Author Archives: Barb Carr

Root Cause Tip: Repeat-Back Strengthens Positive Communication

Posted: May 17th, 2018 in investigation, Investigations, Root Cause Analysis Tips

Misunderstood verbal communication can lead to a serious incident.

Risk Engineer and HSE expert, Jim Whiting, shared this report with us recently highlighting four incidents where breakdowns in positive communications were factors. In each circumstance, an operator proceeded into shared areas without making positive communication with another operator.

Read: Positive communication failures result in collisions.

Repeat-back (sometimes referred to as 3-way communication) can reinforce positive communication. This technique may be required by policy or procedure and reinforced during training on a task for better compliance.

Repeat-back is used to ensure the information shared during a work process is clear and complete. In the repeat back process, the sender initiates the communication using the receiver’s name, the receiver repeats the information back, and the sender acknowledges the accuracy of the repeat back or repeats the communication if it is not accurate.

There are many reasons why communications are misunderstood. Workers make assumptions about an unclear message based on their experiences or expectations. A sender may choose poor words for communication or deliver messages that are too long to remember. The message may not be delivered by the sender in the receiver’s primary language. A message delivered in the same language but by a worker from a different geographical region may be confusing because the words do not sound the same across regions.

Can you think of other reasons a repeat-back technique can be helpful? Please comment below.

TapRooT® Around the World: Houston

Posted: May 11th, 2018 in Courses, Pictures

Last day of our 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training in Houston, Texas. Heidi Reed and I are looking forward to seeing our course attendees’ final presentations. It’s been an awesome week! Click here and get in the picture.

 

A tip for ensuring accuracy of your investigation findings

Posted: May 4th, 2018 in Root Cause Analysis Tips

Gary Gardner shares an idea at the 2018 Global TapRooT Summit.

 

How to Keep Your Investigators Proficient

Posted: April 26th, 2018 in Root Cause Analysis Tips, Video

Why work harder when you can work smarter? Ken and Benna discuss great ideas about keeping your investigation team sharp. It’s easier than you think with a few simple guidelines.

Press Release: TapRooT®’s New Software Update Enhances Tools for Root Cause Analysis Used by Incident Investigators

Posted: April 17th, 2018 in Media Room, Press Releases, Software Updates

 

Incident investigators around the world use TapRooT® software as a central repository for their root cause analysis investigations.

View Press Release.

Evidence Collection: Two things every investigator should know about scene management

Posted: April 17th, 2018 in Accidents, investigation, Investigations, Root Cause Analysis Tips

You may not be part of scene management when an incident occurs at your facility but there are two things every investigator should know:

  1. Hazards that are present in the work area and how to handle them. It’s impossible to anticipate every accident that could happen but we can evaluate hazards that are present at our facilities that could affect employees and the community at large to structure a scene management plan.
  2. Priorities for evidence collection. The opportunity to collect evidence decreases over time. Here are a few things to keep in mind during, and immediately following, scene management.
    • Fragile evidence goes away.
    • Witnesses forget what they saw.
    • Environmental conditions change making it hard to understand why an incident occurred.
    • Clean-up and restart begins; thus, changing the scene from its original state.

Learn more by holding our 1-Day Effective Interviewing & Evidence Collection Training at your facility. It is a standalone course but also fits well with our 2-Day TapRooT® Root Cause Analysis Training. Contact me for details: carr@taproot.com.

 

Active Listening Inventory

Posted: March 28th, 2018 in Career Development, Root Cause Analysis Tips, Topic of the Week

Are you a good listener? No one is born that way. Listening is a learned skill and practice makes perfect. Read through the following inventory statements and check for areas where you can improve your skills.

1. I listen without interrupting or finishing another’s sentences.
2. I am comfortable with long pauses in conversation.
3. I don’t “tune-out.”
4. I avoid distractions when listening.
5. I respond appropriately when someone is talking to let them know I am listening.
6. I am patient.
7. When someone is speaking, I am listening and not thinking of my next question or comment.
8. I am aware of my non-verbal messages as well as those displayed by others.

ASSE Safety 2018 Flash Session on Investigative Interviewing

Posted: March 15th, 2018 in Investigations, Media Room


I’m excited to be selected as a flash session speaker for ASSE Safety 2018. My talk “Top 3 Tips for Improving your Investigative Interviewing Skills” is planned for Monday, June 4, 2018 at 2:45 p.m. in the Exhibit Hall, Booth #2165. I hope to see you there! Please stop by the TapRooT® Booth and talk to Dave Janney and me while you’re at the conference.

TapRooT® Around the World

Posted: March 9th, 2018 in Courses, TapRooT

TapRooT® instructor, Heidi Reed, sent us these photos from a course that she and Barry Baumgardner are teaching at Energy XXI in Grand Isle, LA. Looks like a great group!

 

Want to learn about your onsite course options?

Contact us!

Career Development: Own it

Posted: February 26th, 2018 in Career Development, Career Development Tips


Are you a manager trying to develop an employee who is consistently not hitting the goals? Are you an employee not hitting the goals who is hoping your manager will cover for you and not call you out?

In the March 2018 edition of Entrepreneur. Panera Bread’s founder and chairman, Ron Shaich, wrote, “Honesty is helpful. When you tell someone why they’re doing a bad job, you’re transferring the responsibility. Maybe they will improve. Maybe they leave. Whatever the outcome, they own it.”

Honest conversations can lead to departures, but they can also be opportunities for learning. What do you think?

 

 

Are you planning to attend the 20th Annual IHI/NPSF Patient Safety Congress in Boston?

Posted: February 20th, 2018 in Medical/Healthcare, Root Causes, Training


Per Ohstrom and I are looking forward to going to Boston, May 23 – 25, for the 20th Annual IHI/NPSF Patient Safety Congress. If you’re attending, please make a note to stop by the Exhibit Hall and visit us in Booth #316.

Healthcare facilities need multiple levels of analysis to truly identify the causes of patient safety related incidents. We’d love to talk to you about how TapRooT® offers robust data gathering tools and consistent objective root cause analysis to help you build the most effective corrective actions that will address and prevent problems. These tools all working in harmony with your systems will create a much safer environment for patient care.

We hope to see you there!

Five great reasons to register for our 2-Day TapRooT® Root Cause Analysis Training today!

Posted: February 20th, 2018 in Courses, Testimonials, Training

    
There’s no one better to ask about why you should take TapRooT® Training than someone who has. Here are some recent  comments our course attendees made about the our 2-Day TapRooT® Root Cause Analysis Training.

You’ll:

1. Have a new perspective on how to identify errors or equipment failures that contributed to an incident.
“Taught me to look at [causal factors] differently than I have in the past.” ~ J. Cooper

2. Create managements reports with ease.
“[There’s a] good tool in the software to create reports.” ~ W. Wiech

3. Learn the power of finding root causes with a well-planned, systematic process.
“[Learned] incident investigation in a more structured way.” ~ L. Wolter

4. Receive hands-on training.
“Frequent activities helped to apply knowledge and reinforce learning.” ~ A. Ranger

5. Learn to ask better questions.
“Successfully completed report on an industry incident that was unfamiliar. Forced the group to ask better questions.” ~ S. Oleksyn

Join us for an upcoming course:

Lake Charles, Louisiana – March 6

Lisbon, Portugal – March 8

Charlotte, North Carolina – March 19

Bogota, Colombia – March 21

 

VIEW ALL upcoming 2-day trainings around the world.

 

 

The Pursuit of Happiness

Posted: February 19th, 2018 in Career Development, Career Development Tips

What does happiness mean to you? Often we find that answer in what we are pursuing: better relationships, an ideal career, a comfortable lifestyle. But what if chasing happiness makes us more unhappy? One researcher learned just that! Emily Esfahani Smith researched how to live a meaningful and fulfilling life and believes there are 4 basic pillars. The first, second and third are no surprise but the fourth pillar may be something you’ve never considered before that just may change the course of your life for the better.

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