Category: Summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Arizona Public Service)

July 24th, 2014 by

Teresa Berry of Arizona Public Service shared her TapRooT® best practice with us at the 2014 Global TapRooT® Summit, during our Users Share Best Practices session. Watch her video below to learn how she fixed her company’s poorly written reports by finding the root cause of the bad writing:

If you’re at work and don’t have time to watch the video, here’s her tip:

I’m Teresa Berry. I’m from Arizona Public Service and we’ve been using TapRooT® for probably three or three and a half years now on the process side of our industry and what we’ve found is that every now and then we’ll come up with a report that is not written very well. It doesn’t have facts to back up the root causes that were chosen. That is a symptom of a much bigger problem. The problem we found, that we had to go fix, is that people were not using all of the processes that we’re taught to use in TapRooT®; “the rules,” I call them when I teach. These are your rules. You must use the process as it’s laid out or it doesn’t work as well as you’d hoped. And along with that there are also assumptions. Make sure you turn those assumptions into questions so that you know you’ve got to go and answer that question. It’s not a fact until you prove that it’s a fact.

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Encana Oil & Gas)

July 17th, 2014 by

Devin Johnston of Encana Oil & Gas shared his TapRooT® best practice with us at the 2014 Global TapRooT® Summit, during our Users Share Best Practices session. Watch his video below to learn how he streamlined the way his facility performed TapRooT® investigations to make each one more efficient than ever:

If you’re at work and don’t have time to watch the video, here’s his tip:

Hi I’m Devin Johnston, with Encana Oil & Gas, from Denver, Colorado. One of the issues with had with TapRooT® is when we would have an incident we would want everyone to be involved. … Everyone would come in the room, we’d lock the doors, we’d run through the whole TapRooT® process, and bang it all out. At the end of the day, everyone was so tired of going through the process and arguing on each little point, that the corrective action part of it at the end was just, they’d take whatever. You’d give them a corrective action and they’d take it, and they weren’t always quality corrective actions. So the thing we fixed at our company is that we made it a more iterate process where we would investigate it, have SnapCharT®s built out already before we went into that meeting, then we selected who actually attended that meeting. If it was contractors, we made sure it wasn’t the whole EHS team, just the guys that things happened to out there. We’d pick the people that were in the investigation at the end to make it simpler, to come to an agreement better, and to improve our process on how we did those TapRooT®s.

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Throwback Thursday: Blast From The Past

July 10th, 2014 by

Do my eyes deceive me or is that Mark Paradies with a mustache!? Can you believe that this picture is 14 years old?

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Pictured Left to Right: Linda Unger, Astronaut Mike Mullane, and Mark Paradies. Astronaut Mike Mullane was a speakers at the 6th Summit in 2000 located in Gatlinburg, TN.

To learn more about who will be speaking at next year’s 2015 Global Summit in Las Vegas, Nevada click here.

Who was your favorite speaker at any Summit you have attended? Please leave comment below.

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (US Army Medical Command)

July 10th, 2014 by

Dana Rocha of US Army Medical Command shared her TapRooT® best practice with us at the 2014 Global TapRooT® Summit, during out Users Share Best Practices session. Watch her video below to learn how she has tailored her TapRooT® investigations so that they are the absolute most thorough they can be:

If you’re at work and don’t have time to watch the video, here’s her tip:

Hello, my name is Dana Rocha, I work for US Army Medical Command. With the help of the navy and the air force we in the army have put together a couple of different documents for people who haven’t been through the training to prepare them for facilitating an RCA as well as sitting on a RCA team. And what we did is we put together a couple of documents for “just in time training” for TapRooT® to help them facilitate and what your roles and responsibilities are on the team. We also put together an RCA trifold and what this is, is a root cause analysis for what event you’re looking at whether its an adverse outcome or sentinel event, near misses or you’re looking at something proactively. It doesn’t matter what you’re looking at, so we use it in different realms. We also put together some checklists. When you do your SnapCharT®, have you considered this? Have you considered that? Check the dates, check the times. Talk to people, and things like that and we found this to be very helpful. And we have done checklists for certain types of events that we find occur more frequently than others. When I say this, don’t freak, but wrong site surgeries do occur, we have retained foreign objects, all kinds of things that do happen, unanticipated deaths, so certain types of events we put together the most common things and asking the questions to make sure that we do a real thorough job when we do the analysis and the investigation so we found that to be very helpful.

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Tesco Corp)

July 3rd, 2014 by

At our Users Share Best Practices session at the 2014 Global TapRooT® Summit, Simon Blackwood shared a great tip from his facility. Watch his video below to learn how his company is now “speaking the same language” when it comes to root cause analysis investigations:

Don’t have a minute to watch the video? Here’s his tip:

My name is Simon Blackwood, I work for Tesco Corporation in Houston, Texas and we transferred our terminology of generic causes and root causes over to our compliance report system for HSE and quality incidents so now we’re actually trending for actually all incidents we sill use the TapRooT® software but we have to admit our software is a little bit of work (although in truth it can trend proactively) now we’re getting ahead of the game, we’re using it for project management now but now certainly we’re speaking the same language in our company so it’s been great.

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Chevron Phillips)

June 12th, 2014 by

Kenneth Wilburn of Chevron Phillips shared a great best practice at the 2014 Global TapRooT® Summit. Watch his video below, and learn how Kenneth used TapRooT® to reduce injuries at his facility:

If you’re not able to watch the video right now, below is a transcription of his tip:

“Hello my name is Kenneth Wilburn. I work for Chevron Phillips Chemical Company in Port Arthur, Texas. Through the TapRooT® investigation we conducted as a whole company we realized we were lacking in training our short service worker contractors.

A short term contractor is someone who’s worked less than 6 months in our facilities. In Southeast Texas you have your big Exxonmobils, BASF, Duponts, you have thousands of contract workers. You can’t take for granted that these contract workers and have the same work ethic and same safety aspect at every facility, because some facilities are VPP sites, and some are not. what we did, is we recognized this and we took a proactive approach.

Every contractor at our facilities, if they haven’t been working there for six months, they go through a one-on-one training for an hour before they’re allowed to start working at the facility. Then we hand that training off to the safety representative of the contractor and they continue in this program for 90 days. We’ve seen a large reduction in our reportable injuries because of this.”

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Throwback Thursday: 2008 Las Vegas Summit

June 12th, 2014 by

Your eyes do not deceive you – below is a photo of Mark Paradies and Elvis Presley passing out prizes at the 2008 Summit in Las Vegas, Nevada.

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This is just some of the fun you can have at System Improvements Summit. Click on the link below to learn more about next year’s Summit in Las Vegas 2015:

http://www.taproot.com/taproot-summit

Did you see Elvis at our Summit in 2008? Leave a comment below.

Achieving Operational Excellence and Profitability Through Safety

June 9th, 2014 by

Edwin G. Foulke, Jr. presented “Achieving Operational Excellence and Profitability Through Safety” at the 2014 Global TapRooT® Summit.

If you were there, here is a .pdf of the presentation to refresh your knowledge, and if you missed it, you may enjoy learning some great tips:

(View presentation.)

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Trojan Battery)

June 5th, 2014 by

Kim Aul of Trojan Battery shared a great best practice at the 2014 Global TapRooT® Summit. Watch his video below, and learn how Kim used TapRooT® for proactive analysis:

If you’re not able to watch the video right now, below is a transcription of his tip:

“Hi, my name is Kim Aul. I currently work for Trojan Battery Company but I have to speak to a previous life for mine. I worked for a company that had a union environment and our best practice was that we trained union employees in TapRooT® and made it mandatory that every TapRooT® investigation had union employees as part of the team. It built trust between union and salaried workforce. In fact, I got word that this was a negotiation year and for the first time ever safety was not on the board. So it really worked out for us. Paid off well. Thank you.”

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

“Normalization of Deviance” – The Cause of Accidents in a Complex Era?

June 2nd, 2014 by

A quote from the New York Times article:

“Another sociologist, Diane Vaughan, has written extensively about Challenger and served on the commission that investigated the Columbia horror. She has advanced the theory of ‘normalization of deviance,’ meaning that in many organizations — NASA certainly being no exception — some problems and risks are understood to be acceptable — part of doing business, if you will. Take those problematic O rings on Challenger. Their erosion had been evident on earlier launchings, but flying with them became routine. To Ms. Vaughan, NASA’s decision to forge ahead on that fateful January day in 1986, despite new concerns about the O rings that were raised, did not reflect cold, bottom-line thinking or an amoral bending of rules. ‘They applied all the usual rules,’ she told Retro Report. Regrettably, they did so ‘in a situation where the usual rules didn’t apply.’”

The video presents Interesting concepts about accident causes. Mark Paradies, President of System Improvements, will present a talk about Normalization of Deviance at the 2015 Global TapRooT® Summit. Watch for more information as Summit planning progresses. The 2015 Global TapRooT® Summit will be held on June 1-5, 2015 in Las Vegas, NV.

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (TESCO)

May 28th, 2014 by

Juan Silva of TESCO Corporation shared a great best practice at the 2014 Global TapRooT® Summit. Watch his video below, and learn how TESCO uses TapRooT® for proactive analysis:

If you’re not able to watch the video right now, below is a transcription of his tip:

“Hi, my name is Juan Silva from TESCO Corporation in Houston, Texas. What we do is, this is the second year that we are putting proactive TapRooT® under the KPI review that we have every month with the COO. So we are using TapRooT® to improve everyday activities, with the other tools that we are using. Thank you.”

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (ConocoPhillips)

May 22nd, 2014 by

Mike Rodriguez of ConocoPhillips shared a fantastic best practice at the 2014 Global TapRooT® Summit. Watch his video below, and learn how he rates and improves his corrective actions:

If you’re not able to watch the video right now, below is a transcription of his tip:

“My name is Mike Rodriguez from ConocoPhillips Alaska, and I work with drilling and wells teams up there. Our best practice currently is to score our corrective actions on a scale of 0-3, 3 being a high score driven by the idea that it causes change. It matches up real well with what TapRooT® offers, because its changes are long-lasting — system changes, things that have legs. So that’s worked out real well, because now our lead investigators know that to score that 3, they have to really dig down and find things that are going to have lasting change.”

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

2014 Global TapRooT® Summit: Keynote Speaker Photos

May 20th, 2014 by

At our 2014 Global TapRooT® Summit, we enjoyed some dynamic keynote speakers that inspired and educated us. See our photos of these speakers in the slideshow below!


2014 Global TapRooT® Summit: Best Practice Session Photos

May 20th, 2014 by

At the 2014 Global TapRooT® Summit, our attendees engaged and learned so much in our best practice sessions. Take a look at these photos from our fantastic sessions!


Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Emirates NEC)

May 15th, 2014 by

Mark Wagner from Emirates Nuclear Energy shared a fantastic idea at our 2014 Global TapRooT® Summit. Learn more about his investigation help desk idea by watching the video below:

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?

Click here: http://www.taproot.com/taproot-summit

Carl Dixon Inspires at the 2014 Global TapRooT® Summit

May 13th, 2014 by

Did you go to the 2014 Global TapRooT® Summit in Horseshoe Bay, Texas? If so, this video will bring back a flood of wonderful memories.

If not, we think you will want to join us in 2015 after viewing it because Carl will be returning to share his story of courage and resilience. (Save the Date! June 1 – 5, 2015, Las Vegas).

Learn more!

2014 Global TapRooT® Summit: Name Game Photos

May 13th, 2014 by

Our Name Game at the Global TapRooT® Summit is always a great time to network and meet fantastic individuals from across industries and across the world. Enjoy these photos of our networking time at the 2014 Global TapRooT® Summit.


2014 Global TapRooT® Summit: Pre-Summit Course Photos

May 9th, 2014 by

Our Pre-Summit courses at the 2014 Global TapRooT® Summit were wonderful. Attendees amped up their root cause analysis knowledge with these 2-day courses, most of which we only offer once a year. Enjoy our slideshow of the courses.


Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Subsea 7)

May 8th, 2014 by

Our 2014 Global TapRooT® Summit was our best yet, and our Users Share Best Practices Session was no different! Our TapRooT® Users came together and shared how they’re using TapRoooT® in their facilities. They chose their favorite best practices and shared these with everyone in the session. Below is a video from this fantastic time of sharing. Roland Reid of Subsea 7 shares his TapRooT® tip. Enjoy!

Want to learn more about our 2015 TapRooT® Summit in Las Vegas? Click here: http://www.taproot.com/taproot-summit

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Best Practices (Strad Energy Services)

May 1st, 2014 by

Our 2014 Global TapRooT® Summit was our best yet, and our Users Share Best Practices Session was no different! Our TapRooT® Users came together and shared how they’re using TapRoooT® in their facilities. They chose their favorite best practices and shared these with everyone in the session. Below is our first video of this fantastic time of sharing. Paulie Yeater of Strad Energy shares her TapRooT® tip.

Note from editor: The audio is difficult to hear so we want to note that Paulie shares that her company uses peer reviews throughout the entire TapRooT® process. When an incident happens, it’s entered so all of the company’s HSE professionals across Canada and the U.S. have access to the investigation. They can then view it and bounce questions off each other.  She states that they end up doing a much more thorough investigation through this peer review process.

Great tip Paulie!

Want to learn more about our 2015 TapRooT® Summit in Las Vegas?
Click here: http://www.taproot.com/taproot-summit

Friday Joke: Ken Provides Drone Coverage for Summit

April 18th, 2014 by

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Yes, the Global TapRooT® Summit has gone high tech. Here’s a picture of Ken Reed providing arial drone coverage at the 2014 Global TapRooT® Summit. We all felt more secure with Ken keeping an overhead watch!

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

April 14th, 2014 by

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!

Short Note About the Summit

April 11th, 2014 by

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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

April 11th, 2014 by

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!

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

April 10th, 2014 by

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!

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Barb PhillipsBarb Phillips
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Chris ValleeChris Vallee
Human Factors & Six Sigma
Dan VerlindeDan Verlinde
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Ed SkompskiEd Skompski
Medical Issues
Ken ReedKen Reed
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Mark ParadiesMark Paradies
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Megan CraigMegan Craig
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