Root Cause Analysis Blog

 

TapRooT® Around the World: Onsite Course, Billingham, UK

Posted: June 15th, 2018 in Career Development, Courses, Pictures, Training
With TapRooT® Instructor Derek Rutherford teaching a recent onsite course for CF Industries in Billingham, UK, the class was focused on investigation preparation and their presentations. In a TapRooT® course, you will grasp how to troubleshoot and identify the root cause of any issue and/or incident, learning from one of our expert instructors. Thanks, Derek, for the glimpse into your class!

Put yourself in the picture by becoming trained in troubleshooting and identifying root causes of issues and incidents. Register today for a TapRooT® course and gain advantage, experience, and expertise from our professional instructors. Here are some of our upcoming courses:

Nairobi, Kenya, July 16, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Portland, Oregon, July 16, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Auckland, New Zealand, July 16, 2018: 2-Day TapRooT® Root Cause Analysis Training

Milwaukee, Wisconsin, July 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Reno, Nevada, July 25, 2018: 2-Day Root Cause Analysis Training

Sao Paulo, Brazil, August 8, 2018: 2-Day TapRooT® Root Cause Analysis Training

Johannesburg, South Africa, August 13, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Adelaide, Australia, August 21, 2018: 2-Day TapRooT® Root Cause Analysis Training

Newcastle, Australia, September 12, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

We are global to meet your needs. If you need other times or locations, please see our full selection of courses.

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139 or 865.357.0080.

Friday Joke

Posted: June 15th, 2018 in Jokes

Call an electrician? A plumber? Both?

Meet TapRooT® in Dallas

Posted: June 14th, 2018 in Career Development, Courses, Local Attractions, TapRooT, Training

In five days with TapRooT® in Dallas, you will learn how to conduct an investigation and develop effective Corrective Actions. A TapRooT® course can accelerate your career and has proven a professional game changer for many.

TapRooT® is designed for learners at all levels. You will learn to find and fix the root causes of incidents, accidents, quality problems, precursors, operational errors, hospital sentinel events, and many other types of problems. Techniques include: SnapCharT®, Root Cause Tree® & Corrective Action Helper® plus additional advanced topics such as CHAP, Human Engineering, Interviewing, Safeguard Analysis and Proactive Improvement. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Most importantly, you will have the advantage of professional training in your expertise and on your resume!

Attendees should bring safety incidents or quality issues from their workplace for a team exercise. These may be either written reports or, alternately, you may have knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

We’ll meet on August 6 at the Hilton Garden Inn Las Colinas for the 5-Day Root Cause Analysis Training course. You will likely want to explore Dallas so below we’ve included highlights of your host city.

Register here to take the 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training in Dallas.

 

Experience Dallas

Dallas has a down-home, friendly atmosphere, cool music, a memorable skyline, and a robust nightlife. Take a walk in the city’s urban green spaces and explore endless outdoor and recreational activities. To get here, you can fly into DFW or Love Airport, headquarters of Southwest.

A great introduction to Dallas is to take a free trolley ride through downtown to see the area and check out restaurants and points of interest you might want to pursue. Hop on and off as you wish. You may want to use the DART bus or rail system, depending on where you want to go.

Catch views from the GeO-Deck at Reunion Tower, 470 feet above the ground, a great overlook of Trinity River. Another place to view the landscape and Trinity River is from Continental Avenue Pedestrian Bridge. For optimum photo ops, snap the skyline from steel-arched Margaret Hunt Hill Bridge.

Play games, read, and see free performances at Klyde Warren Park, a $110 million oasis with free Wi-Fi. Bonus: With food trucks and restaurants, the park is open from 6:00 am to 11:00 pm. Across the street is Dallas Museum of Art, where general admission is free.

Did you know? Dallas is home to the country’s largest hardwood forest, the Great Trinity Forest

Recreate at White Rock Lake Park. A nine-mile trail for walkers, cyclists, or runners. Scenic views. Go boating or enjoy watching folks row, paddleboard, and fish the lake.

Dallas’ NorthPark Center is prime real estate for shopping–from Versace and Gucci to H&M and Nordstrom.Plus, you can see artworks painted by Frank Stella, Andy Warhol, and Jonathon Borofsky.

Dallas Heritage Village at Old City Park: Learn about Dallas’ history in this park full of 19th-century Victorian and pioneer homes.

Check out what’s happening at the American Airlines Center. You may find a concert or a Dallas Mavericks or Stars game.

Perot Museum: Soak up natural history and science through interactive exhibits.

 

Dallas eateries

Sip Stir Cafe: Artisan coffee and espresso in a quiet place. Laptops welcome.

Bread Winners Cafe: Delicious food, such as chicken and waffles. Bonus: Friday = happy hour!

Whatever food floats your boat, it’s likely at Trinity Groves in the downtown business district: American, Italian, Asian, Mexican, Mediterranean, barbecue, vegan, seafood, tapas. The district has its own restaurant hub. Among the highlights: Tapas CastileSouk Mediterranean Bistro & Bar, Saint Rocco’s New York Italian.

Technically Speaking – Where to find the Corrective Action Helper In the TapRooT® VI software

Posted: June 14th, 2018 in Software, Technically Speaking

This week in Technically speaking we wanted to put up a refresher article on the corrective action helper within the TapRooT® VI software. The Corrective Action Helper might look a little different in version VI but it’s not far off from the previous version 5 software.

View the PDF below to get the full scoop!

If you are unable to view the copy of this information to store locally on your computer, click on the link below the document to download the white paper to your machine.

Technically Speaking is a weekly series that highlights various aspects of the TapRooT® VI software and occasionally includes a little Help Desk humor. Remember, just because it’s technical, doesn’t mean it has to be complicated!

Investigative Interviewing Series (Part 1 of 3): The Power of Rapport

Posted: June 14th, 2018 in evidence collection, Investigations

Gather more quantity and quality of information from interviews conducted during incident investigations. In this 3-week series, we will examine 3 top tips to improve your interviewing skills. Today’s segment highlights the power of rapport.

The Power Of Rapport For Investigative Interviewing from TapRooT® Root Cause Analysis on Vimeo.

 

TapRooT® Around the World: Denver, CO

Posted: June 13th, 2018 in Courses, Pictures

Chris Vallee was recently in Denver, CO, teaching a 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course and sent us these photos. Looks like everyone is having a good time and learning the TapRooT® methodology.

Did you miss out on our course in Denver? That’s okay! Below are some of our upcoming 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses. In our course, you will learn how to troubleshoot and identify the root cause of any issue and/or incident by one of our expert instructors.

You can start by registering today. It’s easy! If you are looking for a different location, click here to browse TapRooT® courses.


Perth, Australia, June 18, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Nairobi, Kenya, July 16, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Portland, OR, July 16, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Dallas, TX, August 06, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Newcastle, Australia, August 13, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Johannesburg, South Africa, August 27, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Monterrey, Mexico, August 27, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Calgary, Canada, September 24, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Aberdeen, Scotland, October 08, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

Dubai, UAE, October 14, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Courses

TapRooT® Users – Use It ALL

Posted: June 13th, 2018 in Performance Improvement, Pictures, Root Cause Analysis Tips, Summit, TapRooT

NewImage

I had an interesting question from a TapRooT® user the other day.

“When will you be adding something to TapRooT® to deal with human performance issues?”

I had to stop and think. Of course, our whole design effort was to make TapRooT® the world’s best system for analyzing and fixing problems due to human error. But I realized that we had made the use of TapRooT® so transparent that this user, and probably others, didn’t know what they had.

They might not know that TapRooT® can them help fix:

  • human errors
  • human performance issues
  • company culture problems
  • behavior issues
  • management system failures
  • simple incidents
  • complex accidents
  • audit findings

TapRooT® can be used reactively (after an accident) or proactively (before a major accident). The application of TapRooT® is really flexible.

We’ve made this flexibility and applicability completely transparent. You don’t have to be a human performance expert (a Certified Ergonomist – like I am) to use the system and get great results.

We’ve made difficult analysis so easy that people don’t know all the power they have.

How can a TapRooT® User learn more about what they have?

  1. Read the blog and the weekly TapRooT® Friends & Experts Newsletter. Sign up for the newsletter HERE.
  2. Join the TapRooT® LinkedIn discussion group HERE.
  3. Attend advanced TapRooT® Training – the 5-Day TapRooT® Advanced Team Leader Training.
  4. Attend the annual Global TapRooT® Summit.
  5. Read TapRooT® Root Cause Analysis Leadership Lessons.

That’s a good start and two of the ideas are free.

Get as much as you can from the tools and processes that you already know – TapRooT®.

And if you have any questions, leave them as a comment here or contact us by CLICKING HERE.

2018 Global TapRooT® Summit Best Practices: Engineers Have Freedom To Investigate Low Level Incidents

Posted: June 13th, 2018 in Best Practice Presentations, Investigations, Presentations, Summit, Summit Videos, Video

2018 Global TapRooT® Summit Best Practices – Engineers Have Freedom To Investigate Low Level Incidents from TapRooT® Root Cause Analysis on Vimeo.

Learn more about investigating low-level incidents in the TapRooT® book Using the Essential TapRooT® Techniques to Investigate Low-to-Medium Risk Incidents and through our courses. Discover what TapRooT® can do for you; Contact or call us: 865.539.2139.

Our Best Practices speaker for this session is Will Canda, representing Nutrien Ltd. The Saskatchewan agriculture industry leader, Nutrien, has more than 1,500 farm retail centers and employs more than 20,000 people across operations in 14 Canadian countries. Nutrien is the biggest global fertilizer producer by capacity, and has the largest U.S. network of farm retail stores.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

 

 

We have a sneak peek for you on today’s Facebook Live!

Posted: June 13th, 2018 in Career Development Tips, evidence collection, Human Performance, Investigations, Performance Improvement, TapRooT, Topic of the Week, Video

TapRooT® professional Barb Carr will be featured on today’s Facebook Live session. To get a sense of the subject, look at Barb’s recent article.

As always, please feel free to chime in on the discussion in real time. Or leave a comment and we’ll get back to you.

We look forward to being with you on Wednesdays! Here’s how to join us today:

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

When? Today, Wednesday, June 13

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

If you missed last week’s Facebook Live discussion with Mark Paradies and Benna Dortch, catch it below on Vimeo or here on video.

Why do we still have major process safety accidents from TapRooT® Root Cause Analysis on Vimeo.

Get a sneak peek tomorrow on TapRooT®’s Facebook Live!

Posted: June 12th, 2018 in Career Development Tips, evidence collection, Investigations, Performance Improvement, TapRooT, Topic of the Week, Video

Not to give too much away here but you have the unique opportunity to gather very useful information tomorrow during TapRooT’s Facebook Live session.

We can announce that TapRooT® professionals Barb Carr and Benna Dortch will be the facilitators for the session. To get a glimmer of the subject, take a look at Barb’s recent article. As always, please feel free to chime in on the discussion in real time. Or leave a comment and we’ll get back to you.

Here’s how to get your sneak peek for tomorrow’s Facebook Live:

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

When? Tomorrow, Wednesday, June 13

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

 

What does a bad day look like?

Posted: June 12th, 2018 in Bad day

“Please, do better, construction people. I’m trying to elevate my thoughts about this renovation but it’s hard when the new ceiling smacks the top of my head going up the new stairs.”

Connect with TapRooT® in Amsterdam

Posted: June 12th, 2018 in Career Development, Courses, Local Attractions, TapRooT, Training

Created for learners at any level, TapRooT® courses will teach you to find and fix the root causes of incidents, accidents, quality problems, precursors, operational errors, hospital sentinel events, and many other types of problems. Techniques include: SnapCharT®, Root Cause Tree®, Corrective Action Helper®. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the outstanding online software service. Most importantly, you will have the advantage of globally recognized TapRooT® professional training added to your expertise and on your resume.

As part of the course, attendees will bring safety incidents or quality issues from their workplace for a team exercise. These may be either written reports or, alternately, you may offer knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

We’ll gather September 26 at the Mercure Hotel Amsterdam City for the 2-Day training course. You will want to explore Amsterdam so below the registration link we’ve included highlights of your host city.

Register here for the 2-Day TapRooT® Root Cause Analysis Training course in Amsterdam.

Experience Amsterdam

In northwestern Europe, Amsterdam is known for its tulip fields, canals and windmills, cycling, the Van Gogh museum and the house where Jewish diarist Anne Frank hid during WWII, and works from Rembrandt and Vermeer at the Rijiksmuseum.

Take a tour—by canal boat, dinner cruisebike, walking, Hop-on Hop-off bus, or helicopter. Just decide how and what you want to see, then connect with the tour that fits your preferences. 

Dam Square is for meeting up, people-watching, and plotting your day while being in the company of the beautiful Royal Palace and in the center of the city.

Walk five minutes from Dam Square to the Amsterdam Museum, an essential for getting inside of Amsterdam’s history, folklore, social patterns, subcultures, and artistic expression.

Amsterdam’s oldest building and oldest parish church, Oude Kerk was founded circa 1213.

Anne Frank House: See where Anne kept her diary and went into hiding. Insider tip: Buy your ticket early as possible as they sell out very quickly; they are made available on the website two months in advance.

The Rijksmuseuma Dutch national museum dedicated to arts and history, is in the Amsterdam South borough, close to the Van Gogh Museum, the Stedelijk Museum Amsterdam, and the Concertgebouw.

You don’t have to travel outside the city to see the icons that helped the Dutch fight water shortages. There are at least eight windmills inside the city.

Did you know that there are more bicycles than people in Amsterdam? 

 

Amsterdam eateries

Try Pofertjes (petite fluffy buckwheat pancakes, served with powdered sugar), Appeltaart, or Stroopwafels (chewy waffles), among the delicacies to sample in Amsterdam.

Cocotte: Stop in this French-style crêperie in the heart of Amsterdam, offering breakfast, lunch, dinner, and coffee.

Toscanini: A local favorite with a 30-year history. Italian menu with a choice of antipasti, primi, secondi, and dolci. Excellent wine list.

De Foodhallen: Take a bite out of the Dutch street food scene where there’s something for everybody. In this former tram depot, you can savor soft-shell crab buns or fish tacos at Le Big Fish; enjoy a bitterbal at De Ballenbar; relish burgers at the Butcher; tuck into hot dogs at Bulls & Dogs; head for Vet View and some Vietnamese street food; droll over the BBQ pork at Rough Kitchen; satisfy your sweet tooth at Le Petit Gateau; or go for Mediterranean fare at Maza. There’s even more choices at De Foodhallen, none of them dull.

Oriental City B.V.In Amsterdam’s “Wallen” area, Oriental City is a local crowd favorite. Extensive menu, with the dim sum among the best in town.

Proeflokaal Arendsnest: Taste the creativity in the craft beer scene here in Amsterdam at this canal-side beer bar on the Herengracht. Choose from around 50 Dutch beers on tap and 100 bottled beers. 

Thrill Grill: Craving a burger? Diners queue up here for such creations as the classic all-beef Thriller, a salmon or veggie falafel burgers, or the Purist, which is a burger with gravy. Four city locations, with the Gerard Doustraat location receiving the best scores for ambiance.

Try this: The Netherlands is famous for its cheese, so go for a cheese and wine tasting session.

 

Discover more to explore from our Amsterdam Pinterest board and begin planning your TapRooT® trip to the Netherlands today!

2018 Global TapRooT® Summit Best Practices: Instilling Competencies Around Employees

Posted: June 12th, 2018 in Best Practice Presentations, Investigations, Presentations, Summit, Summit Videos, Video

2018 Global TapRooT® Summit Best Practices – Instilling Competencies Around Employees from TapRooT® Root Cause Analysis on Vimeo.

In this session, Stephen Sandlin, Ocean Air International, discusses investigations in his company’s incident management process, and the vetting and roles of the individuals responsible for the investigations.

Is your team trained to handle a catastrophic event?

Major accidents happen when precursors are missed. Precursors are indicators that a potential crisis is brewing; however, they can be proactively analyzed to stop that crisis from occurring as well as reactively analyzed so they never happen again.

Our 5-day TapRooT® Advanced Root Cause Analysis Team Leader Training equips your team to recognize critical precursors. Find and fix the root causes of a major accident using all of the essential TapRooT® techniques plus advanced tools to analyze problems, and find root causes that you previously would have overlooked before they become a major crisis. Onsite training is available for 10 or more.

View course outline.

Inquire about hosting an onsite course for 10 or more at your company.

Register one or more for a public course near you.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

Will you be at the Safety & Health Expo in London next week?

Posted: June 11th, 2018 in Current Events

If so, please stop by the TapRooT® Stand (N165) and say hello. Per Ohstrom and Hans Kleppan will be there to tell you all about TapRooT®. They also have a special gift for you (while supplies last)!

Career Opportunities for Candidates with TapRooT® Skills

Posted: June 11th, 2018 in Career Development, Courses, Job Postings, Training

When you are TapRooT® trained, you can rely on your expertise to communicate how seriously you’ve taken your career development. Professional training and skill sets in investigation, problem-solving, and root cause analysis communicate competency to the potential employer across the desk from you. If you have invested yourself in TapRooT® training and skills, explore professional advancement through one of these global opportunities.

Patient Safety Assistant Coordinator

Sr. Engineer

Project Engineer

Environmental Safety & Health Manager

Project Engineer

Chemical Manufacturing

Associate- Senior Engineer Nuclear

Pipeline Risk/Integrity Engineer

HES Drilling Specialist

Environmental Health & Safety Representative

Patient Safety Analyst Nurse

Project Engineer

Sr. Project Engineer

If you are not TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is the proven path to develop your skills and training. Pursue your goals through these TapRooT® courses to advance your professional development.

Niagara Falls, Ontario: June 20, 2018: 2-Day TapRooT® Root Cause Analysis Training

Portland, Oregon, July 16, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Auckland, New Zealand, July 16, 2018: 2-Day TapRooT® Root Cause Analysis Training

Milwaukee, Wisconsin, July 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

Dallas, Texas, August 6, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Adelaide, Australia, August 21, 2018: 2-Day TapRooT® Root Cause Analysis Training

Monterrey, Mexico, August 27, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Newcastle, Australia, September 12, 2018: 2-Day TapRooT® Root Cause Analysis Training

Calgary, Canada, September 24: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Amsterdam, Netherlands, September 26, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Dubai, UAE, October 14: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Kuala Lumpur, Malaysia, October 17, 2018: 2-Day TapRooT® Root Cause Analysis Training

If you would like for us to teach a course at your workplace, please reach out here to discuss what we can do for you, or call us at 865.539.2139 or 865.357.0080.

Monday Accidents & Lessons Learned: Missing a Mode Change

Posted: June 11th, 2018 in Accidents, Human Performance

A B737-800 Captain became distracted while searching for traffic during his approach. Both he and the First Officer missed the FMA mode change indication, which resulted in an altitude deviation in a terminal environment.

From the Captain’s Report:
“Arrival into JFK, weather was CAVU. Captain was Pilot Flying, First Officer was Pilot Monitoring. Planned and briefed the visual Runway13L with the RNAV (RNP) Rwy 13L approach as backup. Approach cleared us direct to ASALT, cross ASALT at 3,000, cleared approach. During the descent, we received several calls for a VFR target at our 10 to 12 o’clock position. We never acquired the traffic visually, but we had him on TCAS. Eventually Approach advised, “Traffic no factor, contact Tower.” On contact with Tower, we were cleared to land. Approaching ASALT, I noticed we were approximately 500 feet below the 3,000 foot crossing altitude. Somewhere during the descent while our attention was on the VFR traffic, the plane dropped out of VNAV PATH, and I didn’t catch it. I disconnected the autopilot and returned to 3,000 feet. Once level, I reengaged VNAV and completed the approach with no further problems.”

From the First Officer’s Report:
“FMA mode changes are insidious. In clear weather, with your head out of the cockpit clearing for traffic in a high density environment, especially at your home field on a familiar approach, it is easy to miss a mode change. This is a good reminder to keep instruments in your cross check on those relatively few great weather days.”

CALLBACK is the award-winning publication and monthly safety newsletter from NASA’s Aviation Safety Reporting System (ASRS). CALLBACK shares reports, such as the one above, that reveal current issues, incidents, and episodes. At times, the reports involve mode awareness, mode selection, and mode expectation problems involving aircraft automation that are frequently experienced by the Mode Monitors and Managers in today’s aviation environment.


We encourage you to use the TapRooT® System to find and fix problems. Attend one of our courses. We offer a basic 2-Day Course and an advanced 5-Day Course. You may also contact us about having a course at your site.

Join TapRooT® in Monterrey, Mexico

Posted: June 10th, 2018 in Career Development, Courses, TapRooT, Training

Designed for learners at all levels, TapRooT® will teach you to find and fix the root causes of incidents, accidents, quality problems, precursors, operational errors, hospital sentinel events, and many other types of problems. Techniques include: SnapCharT®, Root Cause Tree®, Corrective Action Helper®, plus additional advanced topics such as CHAP, Human Engineering, Interviewing, Safeguard Analysis and Proactive Improvement. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the outstanding online software service. Most importantly, you will have the advantage of globally recognized TapRooT® professional training added to your expertise and on your resume.

As part of the course, attendees will bring safety incidents or quality issues from their workplace for a team exercise. These may be either written reports or, alternately, you may offer knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

We’ll gather on August 27 for the 5-Day training course. You will likely want to explore Monterrey so below we’ve included highlights of your host city.

Register here for the 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training course in Monterrey.

Experience Monterrey

The northwestern city of Monterrey, the third largest in Mexico, calls you to tour downtown Monterrey and scout out the cosmopolitan capital of Nuevo León.

A good place to begin is the Marcoplaza, the city square containing city hall, a palace, a library, monuments, and gardens. Before moving on, get a feel for the local culture and learn the history of this vibrant destination.

An ideal, panoramic day trip is to Ecological Park Chipinque Monterrey Nuevo León. Terrific photo ops, nature, and wildlife are here, in the middle of the Sierra Madre Oriental mountain range. Hike or bike, with over 22 miles of trails to choose from.

Monterrey eateries

Sonora Grill Prime serves top organic beef and has a modern ambiance with large terraces and open spaces.

Me Muero de Hambre: Seafood, tacos, appetizers, pizza. Dine on the terrace after your sightseeing walk downtown. Live music.

El Gaucho: Delicious steaks, salads, empanadas and more. From traditional Mexican meals to pastas and seafood. Great service and terrific desserts.

Cenacolo San Pedro: Food, service, ambiance—all get high marks from patrons at this Italian eatery where the steaks are as good as the handmade pasta.

Restaurante Mirador: Specializes in regional food. Enjoy breakfast, lunch, or dinner, with a wide selection of dishes.

Discover more to explore from our Monterrey Pinterest board and begin planning your TapRooT® trip to Mexico today!

Add TapRooT® Skills in Nashville

Posted: June 9th, 2018 in Career Development, Courses, Local Attractions, TapRooT, Training

Take two days with TapRooT® in Nashville and learn how to conduct an investigation and develop effective Corrective Actions. A TapRooT® course can accelerate your career and has proven a professional game changer for many.

Designed for learners at all levels, TapRooT® will teach you to find and fix the root causes of incidents, accidents, quality problems, precursors, operational errors, hospital sentinel events, and many other types of problems. Techniques include: SnapCharT®, Root Cause Tree®, Corrective Action Helper®. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the outstanding online software service. Most importantly, you will have the advantage of globally recognized TapRooT® professional training added to your expertise and on your resume.

As part of the course, attendees will bring safety incidents or quality issues from their workplace for a team exercise. These may be either written reports or, alternately, you may offer knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

We’ll meet August 13 at 21c Museum Hotel Nashville in downtown Music City for the course. You will likely want to explore Nashville so below we’ve included highlights of your host city.

Register here for the 2-Day TapRoot® Root Cause Analysis Training course in Nashville. 

Experience Nashville

Live music 24/7. Fun places to relax and kick back. History, art, culture. And tying it up with a bow: The food.  There’s a lot to discover in Nashville and we’re here to help with a few suggestions.

The Country Music Hall of Fame: Pays tribute to the past of country music while also featuring contemporary artists.

Visit Nashville distilleries: Corsair DistilleryPennington Distilling Co., Nelson’s GreenBriar Distillery, Pritchard’s Distillery, Jack Daniel’s Distillery. Moonshiners, from a past century, passed their recipes down through the generations. Today’s Nashville distilleries have built on that heritage, blending innovation into proven family recipes.

Experience live artists at the Grand Ole Opry: You never know who you’ll get to see and hear at this Nashville icon but we guarantee you will be well entertained. A tradition since 1925.

Bicentennial Capitol Mall State Park:  Go here for a bird’s-eye view of the state capitol. Walk through the 19-acre park to see a 200-foot granite map of the state, a World War II memorial, a 95-bell carillon, a pathway of history, and the Rivers of Tennessee fountains. Eleven planters along the Walkway of Counties show native plant species from the state’s different regions.

Sandwich your trip to the Bicentennial Capitol Mall State Park between some ice cream at the Farmers Market and nationally recognized artisan coffee at Crema.

Nashville eateries

Edley’s Bar-B-Que: Walk into Edley’s and feel like family. They smoke meats low and slow with White Oak, and carry on the Nashville tradition of meat and three, with those sides coming fresh and made from scratch every day.

Hattie B’s Chicken: Two words: Hot Chicken. They call it “Comeback Sauce” for a reason. Don’t skimp on the desserts when you’ve got peach cobbler and banana pudding calling your name.

Five Points Pizza: If you have a pizza craving, pick up a slice (or more) at Five Points. Consistently voted Nashville’s best.

Husk: For something more upscale, Husk is a few blocks south of historic Broadway, in the heart of downtown Nashville, featuring  James Beard award-winning Chef Sean Brock and his quest for ingredient-driven cuisine.

5th & Taylor: Chef Daniel Lindley brings interpretations of Sunday dinners to traditional American fare and to your table.

Pancake Pantry: Delicious any time of the day, but be warned: Either go early morning or in the early afternoon because the secret is long out about this Nashville icon’s goodness. In Hillsboro Village. Hours: Monday – Friday, 6:00 am – 3:00 pm; Saturday and Sunday, 6:00 am – 4:00 pm.

 

Loveless Cafe: At least 65 years an award-winning Nashville legend, Loveless Cafe is quintessential fried chicken, biscuits, and preserves, all earnestly homemade. There is plenty more on the menu, too!

Frothy Monkey: A terrific place to hang out and chat while having a good cup of coffee or a full meal.

Dose: Step in for a refreshing cup of coffee or tea and something yummy from the bakery. Great place to unwind, chat, or get some work done on your laptop.

Biscuit Love: Now a Music City staple with three locations, Biscuit Love began life as an airstream food truck named Lilly.  This family-owned interpreter of the Southern brunch serves a variety of from-scratch for breakfast and lunch.

Discover more to explore from our Nashville Pinterest board and begin planning your TapRooT® trip to Tennessee today!

 

Friday Joke

Posted: June 8th, 2018 in Jokes

Technically Speaking – May Customer Satisfaction Survey Winner

Posted: June 8th, 2018 in Technical Support, Technically Speaking

Here at System Improvements, customer satisfaction is very important to us. We strive to ensure our customers’ questions are treated in a timely and efficient manner. This is so important to us that it’s actually part of our Technical Support Mission Statement:

To provide timely, courteous, and effective technical support to System Improvements staff and all TapRooT® customers, achieving customer satisfaction and process efficiency.

In order to ensure we are providing great service, we have implemented a new customer satisfaction rating system, where our customers can rate their experience with our Support Team. The feedback has been extremely valuable to us.

As a thank you to all our customers who take the time to fill out a Survey, all respondents are entered into a monthly drawing to win a TapRooT® polo shirt.
Everyone, let’s congratulate the user, Darin Banther, EHS Risk Management Supervisor, from Devon Energy Corp. as the winner for the month of May!

New Study Suggests Poor Officer Seamanship Training Across the Navy – Is This a Generic Cause of 2017 Fatal Navy Ship Collisions?

Posted: June 7th, 2018 in Accidents, Current Events, Human Performance, Investigations, Pictures

BLAME IS NOT A ROOT CAUSE

It is hard to do a root cause analysis from afar with only newspaper stories as your source of facts … but a recent The Washington Times article shed some light on a potential generic cause for the fatal collisions last year.

The Navy conducted an assessment of seamanship skills of 164 first-tour junior officers. The results were as follows

  • 16% (27 of 164) – no concerns
  • 66% (108 of 164) – some concerns
  • 18% (29 of 164) – significant concerns

With almost 1 out of 5 having significant concerns, and two thirds having some concerns, it made me wonder about the blame being placed on the ship’s Commanding Officers and crew. Were they set up for failure by a training program that sent officers to sea who didn’t have the skills needed to perform their jobs as Officer of the Deck and Junior Offiicer of the Deck?

The blame heavy initial investigations certainly didn’t highlight this generic training problem that now seems to be being addressed by the Navy.

Navy officers who cooperated with the Navy’s investigations faced court martials after cooperating.

NewImage

According to and article in The Maritime Executive Lt j.g. Sarah Coppock, Officer of the Deck during the USS Fitzgerald collision, pled guilt to charges to avoid facing a court martial. Was she properly trained or would have the Navy’s evaluators had “concerns” with her abilities if she was evaluated BEFORE the collision? Was this accident due to the abbreviated training that the Navy instituted to save money?

Note that in the press release, information came out that hadn’t previously been released that the Fitzgerald’s main navigation radar was known to be malfunctioning and that Lt. j.g. Coppock thought she had done calculations that showed that the merchant ship would pass safely astern.

NewImage

In other blame related news, the Chief Boatswains Mate on the USS McCain plead guilty to dereliction of duty for the training of personnel to use the Integrated Bridge Navigation System, newly installed on the McCain four months before he arrived. His total training on the system was 30 minutes of instruction by a “master helmsman.” He had never used the system on a previous ships and requested additional training and documentation on the system, but had not received any help prior to the collision.

He thought that the three sailors on duty from the USS Antietam, a similar cruiser, were familiar with the steering system. However, after the crash he discovered that the USS McCain was the only cruiser in the 7th fleet with this system and that the transferred sailors were not familiar with the system.

On his previous ship Chief Butler took action to avoid a collision at sea when a steering system failed during an underway replenishment and won the 2014 Sailor of the Year award. Yet the Navy would have us believe that he was a “bad sailor” (derelict in his duties) aboard the USS McCain.

NewImage

Also blamed was the CO of the USS McCain, Commander Alfredo J. Sanchez. He pleaded guilty to dereliction of duty in a pretrial agreement. Commander Sanchez was originally charged with negligent homicide and hazarding a vessel  but both other charges were dropped as part of the pretrial agreement.

Maybe I’m seeing a pattern here. Pretrial agreements and guilty pleas to reduced charges to avoid putting the Navy on trial for systemic deficiencies (perhaps the real root causes of the collisions).

Would your root cause analysis system tend to place blame or would it find the true root and generic causes of your most significant safety, quality, and equipment reliability problems?

The TapRooT® Root Cause Analysis System is designed to look for the real root and generic causes of issues without placing unnecessary blame. Find out more at one of our courses:

http://www.taproot.com/courses

TapRooT® wins Technology Partner of the Year

Posted: June 7th, 2018 in Current Events, investigation, Media Room, Software

TapRooT® Root Cause Analysis Software is used by leading companies around the world.

Ken Reed and Dan Verlinde are attending 2018 SPF EMEA 2018 in Paris, France this week where TapRooT® was recognized as Technology Partner of the Year. TapRooT® Software is developed to manage, measure and report TapRooT® Root Cause Analysis investigations.  We’re very proud to be part of an exceptional team of people who are committed to excellence in everything they do.

Learn more about the award here.

Learn about why TapRooT® Root Cause Analysis Software is the best choice here.

Evidence Collection: Top 3 Tips for Improving your Investigative Interviewing Skills Series

Posted: June 7th, 2018 in Career Development, Career Development Tips, evidence collection, investigation

“Ideas, more than money, are the real currency for success.” – Eli Broad

I’m back in the office after a great week in San Antonio at Safety 2018 where I had the opportunity to share, “Top 3 Tips for Improving your Investigative Interviewing Skills.”

After presenting my Flash Session, an attendee stopped by the TapRooT® booth and told me, “If I would have known those simple tips at the beginning of my career, it would have completely revolutionized the way I did investigative interviewing.”

The tips I presented were, indeed, simple to incorporate. However, the quality and quantity of information an investigator can gather by incorporating these tips into his or her interviewing process are significant.  If you are familiar with the TapRooT® 12-Step Interviewing Process, you’ll find that these three tips are built into the process but you may never have considered how or why they have such an impact.

Next Thursday, I will be starting a three-week series examining each tip. Don’t miss the first column, “The Power of Rapport,” and learn about this important interviewing skill. Work smarter, not harder. Take your investigative interviewing skills to an entirely new level and join me for the series.

Connect with Us

Filter News

Search News

Authors

Angie ComerAngie Comer

Software

Anne RobertsAnne Roberts

Marketing

Barb CarrBarb Carr

Editorial Director

Chris ValleeChris Vallee

Human Factors

Dan VerlindeDan Verlinde

VP, Software

Dave JanneyDave Janney

Safety & Quality

Garrett BoydGarrett Boyd

Technical Support

Ken ReedKen Reed

VP, Equifactor®

Linda UngerLinda Unger

Co-Founder

Mark ParadiesMark Paradies

Creator of TapRooT®

Michelle WishounMichelle Wishoun

Licensing Paralegal

Per OhstromPer Ohstrom

VP, Sales

Shaun BakerShaun Baker

Technical Support

Steve RaycraftSteve Raycraft

Technical Support

Wayne BrownWayne Brown

Technical Support

Success Stories

The healthcare industry has recognized that improved root cause analysis of quality incidents…

Good Samaritan Hospital

Our Acrylates Area Oxidation Reactor was experiencing frequent unplanned shutdowns (trips) that…

Rohm & Haas
Contact Us