Category: Summit

Monday Accident & Lessons Learned: Go To the 2016 Global TapRooT® Summit

August 3rd, 2015 by


The 2016 Global TapRooT® Summit has been scheduled for San Antonio, Texas, on August 1-5.

Why is this in the Monday Accident & Lessons Learned section?

Because we share lessons learned (and best practices) from around the world at the TapRooT® Summit!

If you are interested in learning from others, BE AT THE SUMMIT!

The registration has not been opened BUT you should put the dates in your schedule to make sure you keep the dates open to attend.

See you there!



August 3rd, 2015 by


The 2016 Global TapRooT® Summit is on the schedule! Save the date, August 1-5, 2016 in San Antonio, Texas.  Stay updated about our global event by subscribing to our weekly eNewsletter.  Just send an e-mail to with the subject line “subscribe.”

Are You Comfortable With Just Getting By?

June 15th, 2015 by

Getting comfortable with just getting by, accepting failure, accepting broken rules … these attitudes all contribute to an unhealthy workplace culture that allows major and minor accidents. How do we get back on track?

We livestreamed Mark Paradies’ empowering talk, “How to Stop Normalization of Deviation,” at the 2015 Global TapRooT® Summit in Las Vegas. View the recorded session below and learn how to improve the work culture at your facility.

Broadcast live streaming video on Ustream

Amazing Summit!

June 5th, 2015 by


Today I’m looking forward to Captain Richard Phillips talk. But I already know this has been the best Summit ever.

The keynotes were amazing. From Dan Quiggle to Walter Bond to Dr. Beverly Chiodo to Mhorvan Sherret and Alan Smith … they were all amazing! They influence people’s lives, gave great take aways, and left us motivated to improve our workplaces.

I’m already starting to plan for the 2016 Global TapRooT® Summit with excellent ideas from this year’s participants and a few of my own. Start planning now to attend in San Antonio on August 1-5.

See you there.




Report from Las Vegas

June 3rd, 2015 by

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I didn’t get a chance to report during the day, but at the reception tonight, many people told me that this was the best Summit ever and by far the best conference they ever attended.

Thanks to Walter Bond and Dan Quiggle for their contribution to a great fist day!

Dan Quiggle Shares Lessons on Leadership

June 3rd, 2015 by

We were privileged to hear Dan Quiggle speak on leadership today at the 2015 Global TapRooT® Summit in Las Vegas.

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Dan Quiggle (left) Mark Paradies (right)



Best Practice Session 8- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 8
Friday, June 5, 2015
9:00 a.m. to 9:50 a.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Performance Improvement Program – Gap Analysis 

Best Practice Session 7 – 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 7
Thursday, June 4, 2015
2:55 p.m. to 3:45 p.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Improve Your Instructor Skills Using Reflective Practice Tools (Ralph Brickey)


The Foundations of Equifactor®, part 2 (Heinz Bloch)


Failure to Recognize a Sentinel Event (John T. James, Ph.D)


Pike River Mine Accident (Ken Scott)


Performance Excellence Workshop (Kevin McManus, Chris Vallee)


Process Safety Management Benchmark: Comparing Seveso 3 to OSHA PSM (Frank Verschueren)


Investigating Using the Optional Techniques in the TapRooT® V5 Software (Ken Reed)

Best Practice Session 6- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 6
Thursday, June 4, 2015
1:50 p.m. to 2:40 p.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Stopping Human Error with Type 4 Corrective Actions (Joel Haight)


The Foundations of Equifactor® (Heinz Bloch) 


Performance Excellence Criteria- Its Not Just Your QMS (Kevin McManus)


Praising the 49 Character Traits (Dr. Beverly Chiodo)


The TapRooT® Software Advisory Board (Dan Verlinde, Matt Irving)

Best Practice Session 5- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 5
Thursday, June 4, 2015
12:45 p.m. – 1:35 p.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Applying NSP to Interviewing (Jim Whiting)


The Business End of Equipment Reliability, Part 2 (Heinz Bloch)


How to Stop Normalization of Deviance (Mark Paradies)


How to Find Generic Causes Using Extent of Condition / Extent of Cause (Steve Swarthout)


Daily Tracking of Errors and Defects/Wastes (Kevin McManus)


How We Implemented the TapRooT® Enterprise Software (Jennifer Herget, Scott Gunderson)

Best Practice Session 4- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 4
Thursday, June 4, 2015
10:15 a.m. to 11:45 a.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Certified TapRooT® Instructor Recertification Workshop (Linda Unger, Michelle Wishoun) Note: This is a closed session and will not be made available for digital download.


The Business End of Equipment Reliability (Heinz Bloch)


Developing Proactive Performance Measure  (Mark Paradies)


Finding Causal Factors Using Safeguards and the 5 Questions (Ken Reed)


Process Quality Best Practices (Chris Vallee, Alethea Arnold, Pat Fortune and Frank Verschueren)

(Generic Causes- Frank Verschueren)

(Organizational Issues- Pat Fortune)

(Quality Workshop on Audits & Preventative Action- Chris Vallee & Alethea Arnold)


The TapRooT® Software Sandbox (Dan Verlinde, Matt Irving)

Best Practice Session 3- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 3
Wednesday, June 3, 2015
2:45 p.m. to 3:45 p.m.

Presentations will be uploaded as they are received from the presenters. If you have any questions, please e-mail Barb.


What’s New In the TapRooT® Software (Dan Verlinde)


Proactive Equipment Reliability Tools (Mark Olson)


Digging Deeper into Work Direction Causes (Dave Janney)

Digging Deeper into Human Engineering Causes (Chris Vallee)


RCA of Multiple Similar Events (Michelle Lindsay)


The New International Standard for OHS Management Systems- ISO 45001 (Jim Whiting)

Best Practice Session 2- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 2
Wednesday, June 3, 2015
1:30 p.m. – 2:30 p.m.

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


Grading Your Investigations (Mark Paradies)


Policy Considerations for Evidence Collection (Mhorvan Sherret)


Strange Way to Live (Carl Dixon)


Procedures Talk- Checklist Manifesto (Randy Bennett)


Why the 5 Whys Fail & Find Causal Factors for Quality Events (Chris Vallee, Kevin McManus)

(Find Causal Factors for Quality Events – Kevin McManus)

(Why the 5 Whys Fail- Alethea Arnold)


Communicating Safety (Clare Solomon, Mark Ormond)

Best Practice Session 1- 2015 Global TapRooT® Summit

June 1st, 2015 by

Here are the presentations and handouts received thus far for:

Best Practice Session 1
Wednesday, June 3, 2015
10:30 a.m. – noon

Presentations will be uploaded as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please e-mail Barb.


TapRooT® Users Share Best Practices (Linda Unger, Benna Dortch and Michelle Wishoun) (Presentation will be uploaded when received from presenter.)


Equipment Reliability Best Practices (Ralph Brickey)


Kaizen Event Using TapRooT® and the RCT (Amy Bratkovic)

Pre-Summit TapRooT® Courses are Underway!

June 1st, 2015 by

Took a picture of each class being held before the TapRooT® Summit. Here’s the students and instructors working hard to learn how to apply new things to improve performance.

TapRooT® Software Course:

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Interviewing & Investigation Basics:

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Advanced Trending:

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Equifactor® Equipment Troubleshooting & Root Cause Analysis:

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Hazard Recognition:

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2-Day TapRooT® Incident Investigation & Root Cause Analysis:

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Understanding & Stopping Human Error:

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Analyzing & Fixing Safety Culture Issues:

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TapRooT® Quality/Six Sigma/Lean Advanced Root Cause Analysis Training:

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Proactive Use of TapRooT®:

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Risk Assessment & Management Best Practices:

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Fighting Fatigue:

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Advanced Causal Factor Development:

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Start planning to attend the 2016 Global TapRooT® Summit in San Antonio, Texas, on August 1-5.

2015 Global TapRooT® Summit After Hours: Downtown Vegas!

May 25th, 2015 by

Are you getting packed for Vegas? Do you have one or two fun things on your list for after hours fun?

On our visit to downtown Vegas, we chatted with one of the locals who told us downtown is where it’s at!  It’s less expensive for a night out on the town, and in his opinion, more fun because it’s old-style Vegas glam!


Hugo’s Cellar at the Four Queens Hotel and Casino is known for classic Las Vegas dining.  Ladies will be greeted with a long stemmed rose.


Adventure seekers will love the thrill of ziplining through downtown.  Click this photo to view an exciting zipline video!


The Golden Nugget and Binion’s sit right across from each other! Binion’s penthouse restaurant offers breathtaking views; and The Golden Nugget was named “Best Downtown Hotel” in 2014!

Last but not least, The Gold Spike has a giant living room and backyard where there is a ton of fun to be had on a warm summer night!


The living room at the Gold Pike is equipped with games and comfy furniture (click to view another photo of the living room.


Judy and I played life-size chess in the backyard of The Gold Spike! Click this image to see the cornhole games and comfy seating!

We’ve listed some more ideas on our Hotel & Travel page (scroll down the page to view the list).

Still haven’t signed up?  We’ll take your registration for a few more days!  Go to this link now:

Summit Attendees: Must Know Information Before You Arrive in Vegas!

May 21st, 2015 by

Performance Improvement

When you attend the 2015 Global TapRooT® Summit, there is information you must know before you travel to Las Vegas.

1. PREPARATION: Review your current performance improvement program and find gaps that you would like to improve in the next 12 months. There is a diagram of improvement program elements above to get you thinking about your plan and potential gaps. Also, read Chapter 6 of your black TapRooT® Book. Hopefully, the sessions you chose to attend will help you learn valuable information that will take your improvement efforts to the next level.

2. NETWORK: Come prepared to network. BRING BUSINESS CARDS

3. DRESS: Pack the right cloths. Dress will be business casual for attendees and business for speakers. Also, if you are often cold, bring a light jacket or sweater. Hotel conference facilities are usually kept cool to keep attendees awake!

4. FOOD: Breakfast and lunch are supplied at the Summit and at the pre-Summit courses. There will also be food and drink at the Wednesday night reception.

5. RECEPTION: Plan to attend the Wednesday night TapRooT® Summit Reception at Margaritaville. There will be live music, food, and drinks. It is a great place to meet and make friends. Your spouse is invited too.

6. BE ON TIME: Don’t miss the OPENING WELCOME at 8 AM on Wednesday. You will have three people looking to meet you during THE NAME GAME and a reward for completing the game. Also, you will get a ticket for a prize drawing whenever you are on time for a session.

7. CONSIDER BRINGING A LAPTOP: Some sessions have exercises that may require a laptop or tablet. Also, you will be able to log into the new software at the Thursday morning breakfast.

8. KNOW ANYONE WHO SHOULD ATTEND? There’s barely enough time to register but if someone really needs to improve their improvement efforts, they should attend the 2015 Global TapRooT® Summit. Recommend it to them and send them this link for more information:

9. BREAKFAST ACTIVITIES: Breakfast on Thursday and Friday is from 8 to 9. On Thursday, the breakfast activity will be a Version 6 TapRooT® Software trial. If you want to learn more about the TapRooT® Software, come to breakfast at 8 AM. On Friday, there will be breakfast table discussions about a variety of topics. Arrive at 8 AM to pick your table/topic and participate in the discussion/networking event.

10. DON’T LEAVE EARLY! Friday is an important day at the Summit. The Gap Analysis Session will help you design the improvement to your improvement program in 2015/2016. And the final speaker is Captain Richard Phillips. (The real guy, not the movie actor who played him in the hit movie.) Don’t schedule your flight until the afternoon. Or stay until Saturday and have time to meet and talk with Captain Phillips after his presentation.

11. QUESTIONS? Drop us a note at

Thanks for reading these brief instructions. Look for more details in the meeting instructions you will get from our meeting planner.

Looking forward to seeing you at the 2015 Global TapRooT® Summit …

Room Block Extended for the 2015 Global TapRooT® Summit!

May 14th, 2015 by copy

Our room block has been extended!  Friday, May 22, 2015, is your last opportunity to book a room in the 2015 Global TapRooT® Summit Hotel Block.

By staying at the conference hotel, you will enjoy the value, convenience and perks of residing at the conference venue, including:

  • Room block rates starting at just $129.00.
  • Excellent location (the Flamingo wasn’t built on the Strip, the Strip was build around the Flamingo)
  • Saving time – relax – have one more cup of coffee before the conference begins – your room is conveniently located in the conference host hotel.
  • Bars and nightlife, dining, entertainment, casino, salon and spa, shopping and a wildlife habitat – all onsite!
  • Step right out the door and onto the fabulous LINQ Promenade!

There’s no better place to stay during Summit week than the Flamingo Las Vegas!

For more information, visit:

How much money does your company lose choosing the CHEAPEST answer rather than the BEST answer?

May 13th, 2015 by

Last week I had someone contact me on LinkedIn to ask if I knew of any free root cause analysis tools to use to investigate accidents.


Yup, they exist. But would you bet your career, your management’s future, and people’s lives on a free answer to significant problems?

Haven’t you heard the old saying:

You get what you pay for!

That got me thinking … How much money do companies lose choosing the cheapest answer rather than the best answer?

Not long ago I saw an article by equipment reliability expert Heinz Bloch about the the true cost of quality. It was an eye opener. (By the way, did you know that Heinz is presenting three talks at the 2015 Global TapRooT® Summit?)

And how many people have you seen that recommend cheap training answers for corrective actions that you know won’t be effective. The incident will happen again causes more loses.

I had someone else tell me that their company was saving money by not having people attend the 2015 Global TapRooT® Summit even though the Summit is guaranteed to produce a return on investment of 10 times the Summit’s cost. They are missing guaranteed improvements and falling behind those who aren’t:

Penny wise and pound foolish.

Don’t make the same mistake.

Adopt the best answer and save.

Attend the 2015 Global TapRooT® Summit on June 3-5 in Las Vegas. Register at:

Safety Improvement Track at the Global TapRooT® Summit

May 7th, 2015 by

There is still time to sign up for the safety improvement track at the Global TapRooT® Summit.

In addition to the blockbuster keynote speakers that every track will attend, we have a very special lineup of sessions for the safety track:

Kaizen Events using TapRooT® and the Root Cause Tree®

This session is one from the summit quality track that I added to the safety track. Why? Because in my previous life, I worked in both quality and safety departments, and there are two things I know; first, safety professionals can find great benefit in quality processes and tools, and two, most safety people have not had the benefit of being exposed to quality processes and tools. Kaizen Events are a great way to involve employees in your processes, and I know that for a safety program to be effective, employees must be involved. I am very excited about this session led by Amy Bratkovic.

Communicating Safety

Your safety message is only useful if people hear it (and understand and believe it)! UK communication’s consultants Clare Solomon and Mark Ormond are not only communication experts, they understand safety and how to specifically tailor messages to your company, environment, and culture. You will not want to miss this session.

The New Standard for OHS Management Systems – ISO 45001

As safety professionals, I know we sometimes wonder why there are ISO standards for quality, risk, environment, and a host of other things, but not safety. Well, it is finally coming. International standards expert Jim Whiting will give an overview of the soon to be released ISO 45001. Many companies require their suppliers to be certified in some of the other ISO standards mentioned, so there is no reason to believe this will not be the case with safety as well. Be on the forefront of this movement by attending this session.

Developing Proactive Performance Measures

Most people become TapRooT® users because they want to do better investigations. That’s great, but would it not be better to prevent incidents in the first place? Before you can fix a problem in your organization, you have to first have the data, and unfortunately, many companies do not collect the right proactive measures. In this session, Mark Paradies, the creator of TapRooT®, will give you plenty to think about when considering what to measure.

How to Stop Normalization of Deviance

Have workarounds and the breaking of rules become accepted, or business as usual in your company? Mark Paradies will discuss the consequences of allowing this to happen and share insight on how to avoid this condition. If you just solved this one problem (albeit a big one!) at your company, this would make the entire summit worth your time.

Stopping Human Error with Type 4 Corrective Actions

Do your correction action reports routinely involve things like training and rules? If so, that may be (I’m being nice here) the reason you have repeat incidents. If you have been to a TapRooT® course, you know that removing or reducing the hazard is the best thing you can do, but that is not always possible. But there are ways to make your people more reliable without putting a host of new rules in place. In this session, human factors expert Dr. Joel Haight will share ideas on how you can strengthen your corrective actions to prevent recurrence.

Process Safety; Comparing Seveso 3 to OSHA PSM

Different standards and regulations have different benefits and best practices included in them. Can we learn from other standards and regulations even if we are not forced to comply with them? Join Belgium Regulator Frank Verschueren as he discusses how these two process safety regulations compare.

So that’s it. Several great sessions. Have I mentioned the keynote sessions? Well, I am going to mention them again. We have everything – someone who worked for the President of the United States, a former NBA player and radio personality, a Professor who has been voted the best speaker at the summit, two gents who investigated serious North Sea Oil and Gas incidents, and last but not least, Captain Phillips.

Wow. And of course there is the party at Jimmy Buffet’s Margaritaville with entertainment from Carl Dixon of The Guess Who and April Wine fame.

You can’t afford to miss this event. Register HERE and select the Safety Improvement Track. See you there!

THINK DIFFERENT when solving problems!

May 7th, 2015 by

Need a new approach to your corrective actions?

Need a boost for your creativity?


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Then attend Michele Lindsay’s Creative Corrective Actions Course on June 1-2 in Las Vegas and then attend the 2015 Global TapRooT® Summit on June 3-5 and SAVE $200.

That’s right, you get a $200 discount when you attend both!


How Much Money Can Your Company Afford to Lose?

May 6th, 2015 by

What if you could bet on a “sure thing.” That wouldn’t be gambling … it would be better than investing!

What if you passed up a sure thing that cost your company, thousands, hundreds of thousands, or even millions of dollars? After all, how much money can your company afford to lose?

Consider this … the 2015 TapRooT® Summit comes with a money back guarantee.


Attend the Summit. Go back to work and apply what you’ve learned. If you don’t get at least 10 times the return on your investment, simply return the Summit materials and we’ll refund the entire Summit fee.

It’s that simple. It’s that risk free.

How can System Improvements offer such an iron clad guarantee for the TapRooT® Summit?

We have been holding the Summit since 1994 and we’ve seen the amazing improvement that people accomplish with the best practices and advanced knowledge they learn at the Summit. We know you can achieve similar results and so the guarantee is our way of encouraging you to bet on a sure thing!

One more thing. Saving money is good. But can you put a price on the lives you will save with the improvement you make?

REGISTER TODAY because the Summit is coming up quickly (June 3-5) in Las Vegas. For more information about what you will learn, the speakers, and the sessions, see:

What is the burden of unsolved problems at your company?

May 4th, 2015 by

Do you have incidents that happen over and over again?

Do you have repeat equipment failures?

Does your hospital have similar sentinel events that aren’t solved by your root cause analysis?

How much are these repetitive problems costing your company?

Stop making excuses and try something NEW that can help you stop repetitive problems…

IDEA #1: Attend at TapRooT® Course to stop repeat incidents.

Choose from the:

These courses are guarantee to help you find root causes that you previously would have overlooked and develop corrective actions that both you and your management agree are more effective.

IDEA #2: Attend the Creative Corrective Actions Course.

Hurry, this course is only offered on June 1-2, prior to the TapRooT® Summit. If your creativity for solving problems is getting stale, this is the course you need to attend.

IDEA #3:: Attend the 2015 Global TapRooT® Summit in Las Vegas on June 3-5.

The Summit is a proven place to network and learn valuable best practices that can help you solve your toughest problems. Each Summit is unique, so you don’t want to miss one. And this year’s Summit is rapidly approaching. Register today at:

The Summit You Can’t Afford to Miss

April 30th, 2015 by

Do you need to:

  • Stop accidents
  • Stop human error
  • Prevent fatalities
  • Prevent equipment failures
  • Stop sentinel events
  • Prevent series injuries
  • Stop waste
  • Prevent cost overruns
  • Understand and minimize risk

Then you can’t afford to miss the 2015 Global TapRooT® Summit and the Pre-Summit training.

Get the details and download the brochure at:

Don’t wait! There’s still time to register. The Summit and Pre-Summit training are on June 1-5. 

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Mark ParadiesMark Paradies

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