We can’t wait to head to St. John’s, Newfoundland for our 5-Day Advanced Root Cause Analysis and Team Leader Training course November 14-18. Not only will you improve your root cause analysis techniques and bring home valuable knowledge to your company, but you’ll also get the chance to visit this beautiful, historic city. St. John’s is considered to be the oldest English-founded city in North America. It’s English culture, beautiful harbour and colorful architecture gives it a distinct & unique personality.
RocketFood: This quaint bakery and fresh food cafe has been recognized on the Food Network and several international magazines. It must be delicious!
Raymond’s: If you’re interested in a more gourmet, upscale restaurant then Raymond’s is for you.
ONE11 Chophouse: A great steak isn’t all this highly-rated chophouse has to offer. The warm, fine dining experience is one of the best around.
Newman Wine Vaults: Enjoy a variety of fresh wine at one of Newman’s Wine Vaults.
East Coast Trail: Would you consider yourself an outdoor enthusiast? Take a hike on the East Coast Trail and see views of St. John’s that you can’t see anywhere else.
Commissariat House: Experience the 19th Century British power struggle through a well-done interactive exhibit at the Commissariat House.
Interested in other TapRooT® Public Courses around the world? Click here.
Interested in an Onsite Course for your teams? Click here.
TapRooT® is coming to Montreal! Our essential 2-Day TapRooT® Root Cause Analysis public course will be offered October 24-25. In this course, you’ll learn how our robust system will improve every step of your investigations.
Montreal prides itself on preserving their old Europe feel within such a large, contemporary city. Buildings such as Basilique Notre Dame and Stade Olympique are within close proximity to each other, but they couldn’t be more different in architectural design. Join TapRooT® in October and find many other examples of such diverse and unique design.
Le Robin Square: A fun twist on classic favorites like hotdogs, BLTs and french fries.
Damas Restaurant: Middle Eastern food is a delicacy that Montreal chefs have mastered and shared within North American cultures.
Breizh Cafe: Enjoy a cozy cup of fresh coffee along with a variety of homemade desserts and crepes, a traditional French favorite.
Notre-Dame Basilica: This historical monument is a treasure in Montreal that any tourist would appreciate.
Whiskey Café: Walk back in time to this 1930’s themed bar filled with whiskey, wine & cigars galore.
Montreal Museum of Fine Art: Filled with Contemporary art, graphic design, Canadian artists, and many more, this art museum is for any art enthusiast.
Ready to REGISTER NOW? Follow this link to our registration page.
Complex. A word often used to describe a cultural sensation like the city of Hong Kong. The history of Hong Kong dates back almost 40,000 years in the region of Chep Lap Kok, and it has grown intensely ever since. If you’re not familiar with the atmosphere that thrives here, just imagine wonderfully colorful, rare birds, lush nature, a famously diverse culinary scene, street markets, lavish malls, villages on the countryside and a city center like none other. It’s one of a kind.
TapRooT® will be in this vibrant city October 10-11 for a TapRooT® 2-Day Root Cause Analysis public course. Join us for a trip of a lifetime and a chance to boost your career with the best root cause analysis and investigation training.
Here are just a few of the best things to do and eat in Hong Kong:
Lung King Heen: A very highly rated, impeccable Cantonese restaurant in the heart of the city.
AMMO: A little nervous about traditional Chinese food? Try Mediterranean from the famous Hong Kong harbour.
Victoria Peak: Take a train or bus up 552m to get the best view in the city.
Mong Kok Markets: Street markets are for finding unique, bespoke, specialty items. Even if you don’t buy anything, this is an adventure worth taking.
Equipment problems can be difficult, but fixing them is vital for safety in the workplace and efficiency in production. Where do you start? Find the root cause of the failure. But how? Come to a TapRooT® Equifactor® public course to learn how to find that root cause, develop effective solutions and implement them successfully. Our systematic process is reliable, and your equipment should be, too.
Knoxville is not only the home of the Tennessee Vols but also headquarters of Tennessee Valley Authority and lifestyle media company, Scripps Network. This large city right in the heart of Appalachia is surrounded by the Great Smoky Mountains giving you an astounding view anywhere you go, especially in the Autumn.
Take a trip to Knoxville and join TapRooT® for this local public course.
Stock and Barrel: This rustic, fun restaurant offers the best burgers in the area. Voted by locals.
Calhoun’s on the River: Enjoy eating with a great view? Calhoun’s serves great barbecue right on the Tennessee River.
Litton’s: A Knoxville favorite! One of the best hometown restaurants serving homestyle burgers, fries and dessert with friendly service.
Market Square: Full of restaurants, bars and boutiques, there’s no better place to enjoy a night out in Knoxville.
Maple Hall Bowling Alley: The trendiest bowling alley you’ve ever seen that is located underground. It doesn’t get much cooler than that.
World’s Fair Park: Located next to University of Tennessee’s campus, this famous park was built for the 1984 World’s Fair. Fun area for the kids!
Old City: This area of Knoxville has been brought back to life and is better than ever. Located near Market Square, you can get a feel for all Knoxville has to offer in one place.
Ready to register for this Knoxville Equifactor® course? Click Here
September 12-16 | TapRooT® 5-Day Advanced Root Cause Analysis Team Leader Training | Are you coming?
Johannesburg, or Joburg as the locals call it, is an amazingly diverse city that goes unnoticed. It is said to be the world’s largest city not located directly on a water source, however, it is located on mineral rich land where the city’s source of gold and diamonds come from. It is also known as Africa’s economic powerhouse due to it being the largest economy of any metropolitan area in Sub-Saharan Africa. Not only that, it’s rich history with Apartheid and Nelson Mandela are what really make the country of South Africa an historical landmark. Visit Joburg and see what this massive city has to offer, including our TapRooT® 5-Day course.
Mugg & Bean Cafe: This delicious little cafe offers a little of everything from barbeque and quesadillas to cupcakes and soups.
Lucky Bean Guesthouse: Enjoy a contemporary restaurant serving traditional African foods with a modern twist.
SalvationCafe: If you love gourmet flavors and branching out from the everyday menu, check out this quaint cafe.
Gold Reef City: Fun on every corner! Theme parks, dining, theaters, etc await you as you stroll through and take it all in.
Apartheid Museum: This highly-rated, very well-done history museums is an educational, impacting experience for anyone!
Liliesleaf Farm: If you like museums, this one will definitely catch your eye. Through interactive exhibits, learn about the deep history and struggle of South African liberation in the secret headquarters of the African National Congress.
Ready to register? Click Here.
Interested in other TapRooT® Public Courses? Click Here.
Inquire about a TapRooT® Onsite Course: Click Here.
Here are pictures from the 11 pre-Summit Courses ….
TapRooT® Incident Investigation & Root Cause Analysis Course
Equifactor® Equipment Troubleshooting and Root Cause Analysis
Advanced Causal Factor Development Course
Advanced Trending Techniques
TapRooT® Analyzing and Fixing Safety Culture Issues
Risk Assessment and Management Best Practices
TapRooT® Quality Process Improvement Facilitator Course
Getting the Most from Your TapRooT® VI Software
TapRooT® for Audits
Effective Interviewing & Evidence Collection Techniques
Understanding and Stopping Human Error
Another successful Onsite Course in Santiago at ENAP.
Interested in an Onsite Course for your company? Inquire today!
TapRooT® had a great Onsite Course recently in Bio Bio, Chile.
Inquire today about an Onsite Course for your company!
TapRooT® was in Con Con, Chile for an Onsite training course.
Send an inquiry today about an Onsite Course for your company!
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