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Archive for the ‘Video’ Category

Friday Joke: What does “tie off” mean?

Friday, May 9th, 2008

I’ve heard of cutting off the branch you are sitting on, but this is a little bit different.

Lumberjack
(.wmv format)

Actual Footage of Aviation Accident

Wednesday, May 7th, 2008

Here’s a video of the crash that caused the investigation we previously reported on.

Video of Landing Over Beach

Tuesday, May 6th, 2008

I’ve seen the pictures of landings over this beach, but this is the first video…

What were the Hazards, Safeguards, and Targets of this “hill climb”?

Thursday, May 1st, 2008

Use Safeguards Analysis to analyze this “event.”

Hillclimb
(Click on the picture above to ply the .wmv format video)

If the truck tumbled down the hill, killing the driver and perhaps spectators, what would the Causal Factors and Root Causes be?

Accident in Mall: Woman Hits Glass Door

Tuesday, April 29th, 2008

Be careful! If your class doors are too clear, bad things can happen…

Monday Accident & Lessons Learned: Simple Construction Fatality Investigation - Were the Root Causes Identified?

Monday, April 28th, 2008

Picture 1-1

WorkSafeBC has published an audio slideshow and an investigation report of a fatality in BC.

Here is a link to the report:

http://www2.worksafebc.com/Topics/AccidentInvestigations/IR-Construction.asp?ReportID=34679

Here is a link to the audio slide show:

http://www2.worksafebc.com/media/fss/gutterFall/slideshow.htm

Here is the question for readers…

Does this report and slide show find all the root causes?

There seems to be two root causes from the WorkSafeBC report:

1. Pre-job hazard assessment / pre-job briefing needs improvement.

2. Excessively long gutter.

If you think that some root causes were missed, what is your evidence?

Here’s a tip.

Try to draw a SnapCharT® with the evidence you are provided and then identify the Causal Factors.

What Causal Factors led to this fatality?

Next, take each of the Causal Factors through the Root Cause Tree® using the evidence provided. This is where you will find information that isn’t included in the WorkSafeBC report that you need to assess the thoroughness of the investigation.

One final question…

How do you assess the thoroughness of investigations at your facility?

For ideas about assessing investigations and your root cause analysis and incident investigation program, attend “The Good, The Bad, and The Ugly” Best Practice session at the TapRooT® Summit (June 25-27, Las Vegas).

Friday Joke: What Are You Thinking About?

Friday, April 25th, 2008

Just a slight miscommunication …

Monday Accident & Lessons Learned: Canadian Commercials

Monday, April 21st, 2008

The Ontario Workplace Safety and Insurance Board created a set of fairly gruesome commercials that dramatically show the results of “accidents.” The message is that there are no accidents. Accidents are caused.

Here’s the video:

These are also available at the WSIB web site for download:

http://www.prevent-it.ca/index.php?q=see-it-tv-spots

The real question I have about these videos is the focus on blaming the worker, the supervisor, and management. We see the accident happen, but do we know what set the accident up?

To me, the video also shows the difficulties of finding and fixing the real root causes of an accident when our culture first looks to blame.

What do you think?

Bird Strike Video

Tuesday, April 15th, 2008

I know shooting birds at jets is a topic of Jeff Foxworthy’s jokes, but somethime performance improvement includes engineering for expected hazards.

This video shows the testing of bird impacts on jet engines. Dead birds were used, but some of the slow motion videos are still pretty gruesome.

Monday Accident & Lessons Learned: What Can a Jet Engine Blast Do?

Monday, April 14th, 2008

The video isn’t an accident. It is a 1993 United Airlines safety video for the ground operations personnel. But accidents of this type have happened.

What lesson can you learn from this video? Think about how are you training your employees to recognize hazards in the workplace. Before they can report and avoid hazards, they need to be able to recognize them.

One of the pre-Summit courses (June 23-24 in Las Vegas) is the:

HAZARD RECOGNITION BEST PRACTICES TRAINING

Peter Burkholz, one or our TapRooT® Instructors from Australia with 25 years of industrial and mining experience, will teach tried and true methods of hazard recognition including at risk or safe behavior, legislation implications, and hazard identification and rectification. The course includes a site visit to a Caterpillar site for practical application of the theories learned.

To register, see:

http://taproot.com/courses.php?d=19

Bad Day for Coast Guard Chopper Pilot

Wednesday, April 9th, 2008

Friday Joke: This is NOT how it is at System Improvements

Friday, April 4th, 2008

At least I don’t think so…

Click on the video below (wmv format) for the joke:

Sickmanager

Arcin’ and Sparkin’

Wednesday, April 2nd, 2008

Power lines sometimes provide their own fireworks show.

Trench Collapse Video: Oregon OSHA Arrives in the Nick-of-Time

Tuesday, April 1st, 2008

Do you perform trenching operations? Then you should watch this video.

Oregon Osha
(click to play video .wmv format)

For everyone who has seen a trenching fatality, you know this was a near miss.

Bad Day for Pilot and Crew

Sunday, March 30th, 2008

Norwegian Ministry of Justice Releases Report on the Sinking of the Bourbon Dolphin

Saturday, March 29th, 2008

 Forum Staff Hellmutt  Bourbon Dolphin Jp 538022S
Before

 Contentfile File 1.2309597!Img2309579
After

The 7 of the crew of 15, including the Captain and his 14-year-old son, perished.

 Archive Images Bourbon-Dolphin-Crew

The Norwegian Ministry of Justice has released a report on the sinking of the Bourbon Dolphin. See:

http://www.regjeringen.no/en/dep/jd/Press-Center/pressemeldinger/2008/report-on-the-loss-of-the-bourbon-dolphi.html?id=505100

Here is a new report from STV news:


3Bourbondolphin
(QuickTime .mov format)

Here are the links to the video sequence simulations in the report:

http://qstream-down.qbrick.com/05688/podcast/JD/seq1.mpg

http://qstream-down.qbrick.com/05688/podcast/JD/seq2.mpg

Lucky to Be Alive After Accident (Struck by Plane)

Saturday, March 29th, 2008

After some accidents you wonder, “What were they thinking?”

Watch this and see what I mean…

Friday Joke: Communication - Standard Terminology Needs Improvement

Friday, March 28th, 2008

Every company should have a Retro-Encabulator (and perhaps an installed spare for plant reliability). Watch this video and see why!

Bad day to be the pilot…

Friday, March 28th, 2008

Oops…

Do We Need Window Washer Root Cause Analysis?

Thursday, March 27th, 2008

Bad Day For Refueling Your Navy Squadron

Wednesday, March 26th, 2008

Oh No!

And the root cause is…

Sleep, Fatigue, and Human Performance

Tuesday, March 25th, 2008

Here’s an interesting CBS News video on sleep, fatigue, and human performance:

One of our speakers at the TapRooT® Summit is Bill Sirois of Circadian Technologies. Bill will be speaking about fatigue and human performance. He will also share a scientific way to evaluate fatigue in an accident investigation (called FACT). For more Summit info, see:

http://www.taproot.com/summit

Here’s part II:

Here’s the Reporter’s Notebook:

60 Minutes Reports on Dennis Quaid’s Twins Overdose of Heprin

Monday, March 24th, 2008

See:

http://www.cbsnews.com/stories/2008/03/13/60minutes/main3936412.shtml

Sucked Through a Jet Engine - Yes He Lived!

Monday, March 24th, 2008

A famous video of an accident aboard a carrier…

Maybe it’s Time for Farm & Construction Root Cause Analysis?

Saturday, March 22nd, 2008

Farm, Construction, Truck, Train Accident Music Video

Friday, March 21st, 2008

A bad day was had by all these workers…

This Was a Near-Disaster

Thursday, March 20th, 2008

I don’t think I would be ready for a second try if I was the deck hand back by the tail or the pilot.

Maintenance Accident While Venting an MRI When Getting Ready to Transport It

Thursday, March 20th, 2008

Dramatic footage of a maintenance error…

Ice Storm Causes Electrical Arc - Accident Caught on Tape

Wednesday, March 19th, 2008

The news crew was almost too close when they caught this footage…

Firefighter Training Goes Bad

Tuesday, March 18th, 2008

What happens when the natural gas line leaks into a house being used to train firefighters?

Watch and see:

Monday Accident and Lessons Learned: Up Close Video of Enshede, Netherlands Fireworks Factory Explosion

Monday, March 17th, 2008

This is footage that I had never seen before of the Enshede, Netherlands fireworks factory explosion.

The lesson to consider is…

How far away do you need to evacuate when a fire starts?

Friday Joke: Time for Chariot Root Cause Analysis

Friday, March 14th, 2008
They are a modern day Ben Hur. Then the upset occurs. Time for chariot root cause analysis?

Dramatic Footage of a Bleve and other Explosions

Thursday, March 13th, 2008

Dramatic explosions …

Another View of Accident - NASA Style Fireworks

Wednesday, March 12th, 2008

Bad Day on the Flight Deck

Tuesday, March 11th, 2008

He was just standing around, minding his own business when…

Time for some simple root cause analysis?

Accident Caught on Security Video

Saturday, March 8th, 2008

Handpicked Courses for Performance Improvement

Friday, March 7th, 2008

Markparadiesteaching-3

For those that aren’t aware, I am the Summit Chair and with the help of the TapRooT® Advisory Board, the Track Chairs, the staff at System Improvement, and previous year Summit participants (that a lot of help!), I plan the TapRooT® Summit.

I also hand pick the courses that are offered prior to the Summit - this year on June 23-24. I pick these courses based on the experience I have with performance improvement programs around the world. My goal is to put together a world-class selection of courses that will help people solve their toughest problems.

Each year I bring back some old favorites and some brand new courses.

The old favorites are based on previous attendance and feedback.

The new courses are based on requests from participants and problems that I observe in my extensive travels.

Dscn1567-2

This year there are three new courses:

1. Hazard Recognition Best Practices

2. Engineering Equipment Reliability Techniques

3. TapRooT® and FMEA for Healthcare Root Cause Analysis

Dscn1566

There are also, eight returning veterans:

1. Advanced Trending Techniques (10th year)

2. Innovation & Creative Solutions (2nd year)

3. Stopping Human Error (5th year)

4. Risk Management Best Practices (5th year)

5. Interviewing and Evidence Collection (3rd year)

6. Getting the Most from Your TapRooT® Software (2nd year)

7. 2-Day Equifactor® Equipment Troubleshooting & Root Cause Analysis Course (8th year)

8. 2-Day TapRooT® Incident Investigation and Root Cause Analysis Course (13th year)

Lindateach-1

That makes 11 courses with a wide variety of topics to choose from. Where can you find out more information? See:

http://www.taproot.com/pre-summit_courses.html

And here are a couple of videos where previous course attendees share their experience…

(more…)

Friday Joke: Bad Choice for a Car Park

Friday, March 7th, 2008

Be careful the next time you choose a place to park in the snow.

At least she picked the shallow end of the pool!

Nikki Stone - Olympic Gold Medal Winner - Keynote Speaker at the TapRooT® Summit

Thursday, March 6th, 2008

Picture 40

Winning an Olympic Gold Medal sets you apart. You are the best on the planet at your event.

 Aerial 4

But Nikki Stone’s story goes beyond being the best. She showed exceptional dedication & persistence to come back from a career-ending injury (that prevented her from standing, much less skiing).

 Olympic 8

Why is Nikki a TapRooT® Summit Keynote Speaker? Because people leading performance improvement initiatives need to overcome obstacles that seem insurmountable.

 Aerial 7

After being inspired by Nikki’s determination and courage, these obstacles won’t seem so large. You can achieve success!

 Aerial 1

Don’t miss Nikki’s Keynote address. And talk to Nikki one-on-one at the Summit reception.

 Images Stone,-Nikki-2

To see an interview with Nikki, click on the YouTube video below:

Propane Explosion at Atlas Foundry in Tacoma, WA (2007)

Thursday, March 6th, 2008

Sailor Comes Close To Being Cooked in Missile Firing Accident

Wednesday, March 5th, 2008

Watch the sailor come out of a door on the fantail. Just another day at sea until …

Is this a “Near-Miss”?

Tuesday, March 4th, 2008

Would you call this a “near-miss”?

(Watch the right lane…)

Intersection
(.mpg format)

Ship Hits Bridge Accident Video

Tuesday, March 4th, 2008

Did the ship not wait it’s turn or did the bridge operator lower the bridge too soon? The SnapCharT® for this accident would be interesting…

(more…)

Friday Joke: Don’t Try This at Home!

Friday, February 29th, 2008

You need to be a professional stuntman to do this…

(more…)

Bad Day in the Cockpit - Landing in Crosswinds

Thursday, February 28th, 2008

Watch the videos and hope your flight doesn’t land in these conditions…

A Bad Day for Driving

Wednesday, February 27th, 2008

I see snowflakes in Tennessee! Let’s run and get some bread and find a ditch to slide into!

Here’s a dramatic example of the problems people (and pedestrians) have when driving in the snow…

(Click the Read More link to see it!)

(more…)

German Navy Oops! Accident Caught on Video

Wednesday, February 27th, 2008

Watch the video below and see how NOT to make a quick turn at sea…

First Fatal Accident for Dublin’s Luas Tram

Tuesday, February 26th, 2008

A man was struck and killed by the red line Luas Tram last weekend. The tram operator, Veolia Transport, is conducting an investigation in coordination with the Irish Railway Safety Agency. This is the first fatal accident since the tram was inaugurated in 2004. There were 17 “contact” incidents between people and the tram in 2007. A December 2007 incident caused serious head injuries to another man.

Picture 33

For a video report see:
http://www.rte.ie/news/2008/0225/luas_av.html

Windmill Accident

Monday, February 25th, 2008

The following accident took place in Denmark during a storm on 2/22/08.

Here’s the first view:

Here’s the second:

Yes - that is a truck at the base of the windmill when it self-destructs. I’m not sure if I can see people near the truck in the video or not.

The “cause” of the accident was the failure of the brake that limits the speed of the windmill during a storm. The speed of the blades were approaching the speed of sound when they failed.

Nothing to do with root cause analysis … But amazing flying!

Saturday, February 23rd, 2008

Click on the video below and watch the short takeoff and landing demo.

Stol1

Yes - people can produce amazing human performance!

CNN Report on Imperial Sugar Blast Rescue Efforts

Monday, February 11th, 2008

Link to the story:

http://www.cnn.com/2008/US/02/11/refinery.blast/index.html

Link to video:

http://www.cnn.com/2008/US/02/11/refinery.blast/index.html#cnnSTCVideo

TapRooT® Summit Movies

Tuesday, January 29th, 2008

Generalsession06

Want to learn more about the TapRooT® Summit? Then listen to past attendees tell their experience.

Markparadiesteaching-2

Introduction to the Summit:

http://www.taproot.com/download/summit08_discussion.mov

Networking03-1

Networking at the Summit:

http://www.taproot.com/download/summit08_networking.mov

Learning08-2

Breakout Sessions at the Summit:

http://www.taproot.com/download/summit08_breakouts.mov

Wnetworking-1

Best Practices Learned at the Summit:

http://www.taproot.com/download/summit08_bestpractices.mov

Dscn1567-1

Pre-Summit Courses:

http://www.taproot.com/download/summit08_presummit.mov

Happy03-2

Summit Fun and Refreshing/Reenergizing:

http://www.taproot.com/download/summit08_fun.mov

Bennaphilbusiness-2

Where can you learn more about the Summit? See:

http://www.taproot.com/summit.php

Tommyclient-1

Problems Driving on Snow Video

Saturday, January 26th, 2008

Music Video Can Make Accidents Funny

Friday, January 25th, 2008

Car accidents usually are NOT funny. but add a little music, and speed it up to sound like the chipmunks, and … anything can be funny.

NTSB Blames Inadequate Safeguards in Two Fatal Metro Accidents

Thursday, January 24th, 2008

For the story from ABC see:

http://www.wjla.com/news/stories/0108/490262.html

For a video report, see:

http://www.wjla.com/news/stories/0108/490262_video.html?ref=newsstory

That Helpless Feeling of Drive on Sheer Ice

Thursday, January 24th, 2008

Watch this and then think about the accident investigation …

CSB Releases New Accident Report & Video

Tuesday, January 8th, 2008

 Images Synthron

The Chemical Safety Board has completed their root cause analysis of the explosion at the Synthron facility at Morganton, North Carolina. The report is available at:

http://www.csb.gov/completed_investigations/docs/Synthron%20Final%20Report.pdf

In addition to the report, the CSB has produced a video titled:

Reactive Hazards: Dangers of Uncontrolled Chemical Reactions

It is available by clicking on the safety video link at:

http://www.csb.gov/index.cfm?folder=news_releases&page=news&NEWS_ID=389#

Picture 11

Monday Accident & Lessons Learned: Videos Are an Important Source of Accident Information

Monday, January 7th, 2008

What do you (or should you) be video taping to have documentation after an accident occurs? get your systems in place now and be ready after an accient occurs. Here is an example to get your planning started…


Head-on Train Collision

Posted Sep 04, 2007

Look carefully to see people jumping from the oncoming train just before impact.

T2 Lab Explosion Movie and CSB Press Release

Thursday, January 3rd, 2008

T2Labexpl
(QuickTime Movie of Explosion from a Coast Guard Camera.)

 Images T2Aerial200X130
(Aerial view of facility after explosion.)

CSB Investigation Press Release:

Statement by CSB Investigator-in-Charge Robert Hall Updating the Public on the Investigation of the T2 Laboratories Explosion and Fire

Jacksonville, FL, January 3, 2008 - Good afternoon.  I am Robert Hall, Investigator-in-Charge for this U.S. Chemical Safety Board (CSB) investigation.  The CSB is an independent federal agency that investigates major chemical accidents at industrial sites.

We are currently conducting an investigation to determine causes of the fatal chemical explosion that occurred on December 19th at T2 Laboratories Inc. here in Jacksonville.  The Board does not issue fines or citations but does produce investigative reports and recommendations that are widely used to prevent future accidents.

The team of CSB investigators from Washington, D.C., worked here through the holiday week and remains in Jacksonville interviewing survivors and surveying damage.

T2 is a small company with about a dozen employees and the single production site in Jacksonville.  The explosion at T2 occurred at about 1:30 p.m. on December 19th and killed four workers.

One worker remains in the hospital, and a number of other people were injured both on and off site.  The blast at T2 was among the most powerful ever examined by the Chemical Safety Board.  In addition to the tragic loss of life among T2 workers, injuries off-site requiring medical attention occurred as far as away as 750 feet from the reactor site.

The explosion occurred during the production of a gasoline additive called methylcyclopentadienyl manganese tricarbonyl.  This additive was first developed in the 1950s and is widely used to boost the octane rating of gasoline.  The company began producing the chemical for commercial sale a few years ago, using a batch reactor.

(more…)

Ground Damage: An Incident Worthy of Investigation

Wednesday, January 2nd, 2008

Here’s a video of an accident. A jet clips a parked truck while taxiing. Are your ready to perform a root cause analysis?


http://view.break.com/423733 - Watch more free videos

Will the results of your root cause analysis be more of the same? You know what I mean … More Training, More Firings (or demotions), and/or More Procedures.

Or will you find the real root causes and develop effective corrective actions?

If you haven’t attended our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course, you need to soon to be ready to investigate accidents, incidents, quality problems, equipment failures, and other operational issues and find and fix their true root causes.

Where can you attend a course in the near future? You can have a course at your site (contact us by clicking here). Or you can attend one of our public courses:

Edmonton, Canada    January 21-25
San Diego, CA    January 28-February 1
London, England    February 4-8
New Orleans, LA    February 4-8
Singleton, Australia    February 4-8
Halifax, Canada    February 25-29
Vancouver, Canada    March 3-7
Charleston, SC    March 3-7
Galveston, TX    March 10-14
Amsterdam, The Netherlands    March 10-14
San Antonio, TX    March 31-April 4
Knoxville, TN    April 21-25

For complete course info see: