Welcome to this week’s root cause analysis tips. This week I would like to talk about root cause analysis on trends.
One of the most common discussions I have with people involves what to do with the things you do not have time to investigate. Many companies use some sort of ranking or risk matrix to determine at what point something is important enough to warrant an investigation. I have some thoughts on this…
First of all, sometimes people try to investigate everything and end up doing poor investigations on everything; that does not help anybody. One consideration on where to draw the line is related to your current numbers. For example, if you work in a plant that has a few incidents per year, if you have the resources to investigate, I say do it. But if you are looking at large numbers at a corporate level, you may not have the resources – and you have to decide where to draw the line.
So what about the minor incidents you have that don’t get investigated – what to do with them? Well, it goes beyond minor incidents, you have other things that can be trended, rootcaused (is that a word?), and corrected. It is actually quite easy to investigate a trend, the hard part is actually collecting the data. I call this getting things in the “right bucket.” Here are some examples of information you might collect (or should):
• Minor incidents
• Near Misses
• Audit Findings
• BBS Observations
If you do a good job of collecting data, you can then trend the information. Your trends should reveal what processes are causing you pain. You then investigate the PROCESS, rather than an incident. For example, let’s say you had some near misses, some audit findings, and some BBS observations related to your lockout/tagout process that revealed issues. You may have not had a major incident yet, but you have warning signs. You can’t (or don’t have time to) go back and do full blown investigations on each data point, so you map out the process with a SnapCharT®, adding everything you know about the process as conditions, and based on that information, you identify your known failures and potential failures as Significant Issues (the equivalent to Causal Factors) in TapRooT®. Then off to the Root Cause Tree® and corrective actions. You’ve done ONE investigation on potentially dozens (or hundreds) of issues. This is more effective and much easier than doing multiple bad investigations.
Investigation of trends is a very important consideration in Audit Programs. Again, do you have time to investigate every finding? Maybe not. Here is an example:
A corporate auditor for a big box store has 100 compliance questions on a checklist and 100 locations that were audited using this checklist in the past year. That is a fair amount of data. The auditor can use this data to develop a list of top findings and then analyze the biggest issues.
The data for the yearly compliance is presented on a Pareto Chart below.
The top two categories are related to a similar topic: required signage. The audits have revealed both missing signs and outdated signs. Let’s look at these issues together on a SnapCharT®. Significant Issues are marked with a triangle:
Next, you take the Significant Issues through the Root Cause Tree®, and apply corrective actions. One investigation on dozens of findings.
I hate to use clichés, but WORK SMARTER NOT HARDER!
Want to learn more? I have a couple of opportunities that might interest you:
If you already collect good information and have good trending in place, consider attending the new TapRooT® for Audits Course on August 1-2.
If you are not there yet and want to learn how to collect data and trend, consider the Advanced Trending Techniques Course, also on August 1-2.
Thanks for taking the time to read the blog, and happy investigating/auditing.
We sometimes take conveyor belts for granted. “Just a motor, some rollers, and a big flexible belt.” But for those of us that use conveyor belts as a critical part of our business, we know how impactful a belt system failure can be. Additionally, a failure can cause more than just an inconvenience; failures in your belt system can lead to overheating and serious fires.
Here are some good ideas to help keep your conveyor belts running smoothly and safely.
A colleague at a recent Rail Safety conference pointed me to this article on how to change people’s behavior on rail lines in London. How do we influence people to:
– put trash in trash bins
– be courteous while playing music
– keep feet off the train seats
They’ve tried signs and warnings. I think we can all agree those have limited effect. There are audible reminders. The escalators in Atlanta Airport talk to you continuously on the way down to the trains.
Here are some other (gentler) ways the London Underground is trying to influence passengers to do what is required.
Upcoming TapRooT® Public Courses:
From Transocean Discoverer Enterprise …
I admit to being an information junkie, and list article headlines steal my attention every single day because they are tasty morsels of knowledge I can’t resist knowing.
10 Things You Didn’t Know About …
15 Things You Need to Know About …
20 Things You Should Consider About …
You get the idea!
Not to say that information is a bad thing ….
but with the Internet we are all on information overload. What happened to simply taking action?
I love this author’s idea about implementing a “deprivation week,” disconnecting from information sources and just doing the work you know you should be doing. If you feel like you are operating less successfully because of an overwhelm of information, check out his advice to quit learning and start doing: 10 Overlooked Truths about Taking Action
TapRooT® will be traveling to Sao Paulo, Brazil June 22 – 26 for a 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course. Will you be joining us? Sao Paulo is the most populous and wealthiest city in Brazil. The city is full of cultural, museums, parks, and monuments. It is also a melting pot city, home to Italian, Arab, and Japanese diasporas. This gives visitors an unique experience when visiting Sao Paulo. So stay a couple of days after the course to immerse yourself in what Sao Paulo has to offer.
Vila Das Rosas – Looking for a vegetarian option? Well, look no further. At Vila Das Rosas you can enjoy your meal in a tranquil garden after your long day of shopping.
Savor Sao Paulo: Are you a foodie? Then you definitely want to check out Savor. They offer different types of food tours around Sao Paulo. So sit back, relax, and prepare to get stuffed!
Tche Cafe Bar: Is a great place to go if your looking for friendly staff and live music. The atmosphere is laid back and the drink selection is vast.
Templo Da Carne Marcos Bassi: Try out TripAdvisor’s top rated Brazilian Steakhouse. It is one of the best meat restaurants located in Sao Paulo. Below is a video explaining how they prepare their meat for guest.
Jardim Zoológico: This zoo is situated in the beautiful Parque do Estado. It is Brazil’s biggest zoo that provides shelter for more than 3,000 animal species.
Ibirapuera Park: Your trip to Sao Paulo wouldn’t be complete without visiting this exquisite park. It is home to the Japanese Pavilion, a planetarium, sports arena, an array of museums, and many other attractions.
Sao Paulo Museum of Art: Known locally as MASP, it houses one of Latin America’s most important art collections. You can see famous European artist such as: Degas, Renoir, Bonnard, and many many more!
Below is a video showing you the beautiful sights and the top 7 places you should visit in Sao Paulo, Brazil.
Have you been to Sao Paulo before? What are some of your favorite attractions?
We just want to take a moment to honor those who have served, those who are active military, and the families of our military. Home of the free because of the brave. Thank you for your sacrifice.
Plan your next TapRooT® public course trip to Rome, Italy! Take advantage of our 2-Day Incident Investigation and Root Cause Analysis Course on March 18th in one of Europe’s oldest cities. Rome has been noted as one of the most continuously occupied cities in history keeping their culture growing. The vast amount of knowledge you can learn from their historic sites and our TapRooT® course is well worth the trip.
Pinsere Roma: Fresh, Italian pizza, does it get any better than that?
Gelateria Valentino: Every flavor of homemade Gelato you could imagine. Always a popular spot in Rome.
Volee: Looking for a nicer, gourmet restaurant? Volee is sure to offer an authentic, Italian food experience.
Colosseum: You can’t visit Rome without touring the world-famous Roman Colosseum.
Arcibasilica di San Giovanni in Laterno: Take in thousands of years of art and architecture in one amazing building.
Centro Storico: Take a walk through the shops and see first-hand the authentic Italian culture.
REGISTER TODAY: Follow this link for more information on the course and registration.
SAVE THE DATE for our Global TapRooT® Summit on June 1-5. Register Here.
Thanks to Harry Thorburn for these pictures of a recent onsite course at Lewek Constellation in Norway.
For more information on our Public TapRooT® Courses around the world, click here!
For more information on our Onsite Course options, click here.
Save The Date for our annual Global TapRooT® Summit on June 1-5.
Ever wanted to take a trip to Ireland? TapRooT® will be holding a 2-Day Incident Investigation and Root Cause Analysis public course in Dublin on February 9-10. The scenery and pubs that Ireland is known for are not the only things that hold them apart from everyone else. Dublin was listed as a highly rated global city by the Globalization and World Cities Research Network making it one of the top thirty cities in the world. However it’s modern city growth can never take away the rich history that surrounds the country. Each of the brick streets, castles and stone bridges date back hundreds of years making Dublin quite the well-rounded city. You won’t want to miss this opportunity to travel to Ireland and learn Root Cause Analysis.
Sabor Brazil: A fancier, gourmet style dinner with a taste of Brazil got this restaurant the Tourists Choice Award.
Bad Bobs: Perfect for a night out to eat a relaxing, delicious meal at an official Irish Pub.
The Lotts: Bar quizzes, fun entertainment and award winning food are the best combination for a great time in Dublin.
Irish Whiskey Museum: If you’re in Ireland, you have to learn about the history behind their whiskey and how it became apart of the culture.
Traditional Irish Experience: Let a tour guide take you around to experience the local way of life and see if you’ve got what it takes to be Irish.
Extreme Ireland: This is the single best way to see all the major historical buildings, castles and landmarks along with a knowledgeable tour guide.
Register for the course HERE.
Save the Date for our annual Global TapRooT® Summit coming up in June! Information and Registration here.
Thank you to Jesus Alonso for taking great pictures for us to share. These are from a recent TapRooT® Course in Monterrey, Mexico.
Want more information regarding our TapRooT® Public and Onsite Courses? Click Here.
Interested in joining us at our annual Global TapRooT® Summit in June 2015? Click here for more information.
Have you ever visited Aberdeen, Scotland? Join TapRooT® for a 5-Day Advanced Root Cause Analysis and Team Leader Training Course on January 26-30, 2015. Aberdeen is known for many things in the northeast such as their busy heliports, oil industry, education and seaport. It was also recognized to be a leading business hub and a “super-city” by the HSBC. Along with their outstanding economy, Aberdeen has beautiful Victorian Era architecture. You won’t regret visiting this wonderful city!
Mamma Mia: This quaint Italian restaurant serves a little bit of everything with delicious coffee and desserts.
Bite Me: Freshly made, gourmet dishes in a small cafe in Scotland. Give it a try!
Sand Dollar Cafe: A seaside bistro that serves some of the best seafood around.
The Gordon Highlanders Museum: This highly reviews history museum is a tourist and local hit. Learn some interesting Scottish and World history.
Aberdeen Maritime Museum: Interested in boats and sailing the seas? Enjoy a visit to this historical and informational museum.
Craigievar Castle: Take a step back in time and visit a real life castle.
REGISTER HERE for this Aberdeen course.
Click here for more information on other international TapRooT® courses.
Today marks the end of yet another great course in Dubai. Here are some pictures of the students and the final team exercise presentations:
Our next set of courses in the Middle East will be in March; a 2 day in Dubai or a 5 day in Doha. To join one of these courses, register HERE
The staff at System Improvements really enjoys working with our customers. One great way to keep in touch with our staff is to connect with them on LinkedIn. You can see what they’re up to, where they are, and read about the great ideas they have for you. It’s also an easy way to contact them if you need assistance or answers to any questions.
We invite you to connect with us! Here’s a list of some of our staff and their LinkedIn contact link:
Mark Paradies (President): www.linkedin.com/in/markparadies
Linda Unger (Vice President): www.linkedin.com/pub/linda-unger/8/950/2a1
Ed Skompski (Vice President): www.linkedin.com/in/edwardskompski
Ken Reed (Partner): www.linkedin.com/in/kenreedprofile
Chris Vallee (Senior Associate): www.linkedin.com/in/christophervallee
Dave Janney (Senior Associate): www.linkedin.com/in/davejanney
Becky Marambio (Sales Associate): www.linkedin.com/in/beckymarambio
Benna Dortch (Sales Associate): www.linkedin.com/in/bennadortch
Michelle Wishoun (Licensing Associate): www.linkedin.com/pub/michelle-wishoun/14/191/b35
Barbara Phillips (Editorial Director): www.linkedin.com/in/barbaracarrphillips
Steve Raycraft (Tech Support): www.linkedin.com/pub/steve-raycraft/37/472/3a2
Cherie Larson (Accounting Director): www.linkedin.com/in/cherielarsontn
Judy Potok (Public Course Planner): www.linkedin.com/in/judypotok
Natalie Tabler (On-site Course Planner): www.linkedin.com/pub/natalie-prendergast-tabler/21/438/691
Thank you to Mhorvan Sherret for sending us some great photos from a recent TapRooT® OnSite Course in Dubai, UAE.
For more information regarding public or onsite TapRooT® courses, click here.
Ron Zanoni joined us at the 2014 Global TapRooT® Summit in Horseshoe Bay, Texas and shared with us some of his favorite aspects. Tune in to listen to one of the many reasons you should join us in June 2015 in Las Vegas for the upcoming Global TapRooT® Summit.
Don’t have time to listen? Read the dialogue below!
How do you like the Summit so far?
“I think the Summit is one of the better summits that I have attended with the exception of maybe one of the Las Vegas ones, but it’s very good!”
What are some of the best practices that you’ll be taking back with you?
“One of the best practices that I picked up was doing good risk assessments using risk ranking and I intend to try and employ that in my incident investigations.”
Thanks for coming! We’re glad you’r here!
Interested in more information about the Summit? Click here
Ready to register? Registration will be available on Monday, December 1!
Tune in to this week’s Global TapRooT® Summit’s testimonial. Listen to how attendee, Mujeeb Rahman, plans to use the knowledge he took away from the Summit back at his workplace.
Don’t have time to watch the video? Read the dialogue below.
Mujeeb, what do you like about our Summit this year?
“It was wonderful. Just to experience different individuals, the sharing of new techniques, it was really helpful. I, myself, attended the Pre Summit breakout course and it was really really helpful. Especially some of the techniques that I wish I had before. Had I known about it, I could have saved so much time, costs, on time delivery that I can use, actually, in the quality of the supply chain side would bring a lot of benefit to my company.”
Great, well we’re so glad you came this year and we look forward to seeing you next year.
Want more information regarding the 2015 TapRooT® Summit? Click Here
Ready to register for the 2015 TapRooT® Summit? Registration opens December 1, 2014!
Join the TapRooT® team on December 8, 2014 for a 5-Day Advance Root Cause Analysis Team Leader Training public course in London, England!
London has grown to the top of the list in leading global cities with strengths in education, entertainment, finance, healthcare, professional services, research and development, and, of course, tourism. After reviewing their international arrivals last year, London is also the world’s most visited city. There is no doubt that their historical heritage is what so many tourists long to see and experience.
The Five Fields: Interested in trying new fresh gourmet flavors? The Five Fields has a multitude of options.
The Andover Arms: A local pub with a fun atmosphere and delicious London favorites.
The Art of Pizza: If you love pizza, this is a must try! The Art of Pizza home-makes all dough and sauce to create the best pizza around.
Houses of Parliament Tour: Visit, in person, the UK Parliament buildings you’ve only seen in movies and textbooks.
The National Gallery: Appreciate the Arts with exhibits containing pieces by Rembrandt and Monet.
Hippodrome Casino: Enjoy a night out on the town at London’s Casino of the year.
To register: click here
For more information regarding our many international public courses: click here.
For information regarding our upcoming Global TapRooT® Summit: click here.