News

Root Cause Analysis Training in the United Kingdom – Scotland TapRooT® Course Photos

Posted: April 15th, 2014 in Courses, Pictures

TapRooT® Instructor Harry Thorburn shared these photos from our March 31-April 4, 2014 5-Day TapRooT® Root Cause Analysis Team Leader Training in Aberdeen, Scotland. Enjoy!

Interested in learning more or attending a 5-Day TapRooT® Course? Click here to learn more about our 5-Day Course.

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2014 Global TapRooT® Summit Day 3 – Annual Summit Charity Golf Tournament

Posted: April 14th, 2014 in Courses, Pictures, Summit

We really enjoyed the gorgeous weather and fabulous course at the Horseshoe Bay Resort on Friday April 11th, 2014. Between your generous donations and System Improvements’ matching, we raised over $4,700 for Oasis of Love Women’s Shelter in Clinton, Tennessee. A big thank you to everyone who contributed to this wonderful charity.
Here are a few photos:

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The golf video/photo team.

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And the winners:

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John Malloy – Longest Drive on #4 and Closest to the Pin on #8

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Kim Page – Longest Drive #7

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Robert Pohl – Longest Drive on #10

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Steve Raycraft – Longest Drive on #11

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Michael Podgorny – Closest to the Pin on #3

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Lindsay Kemp – Closest to the Pin on #12

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Scott Robinson – Closest to the Pin on #17

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Ken Scott’s team of Buck Griffith, Loren Stagner, and Paul Larson was the winner again this year. Since this was our last golf tournament for a while, we were glad it was one of the best!

Monday Motivation: Do You Have the Passion to Keep Going?

Posted: April 14th, 2014 in Performance Improvement, Pictures

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Steve Jobs:

You have to be burning with an idea, or a problem, or a wrong that you want to right. If you’re not passionate enough from the start, you’ll never stick it out.

Short Note About the Summit

Posted: April 11th, 2014 in Pictures, Summit

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Best Summit EVER!

Had a great time and learned great new best practices.

Had people tell me that they often attend conferences and this was the best one they have ever attended BY FAR!

Another person told me that they took away practical things to improve performance from EVERY session and they were so excited that they texted, e-mailed, and called people back at work to get things implemented BEFORE they got back.

I post more next week … stay tuned!

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LIVE from Texas: The 2014 Global TapRooT® Summit! Day 3

Posted: April 11th, 2014 in Pictures, Summit

This Summit has been a great one. We’ve enjoyed sunny Texas weather, gorgeous LBJ Lake sunsets, and a truly motivational time of learning root cause best practices and meeting new colleagues.

This morning, our own Barbara Phillips shared interviewing tips for reading non-verbal behavior. I never knew there were so many little body language signals to read and find out what people are really communicating! Baarbara also received an award for being a favorite speaker here at the TapRooT® Summit.

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Then we gathered together in groups for our Planning Your Improvements sessions, and discussed the best practices we’ll bring back home to improve our workplaces.

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And we ended our day and our 2014 TapRooT® Summit with a keynote address from Rocky Beleier, Vietnam Veteran and former Pittsburgh Steeler. What an honor to meet him and an inspiration to hear his story and what he learned through life’s challenges.

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Now that the day’s done, we’re ready for more fun! We’re headed to our annual Summit Charity Golf Tournament. Join us tomorrow for photos of that!

What was your favorite part of the Summit experience? Share in the comments below!

Friday Joke: New Type of Submarine

Posted: April 11th, 2014 in Accidents, Jokes, Pictures

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Doesn’t it need a snorkel?

LIVE from Texas: The 2014 Global TapRooT® Summit! Day 2

Posted: April 10th, 2014 in Pictures, Summit

Day 2 of the 2014 Global TapRooT® Summit was just as great as the first. Mark Paradies, TapRooT® Co-Creator and System Improvements President, discussed how we can perform world class performance improvement in his keynote address.

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Then Dan Verlinde showed us What’s New in the TapRooT Software. He asked his over 150 attendees to clap when he showed an improvement they liked, so he could get immediate feedback. Suffice it to say that he received a lot of applause today!

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Alan Smith, Alan Scott, and Harry Thorburn shared a sobering and captivating session called Infamous Accidents, in which they discussed the Piper Alpha and Titanic disasters and potential root causes and ways these events could have been prevented. Alan Scott shared his personal experience assisting in the Piper Alpha investigation. It was powerful and fascinating.

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Our day rounded out with a passionate keynote address from Edwin G. Foulke, Jr., Former Assistant Secretary of Labor for OSHA. He let us in on OSHA’s future sweeping workplace safety changes. My favorite quote from him was, “You have to have safety before you can have efficiency, productivity, and quality.”

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Join us tomorrow for a recap of our third and final day of the 2014 Global TapRooT® Summit!

Did you attend the Summit? What was your favorite experience of the day? Please share in the comments below!

LIVE from Texas: The 2014 Global TapRooT® Summit! Day 1 – Reception

Posted: April 10th, 2014 in Pictures, Summit

Last night’s Summit Reception was a blast! The Yacht Club at the Horseshoe Bay Resort hosted us, and served delicious appetizers and drinks in the beautiful Texas evening. Carl Dixon of The Guess Who spent hours jamming on his guitar and making our evening unforgettable. We so enjoyed networking and having fun with you last night!

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2014 Pre-Summit Courses Start Off With A Bang!

Posted: April 8th, 2014 in Courses, Pictures

Our TapRooT(R) Pre-Summit courses are going great! Attendees are using team exercises to build root cause analysis expertise. The gorgeous weather doesn’t hurt either! We also celebrated Summit Videographer Josh Unger’s birthday yesterday – what a treat!


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Root Cause Analysis Training in Colombia – Course Photos

Posted: April 8th, 2014 in Courses, Pictures

Thank you to TapRooT® Course Planner Diana Munevar for a great onsite TapRooT® Root Cause Analysis Course and for these photos!

Click here to learn more about our South America courses.

 

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Pictures from the TapRooT® Pre-Summit Courses

Posted: April 7th, 2014 in Courses, Pictures, TapRooT

What does it look like attending one of the 13 pre-Summit courses? Have a look at these pictures. People are actively learning…

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Monday Motivation: Harriet Tubman

Posted: April 7th, 2014 in Performance Improvement, Pictures

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Harriet Tubman:

Every great dream begins with a dreamer. Always remember, you have within you the strength, the patience, and the passion to reach for the stars to change the world.

Monday Accident & Lessons Learned: Incident Report from the UK Rail Accident Investigation Branch: Tram running with doors open on London Tramlink, Croydon

Posted: April 7th, 2014 in Accidents, Current Events, Human Performance, Investigations, Pictures

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There were eight recommendations made by the UK RAIB. here’s a summary of the investigation:

On Saturday 13 April 2013 between 17:33 and 17:38 hrs, a tram travelling from West Croydon to Beckenham Junction, on the London Tramlink system, departed from Lebanon Road and Sandilands tram stops with all of its doors open on the left-hand side. Some of the doors closed automatically during the journey, but one set of doors remained open throughout the incident. The incident ended when a controller monitoring the tram on CCTV noticed that it had departed from Sandilands withits doors open, and arranged for the tram to be stopped. Although there were no casualties, there was potential for serious injury.

The tram was able to move with its doors open because a fault override switch, which disables safety systems such as the door-traction interlock, had been inadvertently operated by the driver while trying to resolve a fault with the tram. The driver didnot close and check the doors before departing from Lebanon Road and Sandilands partly because he was distracted from dealing with the fault, and partly because he did not believe that the tram could be moved with any of its doors open. The design of controls and displays in the driving cab contributed to the driver’s inadvertent operation of the fault override switch. Furthermore, breakdowns in communication between the driver and the passengers, and between the driver and the controller, meant that neither the driver nor the controller were aware of the problem until after the tram left Sandilands.

The RAIB has made eight recommendations. Four of these are to Tram Operations Ltd, aimed at improving the design of tram controls and displays, as well astraining of staff on, and processes for, fault handling and communications. Two recommendations have been made to London Tramlink, one (in consultation with Tram Operations Ltd) relating to improving cab displays and labelling and one on enhancing the quality of the radio system on the network. One recommendation is made to all UK tram operators concerning the accidental operation of safety override switches. The remaining recommendation is to the Office of Rail Regulation regarding the provision of guidance on ergonomics principles for cab interface design.

 

For the complete report, see:

http://www.raib.gov.uk/cms_resources.cfm?file=/140306_R052014_Lebanon_Road.pdf

Root Cause Analysis Training in Chile – TapRooT® Course Photos

Posted: April 4th, 2014 in Courses, Pictures

Thank you to TapRooT® Instructor Piedad Colmenares for a great onsite TapRooT® Root Cause Analysis Course and for these photos! Click here to learn more about our South America courses.

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How Far Away is Death?

Posted: April 1st, 2014 in Pictures

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Root Cause Analysis Training in Chile – Onsite Course Photos

Posted: April 1st, 2014 in Courses, Pictures

Thank you to TapRooT® Instructor Piedad Colmenares for a great onsite 5-Day TapRooT® Root Cause Analysis Course and for these photos! Click here to learn more about our South America courses.

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Preliminary (Spring) SnapCharT® of the Lost Flight MH 370

Posted: March 31st, 2014 in Accidents, Current Events, Documents, Investigations, Pictures

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(Photo of remains from cockpit fire of an Egypt Air 777 while parked at a gate in Cairo)

 

One of our TapRooT® Users sent the attached PDF of a SnapCharT® for the loss of Malaysia Air MH 370. 

Have a look. See what you think. Then leave comments here…

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Root Cause Analysis Training in Texas – Course Photos

Posted: March 31st, 2014 in Courses, Pictures

Thank you to TapRooT® Instructor Steve Swarthout for a great onsite TapRooT® Root Cause Analysis Course and for these photos!

Click here to learn more about our North America courses.

Are you located in Texas and ready to amp up your root cause analysis? Join us at our 2014 TapRooT® Summit!

Click here to learn more and register today.

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Root Cause Analysis Training in South Africa – Onsite TapRooT® Course Photos

Posted: March 31st, 2014 in Courses, Pictures

Mark Olson shared these photos from an onsite course he taught with Sanjay Gandhi in Cape Town, South Africa.

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Incident Investigation & Root Cause Analysis Training in Bogota, Colombia – Course Photos

Posted: March 28th, 2014 in Courses, Pictures

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Our March 6-7, 2014 2-Day TapRooT® Incident Investigation & Root Cause Analysis in  Bogota, Colombia had beautiful weather. Hernando Godoy instructed the course and Diana Munevar planned it. Click here to learn more about our South America TapRooT® Courses.

Root Cause Analysis Training in Mexico – Monterrey TapRooT® Course Photos

Posted: March 26th, 2014 in Courses, Pictures

TapRooT® Instructor Marco Flores sent over these photos from our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training course held in Monterrey, Mexico on March 3-7, 2014. Interested in attending a TapRooT® Root Cause Analysis course in Mexico? Our next one is a 2-Day TapRoT® Incident Investigation & Root Cause Analysis course located in Mexico City, held June 16-17, 2014. Click here to learn more or register today!

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BBC Reports: “Gleision mine deaths: Manslaughter trial to start”

Posted: March 24th, 2014 in Accidents, Current Events, Pictures

In 2011 four miners died in a flooding  accident at the Gleision drift mine in Wales, UK.

See the BBC story at:

http://www.bbc.com/news/uk-wales-south-west-wales-26711683

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And a story in the South Wales Evening Post at:

http://www.southwales-eveningpost.co.uk/Gleision-manslaughter-trial-begin-today/story-20845231-detail/story.html 

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