleshoot and identify the root cause of any issue and/or incident.

Put yourself in the picture by becoming trained in troubleshooting and identifying root causes of issues and incidents. Register today for a TapRooT® course and gain advantage, experience, and expertise from our professional instructors. Here are some of our upcoming courses:

Newcastle, Australia, September 12, 2018: 2-Day TapRooT® Root Cause Analysis Training

Denver, Colorado, September 18, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Amsterdam, The Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Atlanta, Georgia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, September 26, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Aberdeen, Scotland, October 08, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Knoxville, Tennessee, October 15, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Edmonton, Alberta, Canada, October 18, 2018: Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course

Bogota, Colombia, October 22, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Seattle, Washington, October 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Albuquerque, New Mexico, October 29, 2018: 2-Day TapRooT® Root Cause Analysis Training

Orlando, Florida, November 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Johannesburg, South Africa, November 19, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course

Bogota, Colombia, November 21, 2018: 3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Course

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

Friday Joke

Posted: August 31st, 2018 in Jokes

Join TapRooT® Today at Noon EST on Facebook Live

Posted: August 29th, 2018 in Career Development Tips, Human Performance, Meet Our Staff, Performance Improvement, Presentations, Root Cause Analysis Tips, TapRooT, Topic of the Week, Video

It’s TapRooT® time! Join us today at noon EST when knowledgeable TapRooT® professionals will present a workplace-relevant Facebook Live discussion that brings you insights and improvements to implement in your job and to include in other roles in your organization.

We look forward to being with you on Wednesdays! Here’s how to connect with us for today’s Facebook Live:

Where? https://www.facebook.com/RCATapRooT/

When? Today, Wednesday, August 29

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

Do your own investigation into our courses and discover what TapRooT® can do for you; contact us or call us: 865.539.2139.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

Does Social Media Encourage Poor Root Cause Analysis?

Posted: August 29th, 2018 in Career Development Tips, Great Human Factors, Human Performance, Investigations, Meet Our Staff, Performance Improvement, RCA Tip Videos, Root Cause Analysis Tips, Root Causes, Topic of the Week, Video

Who doesn’t love a good online video? Videos can encourage interaction and make you think, but are they leading us down poor thought paths or compelling us to jump to conclusions? Asking ourselves this question caused us to ponder, Does social media encourage poor root cause analysis?

Listen as TapRooT® professionals Benna Dortch and Ken Reed explore this topic. You will want to glean further insights from Ken’s article, Do LinkedIn Posts Encourage Poor Investigations? (For the Vimeo version of this video, click here.)

TapRooT® Root Cause Analysis training can transform your investigations, to clearly isolate systemic problems that can be fixed, and prevent (or greatly reduce) repeat accidents. Attend a TapRooT® Root Cause Analysis Course and find out how you can use TapRooT® to help you change your workplace into a culture of performance improvement.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139.

Connect with Us

Filter News

Search News

Authors

Angie ComerAngie Comer

Software

Anne RobertsAnne Roberts

Marketing

Barb CarrBarb Carr

Editorial Director

Chris ValleeChris Vallee

Human Factors

Dan VerlindeDan Verlinde

VP, Software

Dave JanneyDave Janney

Safety & Quality

Garrett BoydGarrett Boyd

Technical Support

Ken ReedKen Reed

VP, Equifactor®

Linda UngerLinda Unger

Co-Founder

Mark ParadiesMark Paradies

Creator of TapRooT®

Michelle WishounMichelle Wishoun

Licensing Paralegal

Per OhstromPer Ohstrom

VP, Sales

Shaun BakerShaun Baker

Technical Support

Steve RaycraftSteve Raycraft

Technical Support

Wayne BrownWayne Brown

Technical Support

Success Stories

The healthcare industry has recognized that improved root cause analysis of quality incidents…

Good Samaritan Hospital

Four years ago I was an incident investigator, an incident reviewer, and an investigation techniques…

Hydro One
Contact Us