Category: Summit

SAVE THE DATE for the 2015 Global TapRooT® Summit

October 20th, 2014 by

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Be proactive in gaining valuable new skills to improve safety, equipment reliability, operations, and quality. Mark your calendar for June 1 – 5, 2015, and get your budget approved for the 2015 Global TapRooT® Summit.

Where will the Summit be held? The Summit will be held at The Flamingo Las Vegas Hotel. Learn more about the location and determine your budget for travel.

What are the costs for registration? Budget $995 for the Summit, $1295 for a pre-Summit course or budget $2,090 for the Summit and a pre-Summit Course (a $200 savings!).

Summit attendees share experience, learn to apply the latest research, and meet in small groups (best practice sessions) with leading industry experts to share information and ideas across industry and organizational boundaries. The best practice sessions are organized under Best Practice Tracks to make it easier for attendees to create their Summit schedules. The 9 Best Practice Tracks planned for 2015 are:

1. Equipment Reliability Improvement & Troubleshooting

2. Human Error Reduction & Behavior Change

3. Improving Healthcare Quality & Patient Safety

4. Incident Investigation and Root Cause Analysis

5. Process Quality and Corrective Action Programs

6. Safety Improvement

7. TapRooT® Software

8. Certified TapRooT® Instructor

9. Special Topics

But the Best Practice Tracks are not set in stone. Each person that registers has the opportunity to create a custom track.

So, SAVE THE DATE, start thinking about which sessions you’d like to attend, get your registration fees and travel plans in the budget.

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We are pleased to announce that Richard Phillips, real life inspiration for the Movie Captain Phillips, starring Tom Hanks; and author of A Captain’s Duty: Somali Pirates, Navy SEALs, and Dangerous Days at Sea has confirmed to be our Keynote Speaker on Friday, June 5, 2015!

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Watch for more info in upcoming newsletters and in the future Root Cause Analysis Blog posts.

Visit the Summit website for more info.

2014 Global TapRooT® Summit Attendees Share Favorite Aspects from the Summit

October 17th, 2014 by

Rich Horan from PPL Electric Utilities shared some of his favorite aspects of the 2014 Global TapRooT® Summit in Horseshoe Bay, TX. Listen to what content he enjoyed most and what he will be taking back to his workplace to implement some of the Best Practices shared at the Summit.

Don’t have time for the whole video? Read below some questions we asked him and what he had to say.

How did you like the Summit? 

“I loved it! Very well organized. It was my first Summit and from the beginning right up to the end today it was very enjoyable and very nice to meet a lot of the people looking for the same experience and networking.”

What was your favorite session? 

“I would have to say the Best Practices and Learning. It was very interactive but there was a lot we walked away with, that I walked away with that get to take back to my work place and apply some of those lessons learned. So, I would have to say that was the better session of all of them.”

Can you think of any of those Best Practices that you’d like to share with us?

“The corrective actions and the effectiveness reviews. So the quality of the investigation is important but most important is the corrective actions and the effectiveness review as far as a follow up to see if there is some quality in those investigations.”

Did you attend the reception? How did you enjoy that? 

“Well, it was absolutely wonderful. It was a good way to break away and meet some people. There was beautiful weather, good music, and probably one of the better receptions I’ve been to in some of the conferences over the years, so, well done!”

How was the networking and the people that you met here? 

“I think that networking is very important and from that, learning what others are doing and sharing what I have done in the past two years as a TapRooT® instructor. So, very valuable to meet other people and continue that networking after the conference.”

For more information regarding the upcoming 2015 Global TapRooT® Summit in June, click here.

2014 Global TapRooT® Summit Attendees Share Favorite Aspects of the Summit

October 10th, 2014 by

Juan Silva attended the 2014 Global TapRooT® Summit this past April in Horseshoe Bay, Texas and shared with us his favorite aspects, best practices and sessions in Spanish.

Click here to learn more about the upcoming Global TapRooT® Summit in Las Vegas June 1-5.

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

October 8th, 2014 by

John Hodges from KBR (Kellogg, Brown & Root) 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 hear more about how his team at KBR implements TapRooT® into their product line and various other areas of the company.

If you don’t have time to watch the video, here is his Best Practice tip:

“One of the things that we feel like is a best practice is that we have several product lines that not only investigate injuries or serious incidents, we also drop it down to a level of Near-Miss incidents and investigate those as well because those are the things that are going to lead to a serious incident in the future. The other thing we do is that any of our people that go through TapRooT® training, have to attend a refresher every two years. The third thing that we do, that I feel like is significant, is offer all the people that we train on their first several TapRooT® analyses to send them in to us and we give them some coaching on what they need to do.”

Want to know more about the upcoming 2015 Global TapRooT® Summit in Las Vegas in June?

Click here!

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

September 24th, 2014 by

Trevor Archibald of Champion Technologies 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 keeps his investigation teams’ skills fresh and up-to-date:

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

“My name’s Trevor Archibald. I work with Champion in Canada. It was written into my performance contract this year to improve the quality of our investigations. And one of my activities in meeting that goal is holding three workshops a year. We’ve got two dozen folks trained in TapRooT® – [we'll be] bringing them back in here three times a year, putting them through a smaller 1-day workshop, giving them some investigations, doing it all over again. In addition to that I’ve written about a dozen things you all have said here so I’ll be adding that in as well.”

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

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

Tribe of TapRooT® Users Meeting in Las Vegas Next June

September 11th, 2014 by

I heard an interesting speaker last week talk about technology adoption. He spoke about how valued brands developed a “tribe” of users who often networked and shared best practices. This often made the technology (the brand) better and more valuable.

That’s when I realized that TapRooT® Users were a tribe that constantly made TapRooT® a more valuable technology/brand.

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And once a year, the tribe gets together at The Global TapRooT® Summit.

Think of this like the tribal meetings of old. Or mountain men getting together at the rendezvous. Or, if you are from a Norse heritage, a þing (things). 

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If you’ve never been to the Summit, now is the time to start planning to attend. Mark out the dates (June 1-5, 2015) on your calendar. Get any budget requests to travel authorizations started (or at least planned for). See if you can get a team of your best performance improvement experts to register as a group. 

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You’ll return to work from the Summit energized to make improvement happen with great ideas and best practices from around the world. General Summit information is available HERE. The Summit schedule of events will be posted shortly.

Looking forward to seeing you and the rest of the tribe next June.

Mark Paradies
President, System Improvements 
The TapRooT® Folks 

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

September 10th, 2014 by

Pete Reynolds of Marathon Petroleum Company 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 uses peer groups to improve investigations:

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

We have a peer group that is kind of a silo buster. We all get together and talk about the TapRooT® Process and getting the investigation done.

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

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

Throwback Thursday: Summit Relaxation..

September 4th, 2014 by

What happens after hours at the TapRooT® Summit? People relax and share their experiences. In the picture below, TapRooT® VP Linda Unger is having dinner with three TapRooT® Users at the 2003 TapRooT® Summit.

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When and where is the next TapRooT® Summit that you can network, share best practices, and learn the latest new ideas? June 1-5 in Las Vegas. Click here for more information.

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Did this post bring back any favorite memories from a Global TapRooT® Summit you have attended? Tell your story by leaving a comment below!  

 

Throwback Thursday: Vegas… Need I Say More?

August 28th, 2014 by

Throwback to the 2012 Las Vegas Summit. System Improvements had a wonderful time preparing and planning for this Summit. The bar has been set very high for next year’s 2015 Las Vegas Summit. Help us make it the greatest Summit ever!

Dan Verlinde hanging out after the Summit.

Dan Verlinde and Summit attendees hanging out after a full day.

System Improvements staff Ken and Michelle hanging out at the 2012 Summit.

System Improvements staff Ken and Michelle at the 2012 Vegas Summit.

Attend the 2015 Summit and have fun while learning. Click on the link below to find out more about the 2015 Global TapRooT® Summit in Las Vegas, Nevada. 

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

What is your favorite Summit memory? Please leave comments below and tell us what you remember…

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

August 13th, 2014 by

Darlene Normand of Entergy Services 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 got everyone engaged and having fun while teaching them TapRooT®:

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

“Hello my name is Darlene Normand. I’m with Entergy Services, fossil section. We’re building a new plant. We had a conference last year and I was tasked with teaching everyone a little bit about TapRooT®. We cover four states and they heard about TapRooT® because they were getting these corrective actions to put in place, but they didn’t know what it was. So how do you teach 1000 people about TapRooT® and make it fun? Well, I came up with a game, and called it the TapRooT® scramble. (I think I called Ken Reed and said “Hey, you got anything for me?”) I made a SnapCharT®. I used the pothole story from the 5-day class and I made puzzle pieces from the SnapCharT®. I had them all scrambled. I think I did 20 groups. I would give them the story, put them in teams, and their goal was to put the SnapCharT® in the sequence that it went. It went over well; the VPs and the directors got a little taste of it, and some people even took it back to their plants and started changed some of their ways with TapRooT®. It got the message across. It was fun.”

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 (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

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