Root Cause Analysis Blog

 

How Can We Help You? (More ways than you might think!)

Posted: October 1st, 2014 in Performance Improvement, Pictures

We can help you stop bad things from happening.

NewImage

Is your team trying to prevent fatalities?

Improve quality?

Improve your root cause analysis?

Investigate a difficult incident?

Solve equipment reliability issues?

Improve profitability?

Reduce lost time accidents and workers comp costs?

Stop sentinel events?

Improve process safety?

Meet senior management improvement expectations?

We would be glad to help.

In helping companies all over the world implement TapRooT® and train their personnel to use advanced root cause analysis, we get involved in all types of performance improvement initiatives. We see what works. We see what doesn’t. 

What are some common areas where we can help?

IMPROVE YOUR TapRooT® IMPLEMENTATION

We wrote the book on implementing TapRooT®. We know how it should be used and common ways to improve its use. We see best practices from around the world and we can help you catch up by applying best practices that you haven’t tried.

How do you get started? Call us at 865-539-2139. We’ll be glad to listen to the issues you face, what you’ve done so far to make improvement happen, and explain what you can do to take your program to the next level.

INVESTIGATION FACILITATION

Our instructors are experts in applying TapRooT® to investigate problems. accidents, incidents, quality issues, sentinel events, equipment issues, production problems, and cost overruns. We don’t “do” investigations. But we can supply an an experienced TapRooT® facilitator to help your team with a tough investigation or to review an investigation that is nearing completion. Call us at 865-539-2139 or CLICK HERE to drop us a note to get the process started. 

BECOMING PROACTIVE

Using TapRooT® to investigate accidents and stop them from happening again is good. But is even better to use TapRooT® to stop accidents from ever occurring by being PROACTIVE.

We can show you how to apply TapRooT® proactively to stop accidents, incidents, quality issues, equipment reliability problems, production problems, or sentinel events. We actually have a specific course to teach the skills you will need to apply (Proactive Use of TapRooT® Course). You can attend the public course (next one is scheduled for June 1-2, 2015 in Las Vegas) which is offered just prior to the TapRooT® Summit. Or you can contact us to have a course at your site. And we would be glad to work with you before the course to get your proactive program set up to take advantage of the tools that TapRooT® offers.

ANALYZE TRENDS

Not only do we teach a course on Advanced Trending Techniques, we can help you apply those techniques to analyze your performance issues and help you present the findings to your management. We’ve found that many TapRooT® Users have never had experience in using trends to target improvement initiatives. So we can give you the training you need to understand trending and help you do your first trend analysis to understand how trending can be applied to prevent problems. Call us at 865-539-2139 or drop us a note to find out what we can do to help you look at your trends.

SOFTWARE IMPLEMENTATION

Many people use TapRooT® Software to analyze incidents. But to get the most from your software, you need to do up front business analysis to properly implement the software. Of course, we offer a course – Getting the Most from Your TapRooT® Software – to help TapRooT® Software Administrators and TapRooT® Software Super-Users learn what is needed to set up their software for best results. But we can also consult with TapRooT® Users and Software Administrators to help them develop a TapRooT® Software implementation plan. Call us at 865-539-2139 or drop us a note for more info about this service,

CREATE AN IMPROVEMENT INITIATIVE

If you are considering starting a new performance improvement initiative, why not get us involved from the ground up? We can use our knowledge of improvement programs from around the world to help you implement a world-class initiative. We can also bring in experts that we have worked with in equipment reliability, aviation safety, construction safety, nuclear safety, human factors, process safety, lean/six sigma, and patient safety to give your program a head start. Don’t try to reinvent the wheel. Let us help you get ahead of the game. Call us at 865-539-2139 to discuss your program and find out how we can help.

- – -

That’s just a few ideas. We have many more. But you will never know how we could have helped you unless you give as a call (865-539-2139) or drop us a note. Our initial advice is FREE and we’ll be happy to provide a quote for any services, training, or software needed to help your program become world-class. 

Don’t procrastinate – call today.

Top 10 OSHA Citations in 2013

Posted: September 30th, 2014 in Current Events

OSHA published the top 10 OSHA citation from October 1, 2012 to September 20, 2013 (the federal government’s fiscal year 2013). here’s the list:

NewImage

What do you think?

Are these the top safety problems in the US? The biggest hazards your employees face?

Or is this just a list of what OSHA looks for when they do an inspection?

Let me know your thoughts by leaving a comment.

Root Cause Analysis Tips: 2014 Global TapRooT® Summit Attendees Share Favorite Aspects of The Summit

Posted: September 29th, 2014 in Courses, Testimonials, Uncategorized

A group from Strad Energy share their favorite aspects of the 2014 Global TapRooT® Summit. Watch their video below to learn how they are planning to implement best practices they learned at the Summit into their workplaces and how they plan to share corrective actions among each other as they move back to their respective branches of Strad Energy all across northern United States and Canada:

If you’re having trouble hearing the video, here is some dialogue:

How did you all like the Summit?

“The summit was a great opportunity for the team to build on their skills, remind us of some of the skills we forgot, provide an opportunity for all of us to get on the same page and move the TapRooT® program events forward.”

What were some of your favorite sessions?

“One of the sessions that I attended was with a really good speaker. He brought a lot of information, not just about how we do our job, but how we do our jobs more effectively and how we take that home to our families and how to better each one of us as a whole. It was very good.”

What was one of your favorite best practices that youre going to bring back to work with you?

“We, as a team, are going to share all of our TapRooT® Investigations with each other. We’re all from different regions all over Canada, Pennyslvania and North Dakota. By getting incidents, sharing it across the board, we’re going to be able to bounce ideas off of each other and find out, well “I’ve had this happen before and this is what we did” and our corrective actions are going to get a lot better because of it.”

Tell me a little bit about the reception.

“The reception was great. It was a great opportunity to get out, network, meet other companies, hang out with each other, watch some good music and really just relax at the end of the day. It was nice.”

Tell me a little bit more about this week’s team building exercise.

“This was a great opportunity since our team is spread across many different regions. It’s the first opportunity we’ve had to get the full team together. We had some exercises with some questionairres assigned and some fun assignments were assigned to group members throughout the week. It really brought us closer as a team. We had the opportunity to share some laughs and attend a lot of good sessions.”

 

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

Monday Accident & Lessons Learned: Hot Work on Tanks Containing Biological or Organic Material

Posted: September 29th, 2014 in Accidents, Current Events, Investigations, Pictures

This week accident information is from the US Chemical Safety Board …

NewImage

CSB Chairperson Moure-Eraso Warns About Danger of Hot Work
on Tanks Containing Biological or Organic Material

 Begin Statement

Earlier this month a team of CSB investigators deployed to the Omega Protein facility in Moss Point, Mississippi, where a tank explosion on July 28, 2014, killed a contract worker and severely injured another. Our team, working alongside federal OSHA inspectors, found that the incident occurred during hot work on or near a tank containing eight inches of a slurry of water and fish matter known as “stickwater.”

NewImage

 The explosion blew the lid off the 30-foot-high tank, fatally injuring a contract worker who was on top of the tank. A second contract worker on the tank was severely injured. CSB investigators commissioned laboratory testing of the stickwater and found telltale signs of microbial activity in the samples, such as the presence of volatile fatty acids in the liquid samples and offgassing of flammable methane and hydrogen sulfide.

The stickwater inside of the storage tank had been thought to be nonhazardous. No combustible gas testing was done on the contents of the tank before the hot work commenced.

This tragedy underscores the extreme importance of careful hot work planning, hazard evaluation, and procedures for all storage tanks, whether or not flammable material is expected to be present. Hot work dangers are not limited to the oil, gas, and chemical sectors where flammability hazards are commonplace.

The CSB has now examined three serious hot work incidents—all with fatalities—involving hot work on tanks of biological or organic matter. At the Packaging Corporation of America (PCA), three workers were killed on July 29, 2008, as they were performing hot work on a catwalk above an 80-foot-tall tank of “white water,” a slurry of pulp fiber waste and water.  CSB laboratory testing identified anaerobic, hydrogen-producing bacteria in the tank.  The hydrogen gas ignited, ripping open the tank lid and sending workers tumbling to their deaths.

On February 16, 2009, a welding contractor was killed while repairing a water clarifier tank at the ConAgra Foods facility in Boardman, Oregon. The tank held water and waste from potato washing; the CSB investigation found that water and organic material had built up beneath the base of the tank and decayed through microbial action, producing flammable gas that exploded.

Mixtures of water with fish, potatoes, or cardboard waste could understandably be assumed to be benign and pose little safety risk to workers. It is vital that companies, contract firms, and maintenance personnel recognize that in the confines of a storage tank, seemingly non-hazardous organic substances can release flammable gases at levels that cause the vapor space to exceed the lower flammability limit. Under those conditions, a simple spark or even conducted heat from hot work can prove disastrous.

I urge all companies to follow the positive example set by the DuPont Corporation, after a fatal hot work tragedy occurred at a DuPont chemical site near Buffalo, New York. Following CSB recommendations from 2012, DuPont instituted a series of reforms to hot work safety practices on a global basis, including requirements for combustible gas monitoring when planning for welding or other hot work on or near storage tanks or adjacent spaces.

Combustible gas testing is simple, safe, and affordable. It is a recommended practice of the National Fire Protection Association, The American Petroleum Institute, FM Global, and other safety organizations that produce hot work guidance. Combustible gas testing is important on tanks that hold or have held flammables, but it is equally important—if not more so—for tanks where flammables are not understood to be present. It will save lives.

END STATEMENT

More resources:

http://www.csb.gov/e-i-dupont-de-nemours-co-fatal-hotwork-explosion/

http://www.csb.gov/packaging-corporation-storage-tank-explosion/

http://www.csb.gov/seven-key-lessons-to-prevent-worker-deaths-during-hot-work-in-and-around-tanks/

http://www.csb.gov/motiva-enterprises-sulfuric-acid-tank-explosion/

http://www.csb.gov/partridge-raleigh-oilfield-explosion-and-fire/&?nbsp;

 

Weekly Wisdom for Root Cause Analysis

Posted: September 29th, 2014 in Wisdom Quote

Impossible

“Impossible only means you haven’t found the solution yet.” – Anonymous

What does a bad day look like?

Posted: September 25th, 2014 in Pictures

If you are having a bad day, have a look at these pictures and it might not seem so bad by comparison…

NewImage

NewImage

 

 

 

Root Cause Analysis Training in Tulsa: Local Attractions

Posted: September 25th, 2014 in Courses, Local Attractions, Pictures

 

tulsa

 

Enjoy the artistic and historic culture of Tulsa with TapRooT® at our upcoming 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course on October 20th. Tulsa is filled with American Indian and Western heritage that will take you back in time. All the cultural attractions and food that you can venture out into are sure to be educational and fun. Come join us and explore deeper into root cause analysis training and Tulsa’s rich heritage.

Food:

Burn Co. Barbecue: When’s the last time you had perfectly smoked, delicious BBQ? Burn Co. Barbecue is one of the most popular restaurants in town with the best BBQ!

Savastanos Pizzeria: Authentic Chicago style pizza is the only way to go in Tulsa! Treat yourself to a thick, original Chicago style pizza and a beer!

Kilkenny’s Irish Pub and Eatery: Irish pubs always have a fun atmosphere, great beer and delicious food! Bring your friends to Kilkenny’s and enjoy a night out!

Attractions:

Native American Art Museum: A specialized, intriguing art museum containing only artifacts and archives from Native American history.

Tulsa Air and Space Museum and Planetarium: This museum is fun for all ages! Enjoy learning about the vintage airplanes used in the 1930’s and experience the interactive exhibits.

Marshall Brewing Co.: Come tour this unique, local brewery and taste their authentic ales and lager!

Have you registered for the course yet? Click here for more info or to register for our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training Course in Tulsa, Oklahoma held October 20-24, 2014.

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

Posted: September 24th, 2014 in Root Cause Analysis Tips, Summit, Video

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

TapRooT® Around the World: Athens, Greece Onsite Course

Posted: September 23rd, 2014 in Courses

Thanks to Harry Thorburn for the photos from our Athens, Greece onsite course.

DSC04049

DSC04042

DSC04039

DSC04047

Click here for more information regarding our onsite courses.

TapRooT® Around the World: Santa Cruz, Bolivia PRETEX Course Photos

Posted: September 23rd, 2014 in Courses

Thanks to Piedad Colmenares for the photos from our PRETEX Course in Santa Cruz, Bolivia on September 1-2 and 4-5.

Curso 4-5 Sep , 2014 Petrex - Bolivia -2

Curso 4-5 Sep , 2014 Petrex - Bolivia -3

Curso 1-2 Sep , 2014 Petrex - Bolivia -3

Click here for more information or registration for our South America courses.

 

TapRooT® Around the World: Monterrey Course Photos

Posted: September 23rd, 2014 in Courses

Thanks to José GrisiFrisbie for theses great photos from our September 8-12 course in Monterrey, Mexico.

2014-09-12 09.26.34

2014-09-12 09.27.21

2014-09-12 09.27.30

2014-09-12 09.41.00

2014-09-12 09.44.39

2014-09-12 10.17.54

Click here to to learn more or register for one of our North America Courses

Weekly Wisdom for Problem Solving and Root Cause Analysis

Posted: September 22nd, 2014 in Wisdom Quote

Einstein4

“We cannot solve our problems with the same thinking that created them.” – Albert Einstein

Connect with Us

Filter News

Search News

Authors

Barb PhillipsBarb Phillips
Editorial Director
Chris ValleeChris Vallee
Human Factors & Six Sigma
Dan VerlindeDan Verlinde
Information Technology
Dave JanneyDave Janney
Safety & Quality
Ed SkompskiEd Skompski
Medical Issues
Ken ReedKen Reed
Equifactor®
Linda UngerLinda Unger
Vice President
Mark ParadiesMark Paradies
Creator of TapRooT®
Megan CraigMegan Craig
Media Specialist
Steve RaycraftSteve Raycraft
Technical Support

Success Stories

In 2002, we decided that to reduce accidents, prevent…

Greater Cleveland Regional Transit Authority

Reporting of ergonomic illnesses increased by up to 40% in…

Ciba Vision, a Novartis Company
Contact Us