Have you ever had an accident and someone in management says …
“That looks like a bad trend to me.“
And you didn’t think it was but you couldn’t prove him wrong?
Have you ever had a regulator tell you that you have problems that look like an adverse trend and you didn’t know how to respond?
Have you ever wondered if a slight improvement in safety statistics is really significant?
Have you ever wondered how long it will take without a significant accident until you can say that performance really has improved?
Have you ever presented trend data and hoped that nobody asked any real questions because you were just making stuff up?
IF YOU DON’T LIKE YOUR ANSWERS TO ANY OF THESE QUESTIONS, you need to attend the TapRooT® Advanced Trending Techniques Pre-Summit Course in San Antonio, TX, on August 1-2.
We only offer this course once a year and anyone interested in learning how to trend safety statistics should attend.
We can’t wait to go to Nashville, Tennessee August 11-12! Seats won’t last long in this course. Click the image below and register today!
We don’t get to the Northeast United States as much as we’d like, but we have two quickly approaching summer opportunities for you if you’ve been waiting to take a course in this area. Boost your career! Learn a complete investigation process in just two days!
Join us in Pittsburgh! But hurry!
We can still get you in the Pittsburgh, PA course (June 20-21) if you REGISTER NOW! Or click the image below to find out more including summertime fun in Pittsburgh … the Pirates v. Giants baseball game (what’s a summer without baseball?) and Cirque du Soleil.
Join us in Hartford in July!
Our Hartford, Connecticut course scheduled July 13 & 14 is filling up. It’s a great city to combine business and pleasure. REGISTER NOW or click the image below to learn more about the course, and about some fun things to do at the end of the day to relax and recharge.
Ever wondered what a TapRooT® Course looks like? Check out these photos of a course in Bogota.
Interested in TapRooT® Training for you or your colleagues? Click here for more information!
Like many things in your professional life, there’s no black and white when it comes to making bold career-changing decisions, but this training might just be the thing you need to breathe new life into your career and open up your opportunities!
Learn to analyze problems, identify causes and stop them from happening again.
TapRooT® is not just a root cause analysis system but is a complete investigation process that helps investigators collect the information they need to find root causes. This course offers all of the TapRooT® essential techniques and information you need to conduct a root cause analysis.
There’s so much to do in Hartford! You can bring the family during summer break and check out the Mark Twain Museum or the Connecticut Science Center or enjoy some downtime strolling Elizabeth Park Conservancy with dinner at Salute or Max Downtown.
We can’t wait to head up to the Northeast United States to Hartford, Connecticut!
Each year Mark Paradies, President of System Improvements, picks courses to hold prior to the TapRooT® Summit. He chooses the courses to help TapRooT® Users learn even more about root cause analysis and performance improvement… lessons that go beyond the standard 2-Day and 5-Day TapRooT® Courses.
What are the courses scheduled for August 1-2?
- TapRooT® for Audits (New)
- Effective Interviewing and Evidence Collection Techniques (New)
- TapRooT® Quality Process Improvement Facilitator Course (New)
- TapRooT® Advanced Trending Techniques
- Advanced Causal Factor Development Course
- Analyzing and Fixing Safety Culture Issues
- Risk Assessment and Management Best Practices
- Getting the Most from Your TapRooT® VI Software
- Understanding and Stopping Human Error
- 2-Day TapRooT® Root Cause Analysis Training (The revised course)
- TapRooT®/Equifactor® Equipment Troubleshooting and Root Cause Analysis
WHICH COURSE IS RIGHT YOU?
I’ll provide some background on each course so that you can choose the course that will provide the knowledge you need to help your facility reach the next level in improving safety, quality, patient safety, root cause analysis, trending, or equipment reliability.
Are you responsible for equipment troubleshooting and root cause analysis?
Do you need to improve your plant’s equipment reliability?
This course has been completely redeveloped and focused on solving equipment problems. Ken Reed, Vice President at System Improvements and lead for Equifactor® will be one of the instructors.
The course is equipment focused, but you don’t have to be an engineer to attend. Anyone who looks into the causes of equipment failures as part of:
- equipment troubleshooting
- safety investigations
- environmental releases
- quality issues
can benefit from this systematic approach to discovering why equipment failures occur.
The course teaches techniques for equipment troubleshooting developed by equipment expert Heinz Bloch. It combines those techniques with the world-renowned TapRooT® Root Cause Analysis System to make a best-of-class system for finding the causes of equipment troubles.
The text for this course is the new book: Using Equifactor® Troubleshooting Tools and TapRooT® Root Cause Analysis to Improve Equipment Reliability
2-Day TapRooT® Root Cause Analysis Training (The revised course)
The 2-day TapRooT® Course has been around for over 20 years. This year we decided to go back to the basics and focus the course on performing investigations of low-to-medium risk incidents. We developed a new 50 page book (Using the Essential TapRooT® Techniques to Investigate Low-to-Medium Risk Incidents) that goes with the course.
The course teaches the essential TapRooT® Techniques in an easy to use new simplified 5-Step Investigation Process. You will learn to:
- Use the SnapCharT® Diagram to collect and organize information and understand what happened.
- Identify Causal Factors using the new, simplified three question method
- Use Safeguard Analysis to help quickly identify Causal Factors.
- Find root causes using the latest TapRooT® Root Cause Tree® and Dictionary.
- Develop effective but simple fixes to improve performance.
- Identify Generic Causes if you want to go beyond the simple process.
You will practice each of these skills to become proficient. In this new course you get more practice than you did in the old course. And each team will take one of their own incidents through the process to find root causes and develop effective fixes.
If you want to learn to use a state-of-the-art root cause analysis process to perform quick investigations of low-to-moderate risk incidents, THIS COURSE IS FOR YOU.
If you are a Certified TapRooT® Instructor, you may want to attend this course to see all the new things you will be teaching (including new animated examples).
Dr. Joel Haight, a TapRooT® User since 1991 and a Professor at the University of Pittsburgh, will teach you to analyze and understand human error. This course teaches many of the techniques covered in a university human factors course in a modified short course format.
Topics covered in the course include:
- Basic understanding of visual, auditory, tactile and vestibular senses.
- Understanding reaction time and decision making.
- Understanding physical human performance (ergonomics).
- Factors that influence human error (stress, fatigue, equipment design,/automation, training, and social factors)
- Nuclear industry human performance tools (attention to detail, questioning attitude, and error traps/precursors, peer checking, 3-way communication, procedure use, peacekeeping, pre-job brief/SAFER, post-job brief, observation/coaching, STAR, and time out)
- Practical questions for incident investigators
- Quantitative/Qualitative methods (THERPS, MAPPS, OAT, and FTA)
If you are interested in an overview of techniques focused on human error to augment your standard incident investigations, this course is for you.
To continue to the other course descriptions click on the link MORE below.
Thanks to Tommy Garnett for sending pictures of the recent Onsite course at Geisinger Medical.
Interested in bringing TapRooT® to your company for an Onsite course? Click here for more details.
TapRooT® Users have more than a root cause analysis tool. They have an investigation and root cause analysis system.
The TapRooT® System does more than root cause analysis. It helps you investigate the problem, collect and organize the information about what happened. Identify all the Causal Factors and then find their root causes. Finally, it helps you develop effective fixes.
But even that isn’t all that the TapRooT® System does. It helps companies TREND their problem data to spot areas needing improvement and measure performance.
One key to all this “functionality” is the systematic processes built into the TapRooT® System. One of those systematic processes is the Root Cause Tree® and Dictionary.
The Root Cause Tree® Dictionary is a detailed set of questions that helps you consistently identify root causes using the evidence you collected and organized on your SnapCharT®.
For each node on the TapRooT® Root Cause Tree® Diagram, there is a set of questions that define that node. If you get a yes for any of those questions, it indicates that you should continue down that path to see if there is an applicable root cause. Atr the root cause level, you answer the questions to see if you have the evidence you need to identify a problem that needs fixing (needs improvement).
For example, to determine if the root cause “hot/cold” under the Work Environment Near Root Cause under the Human Engineering Basic Cause Category is a root cause, you would answer the questions (shown in the Dictionary above):
- Was an issue cause by excessive exposure of personnel to hot or cold environments (for example, heat exhaustion or numbness from the cold)?
- Did hurrying to get out of an excessively hot or cold environment contribute to the issue?
- Did workers have trouble feeling items because gloves were worn to protect them from cold or hot temperatures?
If you get a “Yes” then you have a problem to solve.
How do you solve it? You use Safeguards Analysis and the Corrective Action Helper® Guide. Attend one of our TapRooT® Root Cause Analysis Courses to learn all the secrets of the advanced TapRooT® Root Cause Analysis System.
The TapRooT® Root Cause Tree® Dictionary provides a common root cause analysis language for your investigators. The Dictionary helps the investigators consistently find root causes using their investigation evidence, This makes for consistent root cause analysis identification and the ability to trend the results.
The expert systems built into the Root Cause Tree® Diagram and Dictionary expand the number of root causes that investigators look for and helps investigators identify root causes that they previously would have overlooked. This helps companies more quickly improve performance by solving human performance issues that previously would NOT have been identified and, therefore, would not have been fixed.
Are you using a tool or a system?
If you need the most advanced root cause analysis system, attend one of our public TapRooT® Courses. Here are a few that are coming up in the next six months:
2-Day TapRooT® Root Cause Analysis Training
2-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Analysis Training
5-Day TapRooT® Advanced Root Cause Analysis Training
For the complete list of current courses held around the world, see: http://www.taproot.com/store/Courses/.
To hold a course at your site, contact us by CLICKING HERE.
(Note: Copyrighted material shown above is used by permission of System Improvements.)
Take a look at these pictures from a recent 2-Day TapRooT® course in Dallas.
Register for a TapRooT® near you! Click here to see all Public Course options around the world.
Happy Wednesday, and welcome to this week’s root cause analysis column.
This week I wanted to share an excerpt from our new book which will be coming out on August 1st, TapRooT® Root Cause Analysis for Audits and Proactive Performance Improvement. I hope this small part of the book will help you start to think about being more proactive.
“An Ounce of Prevention is Worth a Pound of Cure.”
Around the world, professionals and companies have sought to find a better way to perform investigations on problems and losses. Many of the smartest people and leading companies use TapRooT®.
The TapRooT® Root Cause Analysis System is a robust, flexible system for analyzing and fixing problems. The complete system can be used to analyze and fix simple or complex accidents, difficult quality problems, hospital sentinel events, and other issues that require a complete understanding of what happened and the development of effective corrective actions. However, wouldn’t it be better if you never had to do investigations in the first place?
Many companies do perform audits. Unfortunately, in some cases, this work does not yield improvements. Why? There are many reasons, but the primary reason is lack of good root cause analysis. A company can actually be very good at finding problems, but not be effective at FIXING problems.
Beyond auditing, proactive improvement can take many forms, and when effective, becomes an overall mindset and can put an organization on the path to excellence. If that is the case, why are more companies not proactive? Here are just a few reasons:
- Time (perceived at least)
- They don’t have a reason to (not enough pain)
- They do not have the buy-in (management and employee support)
- Procrastination (human nature!)
- They don’t know how (this is where TapRooT® comes in!)
TapRooT®, when used with auditing and proactive improvement programs, can help lead to organizational excellence and reduce the number of investigations required.
Would you like to be one of the first people to get the new book? If so, attend our new course, TapRooT® for Audits, at the Global TapRooT® Summit, August 1-2, in San Antonio. To register for the course (and the summit on August 3-5, click HERE
This is old news to most (or should be) but OSHA finally published the long awaited rule on injury reporting:
So now that information will become more public will companies improve their records to stay out of view? Some things to think about:
*If they did not care about worker’s safety before, why would they care now?
*Will anyone even pay attention?
*Will management put more pressure on the operation to reduce rates?
*Will management give the operation additional resources to accomplish it?
*Will the media misuse the information? Will it be used politically?
*Did you just become your PR Department’s best bud or worst enemy?
*Will it actually help companies choose better business partners? (many companies have been requiring rates during the RFP process anyway)
*Is everyone else in the organization now throwing in their 2 cents on how you run your business?
I look at this a few ways:
*If you already have a good program and record, this should be of little concern to you from the public information standpoint.
*Assuming that is the case, as a former corporate safety manager, I see this as a HUGE cost for companies to comply. But there has been (and still is) plenty of time to get things in place.
At the end of the day, you cannot control regulations. But can you control your injuries? You bet.
Two of the best ways to lower your injury rates? Do better investigations and audits. Why not join us for a future course? You can see the schedule and enroll HERE
Thanks to TapRooT® Instructor, John Richardson for sending these great photos in from Moscow!
Do you know that we can come to your company and train onsite? Contact our Implementation Strategists today and let them help you design your training plan!
Thanks to TapRooT® instructor, Marco Flores, for sending in photos from a recent Monterrey Course.
We have some options for you in Monterrey this August.
2-Day TapRooT® (Spanish) August 16
Click on one of the course links above for more information or to register now!
I had a couple of things I wanted to share with our clients who work in quality:
First, Chris Vallee and I will be at the ASQ World Conference on Quality and Improvement starting Sunday. We will be in Booth 507, so please come and see us!
Second, we will be launching our new course, TapRooT® for Audits, at our 2016 Global TapRooT® Summit. The course will be on August 1-2 in San Antonio. I hope you can join us, and don’t forget to stick around for the summit itself on August 3-5. To register, visit HERE
The course will include a copy of our new book, TapRooT® Root Cause Analysis for Audits and Proactive Performance Improvement.
By the way, the new course is not just for quality people, it is for anyone who wants to learn to use TapRooT® for audits. Safety, Quality, Food Safety, Operations, it does not matter. And you do not to be previously trained in TapRooT® to attend.
If you already know how to use TapRooT® for auditing, but work in Quality and want to learn more about process improvement, Chris will be teaching the TapRooT® Quality Process Improvement Facilitator Course at the summit as well.
We had some great final presentations at the Dayton 2-Day TapRooT® Root Cause Analysis Course. Here’s a few pictures…
Linda Unger teaching at the 2-Day TapRooT® Root Cause Analysis Course in Dayton, Ohio.
Do you need an advanced system to find and fix the root causes of safety, quality, equipment reliability, and production problems? See out public courses at: http://www.taproot.com/courses
Another happy class learning how to find the root causes of incidents, quality issues, and other problems. Do you need advanced root cause analysis training? See our courses at:
Here are our upcoming courses:
Want a course in your region? Schedule and Onsite Course.
Upcoming TapRooT® Public Courses:
Queensland Australia: Gladstone, 2-Day, May 23 | Emerald, 5-Day, July 4 | Brisbane, 2-Day, July 26North Australia: Darwin, 2-Day, June 27 West Australia: Perth, 2-Day, June 23 | Karratha, 2-Day, July 4 | Perth, 2-Day, July 7 | Perth, 5-Day, July 18 South Australia: Sydney, 2-Day, June 20 | Adelaide, 5-Day, July 11Victoria Australia: Melbourne, 5-Day, June 6 | Melbourne, 2-Day, July 19New Zealand: New Plymouth, 5-Day, June 13
Want a course in your region? Inquire about an Onsite Course here.
For more information regarding our public courses around the world, click here.
Upcoming Courses in USA:
For more courses around the world, click here.
Shout out to TapRooT® instructor, Heidi Reed, for sending in these great course photos from Las Vegas.
You have just one more chance to take TapRooT® training in Vegas in 2016 at that is December 5.
I know it’s far out but time flies. Mark your calendar and make plans to end the year on a high note!
Special thanks to TapRooT® instructor, Derek Rutherford, who sent in these great pictures from a recent onsite TapRooT® course in Athens, Greece.
Want to find out how our training can be a perfect fit for your company’s needs? Contact us and request a quote or licensing information from our Implementation Specialists. We can come to your site and train.
Upcoming TapRooT® Public Courses:
Queensland Australia: Brisbane, 2-Day, May 17 | Gladstone, 2-Day, May 23 North Australia: Darwin, 2-Day, June 27 West Australia: Perth, 2-Day, May 12 | Perth, 2-Day, June 23 South Australia: Adelaide, 5-Day, May 2| Leeton, 5-Day, May 9 | Newcastle, 5-Day, May 9 | Sydney, 2-Day, June 20Victoria Australia: Melbourne, 5-Day, June 6 New Zealand: New Plymouth, 5-Day, June 13
Want a course in your region? Inquire about an Onsite Course here.
For more information regarding our public courses around the world, click here.