Archive for May 12th, 2008
Barge Investigation Still in Progress
Monday, May 12th, 2008How long does an investigation take? Depends on how many approvals are needed and how long the backlog is. See this note about a Coast Guard investigation of a barge incident:
http://www.natchezdemocrat.com/news/2008/may/10/report-barge-crash-not-done/
Job Opening: Bothell, Washington - Senior Quality Engineer with Root Cause Analysis Experience
Monday, May 12th, 2008Indianapolis Pit Accident Video
Monday, May 12th, 2008Ready to do a root cause analysis of this accident…
Accident Score - Swimmer Injured - Pelican Dead
Monday, May 12th, 2008See this article:
http://www.thatsfit.com/2008/05/10/strange-but-true-accident-by-pelican/
Time for pelican root cause analysis?
What’s in the New TapRooT® Book?
Monday, May 12th, 2008The new TapRooT® Book is titled: TapRooT® - Changing the Way the World Solves Problems.
I’ve had several people ask me what’s new in the book and how can they find out more about the contents. Therefore, I’ve decided to post the Table of Contents as a pdf here so that readers can view it…
Just click on it to download the pdf.
By the way, the authors (Mark Paradies & Linda Unger) will be doing a book signing at the TapRooT® Summit Reception in Las Vegas on June 25.
Monday Accident & Lessons Learned: Blast at Louisiana-Pacific Strand Board Mill in Thomasville, GA, Injures Six, Causes Plant Outage, Could Have Been Prevented
Monday, May 12th, 2008Accident
The Press-Register reported that teams of investigators from OSHA, the state fire marshall, and Louisiana-Pacific were investigating an explosion that injured six workers. Louisiana-Pacific spokeswoman Mary Cohn said:
“They have begun the process of conducting the root cause analysis, but it’s too early to say.”
Cohn said it wasn’t the first such accident at one of the company’s oriented strand board plants.
“We have had some smaller fires in the thermal oil areas, but none of this magnitude,” she said.
My Comment…
Sounds like its time to be more proactive and use advanced root cause analysis to investigate smaller fires and perhaps do proactive audits before there are ANY more fires.
Whenever you have had previous smaller incidents and you then have a major accident, there is something wrong with the response to your previous incidents. The 15 Questions on the front side of the Root Cause Tree® point the investigator toward the MANAGEMENT SYSTEM - Corrective Action Near-Root-Cause Category.
Lesson That You Can Learn
This accident should make you think …
Am I doing all that I can to learn from smaller problems?
Will my responses effectively solve the root causes of problems so that big problems will be prevented?
Are my corrective actions fixing symptoms or the real root causes of the problems?
If you don’t have good answers to the questions above, perhaps now is the time to attend a TapRooT® Root Cause Analysis Course BEFORE you have a major accident at your facility.
