Pre-Summit Courses


2-Day Pre-Summit Courses, August 1 – 2, 2016

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

In just two days you will learn the basics of the TapRooT® System for finding the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and other types of problems. Once you find the real root causes using this systematic process, learn to develop effective fixes that will keep problems from happening again. Check your corrective action effectiveness using the SMARTER technique. Learn to find and fix problems proactively BEFORE an accident or incident occurs and to analyze the Safeguards that keep problems from happening or from getting worse once a single Safeguard fails. Also, learn what to include in effective presentations to management when presenting the results of a root cause analysis.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

Course Outline

Day 1 (8:00am to 5:00pm) Day 2 (8:00am to 5:00pm)
  • Class Introductions and Background of TapRooT®
  • SnapCharT® Basics
  • SnapCharT® Exercise
  • Define Causal Factors
  • Intro to Root Cause Tree® & Software
  • Find Root Cause Example – Instructor Uses TapRooT® Software
  • Root Cause Tree® Exercise – Participants Use TapRooT® Software or Paper System
  • Generic Causes
  • Corrective Actions
  • Corrective Actions Exercise
  • Proactive TapRooT®
  • Proactive TapRooT® Exercise
  • Presenting to Management
  • Frequently Asked Questions
  • Website and Blog
  • TapRooT® and Software Overview
  • Final Team Exercise: Draw a SnapCharT®
  • Find Causal Factors, Root Causes, Generic Causes & Develop Corrective Actions
  • Participants Present Analyses to Instructors and Class – Exercise Critique and Wrap Up

REGISTER for the 2-Day TapRooT® Incident Investigation & Root Cause Analysis Course *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis

Why should you attend a 2-Day Equifactor® Course? To learn to fix the real root causes of equipment failures! This is the shortened version of the Equifactor® Course made to fit in the two days before the TapRooT® Summit.

Learn the basics of the TapRooT® System for finding the root causes PLUS the Equifactor® Equipment Troubleshooting Technique for Root Cause Failure Analysis of Equipment Problems. Once you find the real root causes using this systematic process, learn to develop effective fixes that will keep problems from happening again. Check your corrective action effectiveness using the SMARTER technique. Also, learn to find and fix equipment problems proactively BEFORE an accident or incident occurs and to analyze the Safeguards that keep problems from happening or from getting worse once a single Safeguard fails. Learn what to include in effective presentations to management when presenting the results of a root cause analysis. Course participants receive the book, Machinery Failure Analysis and Troubleshooting, the TapRooT® Book, the pocket sized Root Cause Tree® Dictionary, and a laminated Root Cause Tree®.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for the Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Advanced Causal Factor Development Course

After reviewing many reports from students that have attended training, we see problems defining causal factors. This course will provide alternate definitions of causal factors, relate risk to causal factors, cover common problems with defining causal factors, use the “should have, would have or could have” test and relate causal factors to the hierarchy of the TapRooT® process. Many case studies will be used including some recent major events. Students will be asked to bring a case study of their own defining the incident, a brief discussion of what happened and the causal factors they picked. Individuals that have attended Advanced TapRooT® Techniques Courses at past Summits will find a lot of repeat (about 50%) information. Participants are required to have received previous TapRooT® training to attend this course.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for the Advanced Causal Factor Development Course *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Advanced Trending Techniques

Do you really understand trending? Learn why most people misuse trends and special techniques to trend infrequently occurring accidents, incidents, and human errors. Mark Paradies, (President of SI and co-designer of the TapRooT® System) developed this course after seeing so many inappropriate examples of trending used to make major corporate and regulatory decisions. You’ll learn the simple yet powerful techniques to spot real trends and recognize everyday variation. You will also get a complimentary fully working edition of an advanced trending template to use with Microsoft Excel to produce the specialized trending graphs taught in the course.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for Advanced Trending Techniques *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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TapRooT® Analyzing and Fixing Safety Culture Issues

This course includes:

  • A clear definition of safety culture.
  • An overview of various safety culture models.
  • An organizational culture survey from Human Synergistics International designed to identify your current culture.
  • Why it is good business to improve safety culture.
  • The relationship between incidents and safety culture.
  • The importance of strong safety leadership. What some organizations are doing to strengthen their safety culture.
  • What “puzzle pieces” you need to put in place to improve your safety culture.

REGISTER for TapRooT® Analyzing and Fixing Safety Culture Issues *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Risk Assessment and Management Best Practices


Are you frustrated that the outcomes of current risk assessments being performed in your organization lack consistency, confidence, reliability and accuracy?Do facilitators and participants of the risk assessments know the most effective methods and tools? Risk Assessments are recognized as definitely needed every time any safety-related decision needs to be made without being confused and undermined by subjective beliefs, biases and risk perceptions.

Learn Best Practices in this course being offered before the Summit (or, if you can’t attend a Pre-Summit course this year, this course is also being offered in Houston, Texas and Calgary, Canada in May, 2015).

The course has been continually improved and still covers the core Best Practices to make facilitation and participation in risk assessments as accurate and reliable as possible.

As well, a number of recent improvements include:

  • an interactive WORD template that takes the user through the risk assessment process and when completed serves as a diligent entry to your Risk Register;
  • new neuroscience-based explanations of variability of individual’s risk perceptions and risk-taking; and
  • participants receive a USB stick of approx. 2 Gb of course handouts, copies of slides, useful reference materials and sample PPT files accumulated and developed by the Presenter over the last 30+ years of RM consultancy & training.

The presenter is Jim Whiting, international risk management expert and long-time TapRooT® Instructor. Jim was a member of the committee that wrote the international risk management standard ISO 31000, and now the USA Standard ANSI Z690.2 and CAN/CSA/ISO 31000 has enhanced the course for 2015. Jim brings his risk management and root cause analysis experience and best practices from around the world (Australia/New Zealand, North America, Asia, Africa, and Europe) to this course. If you are interested in advancing the quality of your risk assessments, then attend this course.

Course Outline

Day 1 (8:00am to 5:00pm) Day 2 (8:00am to 5:00pm)
  • Introductions
  • Overview of Risk Management RM
  • RM – Purposes, Approaches and Methods Strengths and Limitations – the basis for a new safety culture to move beyond traditional BBS principles and practices
  • How to establish/compare your RM System to conform/comply with Standards ANSI Z690.2 and CAN/CSA/ISO 31000
  • Risk Communication & Consultation
  • Neuroscience-based explanations of variability of risk perceptions & risk-taking
  • Risk Identification incl. construction and use of Risk Maps (compare SnapCharts®)
  • Exercise in Risk Mapping
  • LUNCH BREAK
  • Risk Analysis – 3 levels of Risk Analysis -Qualitative / Semi-Quantitative / Full QRA
  • How to make sure that the Matrix Method really works for you
  • Full Quantitative Risk Analysis (QRA)
  • Quantitative Logic Trees and Bow-Ties
  • Discuss methods of ANSI 690.3 and IEC 31010 – which are identical
  • Exercises in Risk Analysis
  • Summary of Day 1 Topics
  • Revision of Previous Day 1 Topics
  • Matching the RM methods and tools to specific risk questions and situations
  • Risk Evaluation & Risk Owners
  • Risk tolerability criteria and frameworks at all levels personal / social / corporate / industry /national / international
  • How to demonstrate ALARP – As Low As Reasonably Practicable & SOFAIRP
  • Risk Treatment Plans- contrast to Corrective Actions and Risk Controls
  • Hierarchy of Risk Controls – principles and applications – Optioneering –
  • Risk Tolerability Treatment Options RTTO – principles and methods of choice
  • Exercises in Risk Evaluation and Risk Treatment / Control / Mitigation
  • Record / Monitor / Review
  • Risk Registers
  • LUNCH BREAK
  • Exercises with Attendees’ own examples
  • Tips for Facilitating a Risk Assessment
  • Successes and Traps in Setting up RM systems and processes to conform / comply with Z690 & CAN/CSA/ISO 31000
  • Summary of the Whole Course

REGISTER for Risk Assessment Management and Best Practices *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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TapRooT® Quality Process Improvement Facilitator Course

Our process and operations excellence driven course was created to advance the skills of trained TapRooT® RooT Cause Investigation Facilitators who engage in Continuous Improvement, Service Excellence, Process Gap Analysis and other Business Operation Excellence functions.

Attendees will receive: The current TapRooT® book, Corrective Action Helper®, Root Cause Dictionary & Laminated Root Cause Tree, Course Workbook.

Why take this course? Simple!

Expensive training is NOT required for you to learn about or to apply core quality problem solving tools to the robust TapRooT® Cause Analysis System that you use effectively now.

You currently have a strong partnership with System Improvements, Inc. which includes access to your TapRooT® Instructors to answer questions from the field. This type of mentorship is a key element missing from many quality-training programs.

What makes this course different? Application and effectiveness! We are teaching you a systematic process to learn and optimize the quality tools that work effectively to generate better business operation outputs. Lean perspectives are applied from the very beginning of this course development and implementation.

This course teaches the quality facilitator to avoid the known problem solving weakness in process improvement such as…

  • Not identifying the actual burning platform and business need to solve a problem. Or worse, identifying the wrong problem to solve and then investing excessive time and money to it.
  • Not setting up correct ownership and team membership for the problem being addressed in the very beginning. The less you know about the problem’s value stream and who touches the problem in the value stream in the beginning, the higher the probability of your team’s failure.
  • Assuming, brainstorming and biased evidence collection during the problem solving process, Junk In – Junk Out. 5 Whys depend on who is present and what is asked and not asked. Ishikawa Diagrams often encourages brainstorming of possible root causes before a problem is even understood. These tools can be great resource drainers at the end of the day.
  • Making changes to a process without truly knowing if you did or if you could impact key process variables. This problem encourages premature and inaccurate problem solving project closure. Some variables called noise cannot be changed without a complete redesign of a process. Not very cost effective in some cases if not identified in a timely manner.
  • Making weak preventative or corrective action items that are not based on the actual root causes found. Not optimizing and understanding mistake-proofing will impact your success in continuous process improvements.

In this course using the TapRooT® Quality Problem Solving Road your will learn in hands-on training and exercises how to ….

1. Create a Problem Solver Charter using a Burning Platform and High-Level Value Stream
2. Create Advanced SnapCharT®’s using Value Streams, Swim Lanes, Input-Process Output Queues and the 7 Basic quality Tools minus 1.
3. Define Causal Factors in terms of defect control loss and mistake-proofing hierarchy of control.
4. Use Design of Experiment Methods to test what causal factors you can control and cannot control with the existing processes.
5. Review the Root Cause Tree with a quality perspective of System Failures and front-line defect observations.
6. Improve your ability as a facilitator to identify systemic operations and quality process gaps.
7. Improve your strength and assessment of corrective actions using the Pugh Matrix and mistake-proofing hierarchy of control.
8. Utilize quality and risk improvement tools to proactively target high potential for defect operations.
9. Quality facilitators will also get to apply their newly learned skills in the course in small quality improvement groups on a defect or operation gap that the attendees bring to the course.

This 2-Day TapRooT® Quality Process Improvement Facilitator Course utilizes Lean and Core Quality perspectives in teaching and application based on customer feedback, focus and real time experiences in the field. We look forward to seeing you in our public and onsite training.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for TapRooT® Quality Process Improvement Facilitator Course *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Getting the Most from Your TapRooT® VI Software

To get the most from your TapRooT® VI Software you need to learn how to:

  • Create your own Custom Tabs, fields and pick lists.
  • Design and build your own reports.
  • Select Global preferences for your company, including Language options.
  • Select SnapCharT® preferences for yourself.
  • Use Optional investigation techniques.

Dan Verlinde, Director of Information Technology and Software Development and Angie Comer, Software Project Manager, will teach an intensive review of the TapRooT® VI Software. Whether you are a System Administrators or a TapRooT® user, you will learn all the capabilities built into this amazing software. Don’t get just 10-20% from your software investment. Learn the full power of your TapRooT® Software!

Course Guarantee: Attend this course then use the knowledge that you’ve gained when you return to your facility. If you aren’t satisfied that the course helps you perform your job better and that the course will save you much more than the cost of the course fee, just return the books, course materials, and/or software and we will refund your entire course fee. It’s that simple. How can we offer such an iron clad, risk free guarantee? We know this course is so good that you won’t want to send your materials back! Please bring your laptop to this course (with wireless capabilities, if possible).

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for Getting the Most from Your TapRooT® Software *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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TapRooT® for Audits

TapRooT® is the best method for performing investigations and doing root cause analysis. But wouldn’t it be better if you never had to do the investigations in the first place? Of course, and that is why auditing is so important.

Sadly, most companies take the time and resources to do audits but do not get the desired results. Why? Because corrective actions are developed without proper root cause analysis. That is where TapRooT® comes in.

TapRooT® can be used to perform root cause analysis on any problem, so why not find the problem and do root cause analysis before these problems manifest themselves into incidents? We decided to develop a course for auditors and audit participants to see how TapRooT® works, both reactively, and with audits. Regardless of your role in the audit process, you must understand the entire TapRooT® process to be effective, so this course is for anyone involved in auditing, from auditors themselves, to auditees, to management who is responsible for improvements.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

DAY ONE

  • TapRooT® Process Introduction and Initial Audit
  • SnapCharT® and Exercise
  • Causal Factors, Significant Issues and Exercise
  • Root Cause Tree® and Exercise
  • Generic Causes
  • Corrective Actions and Exercise

DAY TWO

  • The Root Cause Tree® and Preparing for Audits with Root Cause Exercise
  • Audit Programs, Trend and Process Root Cause Analysis
  • TapRooT® Software Introduction
  • Frequently Asked Questions about TapRooT®
  • Final Audit Observation Exercise

REGISTER for TapRooT® for Audits *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Effective Interviewing & Evidence Collection Techniques

There’s so much to remember when conducting an investigation … and so much to lose if you don’t remember or just don’t know where to begin.

  • Ever have trouble completing a SnapCharT® because you lacked pieces of information?
  • How can you be certain what to collect?
  • How can you help witnesses to an incident remember important facts with better accuracy?
  • What is an effective sequential structure for conducting an interview?

Knowing how to gather information is critical to an investigation. That’s why we’ve developed a valuable 2-day course to help you navigate evidence collection with ease.

We’ll also focus on developing solid interviewing techniques. In this course, you will learn the basic skills of cognitive interviewing, and specific techniques to use.

We designed TapRooT® to help investigators find unbiased, evidence-based root causes but investigators must be prepared to collect all the evidence available as fast as possible, and to preserve all the evidence that collected. Anything less will make it difficult, if not impossible, to complete the essential SnapCharT®.

  • Learn the TapRooT® 12-Step Interviewing Process.
  • Learn to analyze body language and “hear” more than just what is said by the interviewee.
  • Learn effective techniques to collect, organize, and record evidence for a completely documented investigation.

Join us to learn critical skills to perform solid investigations. Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for Effective Interviewing and Evidence Collection Techniques *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Understanding and Stopping Human Error

Humans are often considered the weakest link in the industrial or occupational system.  We are often blamed when something goes wrong in the system.  However, we are also one of the most valuable links in the system if one considers our adaptability, flexibility, tolerance for inadequate feedback, and less than optimum working conditions, and our ability to compensate for wrong or inadequate instructions and expectations.   Because we are so flexible, adaptable, tolerant and capable of the use of judgment and experience, we are in fact, a blessing and a curse.  The curse means we can make decisions and take actions that the system cannot tolerate.   While we may claim to have a goal of zero injuries or incidents, we will never have zero errors.  Human error is inevitable unless we want to somehow constrain that judgment, flexibility, adaptability and tolerance.   So, our goal is to understand human error, how humans operate….what our capacities, constraints and needs are so that we can maximize performance and minimize errors.

This course is built around the goal of helping us better understand human errors (analysis, prediction and categorization) and why we make them.   More importantly, the course will cover solutions to assist attendees in their quest to minimize errors and resulting impact in their own facilities.  The tools that will be discussed can be used in conjunction with your TapRooT® findings and can be incorporated as corrective actions as determined by your root cause analysis findings.

There will be plenty of hands-on exercises included in the two-day course.   To make the course more interesting, please bring an unsolved application (error case) from your operations and we’ll try to dissect and solve it during the course.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for Understanding & Stopping Human Error *and* the 2016 Global TapRooT® Summit (August 1 – 5, 2016).

REGISTER for this 2-day course only (August 1 – 2, 2016).

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Summit Links

Our Guarantee

We know you have only so much time and resources to give to training and conferences in any given year. We are confident that the TapRooT® Summit will be the best conference you attend this year and worth every effort you make to get there.

One way you can judge our commitment to you is our SUMMIT GUARANTEE.

Attend the Summit and go back to work and use 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.

With a guarantee like this one, you have nothing to lose and everything to gain!

Recent Summit News

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