Category: Presentations

See you today for TapRooT® Facebook Live at noon Eastern

May 16th, 2018 by

Tune into TapRooT®’s Facebook Live today as we talk with TapRooT® Senior Associate Chris Vallee about Quality Problem Solving. 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, May 16

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

NOTE: Remember to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

TapRooT® TV – How To Find Content on our Blog and How to Arrange TapRooT® Training

May 11th, 2018 by

Last week on TapRooT® TV, Michelle Wishoun and Benna Dortch discussed how to efficiently navigate our TapRooT® and the positive impact it can have on your professional career. We pack a lot into our blog!

Among our blog features are:

  • TapRooT® Training Courses are designed to further your professional development. TapRooT® is the best method for performing investigations and doing root cause analysis. Our courses are scheduled across diverse global locations, or we can come to your facility. Take advantage of city-specific Local Attraction blogs paired with TapRooT® Pinterest boards to help you explore your host location
  • Technically Speaking is a weekly series highlighting various aspects of the TapRooT® VI software and occasionally includes a little Help Desk humor

TapRooT®’s blog also brings you wisdom, testimonials, Friday humor, insights into what a bad day is all about, and how far away death may be. Through our Accident blog posts, we delve into a current incident or a near-miss. Browse our Root Cause Analysis blog to pick out your favorite posts.

We always 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? Every Wednesday

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

Catch up on the conversation with Michelle and Benna  via Vimeo:

TapRooT® TV – How To Find Content on our Blog and How to Arrange TapRooT® Training from TapRooT® Root Cause Analysis on Vimeo.

If you want to chime in the conversation, or have a question or comment, feel free to shout out here and we’ll get right back to you. Thank you for watching TapRoot® TV!

Auditing: A better way to approach investigations on problems and losses

May 10th, 2018 by

This Wednesday, for our Facebook Live discussion, TapRooT® professionals Benna Dortch and Dave Janney tackled why companies are not proactive in addressing and solving recurring problems and the key differences between incident investigation root cause analysis and the root cause analysis of audit findings. Within this conversation, we touched on inadequate or ineffective audits and why it is those fall short of yielding improvements.

Dave’s book, TapRooT® Root Cause Analysis for Audits and Proactive Performance Improvement, is part of the TapRooT® for Audits set that fleshes out the topic of audits into seven steps. Feel free to order the set and call on us for further discussion or a training course.

Watch the discussion via Vimeo

Why are Auditing and Proactive Improvement so important? from TapRooT® Root Cause Analysis on Vimeo.

Tune in for our Wednesday Facebook Live next week. We look forward to being with you on Wednesdays! Here’s how to connect with us for next week’s Facebook Live:

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

When?  Wednesday, May 16

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

 

Lunch & Learn: Meet TapRooT® at noon EST on Facebook Live!

April 18th, 2018 by

Tune into TapRooT®’s Facebook Live today. You’ll join TapRooT® professionals as we explore a contemporary, workplace-relevant topic. 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, April 18

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

If you missed last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation, you can catch up on the discussion via the Vimeo below. You may want to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

NOTE: Remember to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

You’re invited to Facebook Live for Wednesday lunch

April 16th, 2018 by

We invite you to tune into TapRooT®’s Facebook Live every Wednesday. You’ll be joining TapRooT® professionals as we bring you a contemporary, workplace-relevant topic. Put a reminder on your calendar, in your phone, or stick a post-it on your forehead to watch TapRooT®’s Facebook Live this week for another terrific discussion and for news you can use. We look forward to being with you on Wednesdays!

Here’s how to connect with us for Wednesday’s Facebook Live:

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

When? Wednesday, April 18, 2018

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

If you missed last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation, you can catch up on the discussion via the Vimeo below. You may want to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

NOTE: Be sure to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

The Scientific Method In Relation To Root Cause Analysis

April 13th, 2018 by

Did you miss last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation? Here’s an opportunity to catch up on the discussion, as Mark and Barb distill the disciplines and factors that historically have been involved in solving complex problems. Also, peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

Tune into TapRooT®’s Facebook Live every Wednesday. You’ll be joining TapRooT® professionals as we bring you a workplace-relevant topic. Put a reminder on your calendar or in your phone to watch TapRooT®’s Facebook Live this week for another terrific discussion and for news you can use. We look forward to being with you on Wednesdays!

Here’s the info you need to connect with us for our next Facebook Live:

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

When? Wednesday, April 18, 2018

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

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Tune in today: Is the scientific method best for root cause analysis?

April 11th, 2018 by

Scribble yourself a note to clear your calendar at lunchtime today. You don’t want to miss TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discuss methodologies for root cause analysis in incident investigation. You may hear some namedropping, such as “Albert Einstein” and “Isaac Newton,” as Mark and Barb distill the disciplines and factors that historically have been involved in solving complex problems. Take time to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

Here’s the info you need to connect with us today:

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

When? Today! April 11, 2018

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

In last week’s Facebook Live session, we delved into the timely topic of autonomous vehicles. Join the conversation below with Ken Reed and Benna Dortch as they discuss safety and other factors surrounding these vehicles. After listening to Ken and Benna, post your comments here. As always, we look forward to chatting with you!

Be sure to tune into TapRooT®’s Facebook Live every week. You’ll be joining TapRooT® professionals as we bring you a workplace-relevant topic. Put a reminder on your calendar or in your phone to watch TapRooT®’s Facebook Live next week for another terrific discussion and for news you can use.

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

The multilayers of human and safety factors in autonomous vehicles

April 4th, 2018 by

Did you miss our Wednesday lunchtime Facebook Live with Ken Reed and Benna Dortch today? No worries! Catch up here with an absorbing discussion about autonomous vehicles, safety factors, human performance, and more.

In tandem with the Facebook Live discussion, take a look at Ken Reed’s insightful article, How Safe Must Autonomous Vehicles Be? Feel free to make a point or ask a question about this topic on our Facebook page.

If you missed last week’s FB Live session, featuring Benna Dortch and Barb Carr discussing Effective Listening Skills Inventory for Investigative Interviews, be sure to tune in to incorporate news you can immediately use.

Plan ahead for next week’s Wednesday lunch with FB Live. Put a reminder on your calendar, in your phone, or a post-it on your forehead to tune in for TapRooT®’s FB Live. Dig in with us as we explore a workplace-relevant topic with takeaways.

Here’s the scoop for tuning in:

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

When? Wednesday, April 11

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

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in Houston, TX (La Torretta Lake Resort)!

Have Wednesday lunch with us! Watch Facebook Live at noon (EST)!

April 4th, 2018 by

Be sure to catch TapRooT®’s Facebook Live session today. You’ll be joining TapRooT®’s VP Ken Reed and Implementation Strategist Benna Dortch as they bring you a workplace-relevant topic with takeaways.

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

When? Today, Wednesday, April 4

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

If you missed last week’s FB Live session, featuring Benna Dortch and Barb Carr discussing Effective Listening Skills Inventory for Investigative Interviews, be sure to tune into this one to incorporate great takeaways. Put a reminder on your calendar or in your phone to watch TapRooT®’s Facebook Live next week for another terrific discussion and for news you can use.

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in Houston, TX (La Torretta Lake Resort)!

Prepare your Investigation Results for Management

October 24th, 2016 by

presentation-36911_1280After you’ve concluded a TapRooT® investigation, preparing your investigation results for management doesn’t have to be a chore.  If you have TapRooT® software, you can avoid creating a Powerpoint completely!  Learn how here.

If you prefer to add content to a PowerPoint, the TapRooT® tools that helped you complete your investigation will also help you create a presentation that gets their attention.  Here is a simple guideline of what content to add from your TapRooT® investigation:

  • After your introduction slide, clearly and simply state the incident and the determined results in two to three sentences.
  • On the next slide, present a small section of your SnapCharT® that explains the incident.  For most incidents, it will include four to six Events (Squares) leading up to the incident, as well as the the incident (Circle), and one or two Events that occurred after the Incident.  Only present the first line of the SnapCharT® (the Events) on this slide.
  • Then add slides with visuals.  You have already documented evidence through photographs and videos and maybe even sketched arrangement/placement in Steps 1 and 2 of the TapRooT® 7-Step Major Investigation Process.  You can use these items as Powerpoint visuals.  But how many should you use?  Use the visuals that most clearly support your results – just a few will suffice depending on the complexity of the incident.
  • Then present slides that contain each section of your SnapCharT® that includes a Causal Factor – one Causal Factor section per slide.  Include Events and Conditions this time.  Write the Root Cause next to each Causal Factor determined.  Do not present the Root Cause Tree.  Why?  Because then you are providing a pick-list for management to analyze and they have not put in the hours analyzing the SnapCharT® and finding supporting evidence.
  • Finally, create a slide that presents your Corrective Actions in an easy-to-read column or table format.  For example, list the Root Cause in Column 1, the Corrective Action in Column 2 and who will implement the Corrective Action (and the deadline for implementation) in Column 3.

To practice preparing and presenting results to management, sign up for our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training.  You can even bring a real incident from your facility!

Tulsa Public 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

November 4th, 2014 by

Final case studies being presented in our Tulsa, Oklahoma course.

Image 4 Image 5 Image 6 Image 7

For more information on our public courses click here or to book your own onsite course click here.

Lessons *Not* Learned from Deepwater Horizon & Texas City (and How to Improve Investigations)

March 3rd, 2014 by

Mark Paradies, President of System Improvements, Inc./TapRooT®, presents a view of lessons *not* learned according previous reports related to Deepwater Horizon & Texas City. In this 2013 Global TapRooT® Summit presentation he critiques the failure to learn and prevent accident recurrence, and offers suggestions to improve investigations.


View four-part video of this presentation:

Part One

Part Two

Part Three

Part Four

If you need a kindergartner to explain your control chart for you….

December 20th, 2013 by

Watch two children explain their morning routine using a process flow chart and a control chart.

If you do not have a knowledgeable kindergartner hanging around to help you, I would recommend attending the following this April during our TapRooT® Summit Week:

Advanced Trending Techniques
http://www.taproot.com/taproot-summit/pre-summit-courses#AdvancedTrendingTrending

TapRooT® Quality/Six Sigma/Lean Advanced Root Cause Analysis Training http://www.taproot.com/taproot-summit/pre-summit-courses#TapRooTSixSigma

Process Quality and Corrective Action Programs
http://www.taproot.com/taproot-summit/summit-schedule

Mark Paradies Talks About Rickover, Process Safety, and Fatality Prevention

May 15th, 2013 by

Markamsterdam

There are too many major accidents due to failures in process safety. These accidents go beyond the regulations written by OSHA and EPA (and the regulators in other countries). They go beyond the chemical industry and include the nuclear industry, oil exploration and production, fertilizer storage and distribution, grain elevators (and other dust explosion examples), aviation, shipping, utilities, and even hospitals.

How can these accidents be prevented? First one has to understand process safety and fatality prevention. Unfortunately, many senior managers don’t understand it. And that’s why Mark Paradies started giving talks about this topic at the TapRooT® Summit. Unfortunately, even though the Summits are well attended, thousands need to hear what Mark has to say, but don’t get the chance. That’s why we decided to post links to some of Mark’s Summit talks here.

Of course, attending the sessions at the TapRooT® Summit is much better than looking at slides and watching videos. But the information in these talks needs greater dissemination to help prevent major accidents around the world. Therefore, we’ve selected video clips, slides from mark’s talks, and Admiral Rickover’s testimony before Congress after TMI (written remarks) to provide an overview of some of the concepts that senior managers need to consider to prevent major process safety accidents.

Here are the links:

Mark’s General Session Talk About Fatality Prevention from the 2013 Summit

Marks Talk About SIF Prevention from the 2013 Summit (Part 1)

Mark’s Talk About SIF Prevention from the 2013 Summit (Part 2)

Mark’s Talk About SIF Prevention from the 2013 Summit (Part 3)

Mark’s Talk About Process Safety & Rickover from the 2012 Summit (Part 1)

Mark’s Talk About Process Safety & Rickover from the 2012 Summit (Part 2)

Mark’s Talk About Process Safety & Rickover from the 2012 Summit (Part 3)

Mark’s Slides About Rickover & Process Safety from the 2010 Summit

Rickover’s Testimony to Congress About Reactor Safety (Process Safety)

I know this is a lot of information and the videos are long, but the lives lost each year are a preventable tragedy. Please pass this information on to those that you think many need it.

For those who would like to get Mark to talk to your senior management about management’s role in process safety and how the lessons from Admiral Rickover apply to your facilities, call us at 865-539-2139 or e-mail us by CLICKING HERE.

Admiral Rickover & Process Safety

March 26th, 2013 by

I promised people at the 2013 Global TapRooT® Summit that I would post links to last year’s talk about Admiral Rickover and process safety and a link to his testimony to Congress about nuclear safety and the Nuclear Navy. Here they are…

Nuclear Navy & Process Safety

Rickover’s Testimony to Congress about Nuclear Safety

And here are the slides from the Nuclear Navy and Process Safety talk mentioned above…

http://www.taproot.com/archives/16963

Mark Paradies Speaks at 2013 IOSH Conference

February 27th, 2013 by

Mark gave two well received talks at the 2013 IOSH Conference in London.

Because of the many requests for copies of his talks (Deepwater Horizon & Texas City … Three Lessons You May NOT Have Learnt and The Safety Pyramid & Stopping Major Accidents), PDFs of the talks are posted below.

Texascitydeepwaterhorizon

Fatalitypyramidiosh

Mark Paradies Speaking at the IOSH Conference

February 12th, 2013 by

Mark9

Mark Paradies, President of System Improvements and co-creator of the TapRooT® System, will be speaking at the IOSH Conference in Spotlight Theatre 2 on Tuesday, February 26, and Wednesday, February 27.

His topics are:

Tuesday: 13:20 – 13:50 – Spotlight Theatre 2
 
BP Deepwater Horizon & BP Texas City Accidents: Two Lessons That You May NOT Have Learned

Much has been published about the BP Deepwater Horizon and Texas City Refinery accidents. But there are still some important lessons learned that people may be overlooking. Mark Paradies, root cause analysis expert, will share insights into two lessons learned that have not received much attention yet are important to safety improvement.

Wednesday: 11:20-11:50 – Spotlight Theatre 2



Fixing The Safety Pyramid & Stopping Major Accidents

Several articles have been published criticizing Heinrich’s Safety Pyramid and blaming it’s weaknesses for the gap between the decline in safety statistics and the continuing level rate of serious injuries, including fatalities. Mark Paradies will share insight into the Safety Pyramid and explain why fatality prevention needs a revised model and new approaches to achieve across the board safety performance improvements.

Hope to see you there!

Budapest Conference on EHS

September 29th, 2012 by

Mark Paradies and Linda Unger attended the Budapest Conference on EHS in Emerging Markets.

Mark gave a talk: Solving Root Cause Analysis Problems by Using Advanced Root Cause Analysis. Here’s some pictures of Mark Speaking …

Budapest_Conference_09292012

Budapest_Conference_b_09292012

Budapest_Conference_c_09292012

Linda talked to prospective TapRooT® Root Cause Analysis System users and explained how they could learn about and implement TapRooT® at their sites across Europe.

Budapest_Conference_d_09292012

 

Root Cause Analysis Tip: TapRooT® Summit Session on Process Safety (Part 3)

April 11th, 2012 by

This week is our third and final installment of Mark Paradies’ Summit talk on process safety in the Nuclear Navy.

In this 35-minute clip, you’ll learn how Admiral Rickover’s process safety standards compare to OSHA and CCPS standards, and what that means for your safety program.

Click here for Part 1.

Click here for Part 2.

Note: We are trying a new video hosting service. Please let us know in the comments if you have trouble viewing this.

Next week, we’ll begin our 13-week series sharing best practices from users like you at our 2012 Global TapRooT® Summit.
You won’t want to miss these innovative tips!

Root Cause Analysis Tip: TapRooT® Summit Session on Process Safety (Part 2)

April 4th, 2012 by

Last week, we shared Part 1 of Mark Paradies’ Summit talk on Process Safety.

Click here for Part 1.

He shared some of his experience in the Nuclear Navy and discussed the fact that large accidents like Deepwater Horizon could be prevented by following important process safety regulations.

This week, in Part 2, Mark discusses Admiral Rickover’s process safety principles and why they matter to your process safety improvement.

Come back next week for the third and final part of this series!

Update: Click here for Part 3.

Root Cause Analysis Tip: TapRooT® Summit Session on Process Safety (Part 1)

March 28th, 2012 by

This week’s Root Cause Analysis Tip comes straight from our 2012 Global TapRooT® Summit.

If you missed Mark Paradies’ session on “What Does Management Need to Know About Improving Process Safety?” don’t worry. We will be sharing it on the blog over the next three weeks.

Today is Part 1.

Mark began by showing this comedy clip on Deepwater Horizon:

(If you can’t see YouTube videos at work, click here.)

And continued on with his discussion on Process Safety:

(Having trouble seeing the videos? Refresh your browser page.)

Come back next Wednesday for Part 2 of his Process Safety Talk, in which he discusses Admiral Rickover’s “Big Three” nuclear navy safety regulations and more from his congressional testimony after the accident at Three Mile Island.

 

Update: Parts 2 and 3 have been posted!

Click here for Part 2.

Click here for Part 3.

What Management Needs to Know About Process Safety Improvement (or Why We Continue To Have Process Safety Accidents)

May 16th, 2011 by

I’m giving this talk in Bruges, Belgium for Total today and posted a PDF of the talk here so people who attended could get copies of the slides.

Click on the object below to download it…

Processsafetyprint2-1

As usual, the slides don’t tell the whole story. So if you would rather hear this talk, plan to attend the TapRooT® Summit on February 29 – March 2, 2012, in Las Vegas.

Success Story Contest: Stopping Future Accidents by Correcting Problems That Did Not Cause The Accidents Being Investigated

February 21st, 2011 by

There are four best practice entries published on this weblog in the success story contest (view all entries here).  Click the “Like” button for the entry you think should win an Apple iPad. All votes cast before Friday, March 4 at 6:00 p.m. EST will be tallied for the winner.  In the event of a tie, the in-house instructors at System Improvements will cast the tie-breaking votes.

Entry #2:  Stopping Future Accidents by Correcting Problems That Did Not Cause The Accidents Being Investigated

Submitted by: James Watson, Regional Specialist, System Safety Branch
FAA, Alaska

Challenge

TapRooT® investigation often identify actions and conditions that didn’t cause the actual accident being evaluated but that could be significant and, if not corrected, could combine with other factors to cause a future accident.

Action

These factors that the thorough analysis of TapRooT® helped identify are included in the presentation to management at the end of the talk (after the root cause analysis and corrective actions have been reviewed). This review includes explaining and discussing each of these potentially adverse factors with management. At a minimum, management is aware of these potentially adverse factors and the review often leads to discussion of additional corrective actions to address these issues.

Result

Accidents that might have happened are avoided by implementing corrective actions for problems identified during a root cause analysis that didn’t cause that accident but could have cause additional accident and were corrected by proactive corrective actions.

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