Author Archives: Susan Napier-Sewell

How far away is death?

Posted: April 26th, 2018 in Accidents

Lunch & Learn: Meet TapRooT® at noon EST today on Facebook Live!

Posted: April 25th, 2018 in Uncategorized

Tune into TapRooT®’s Facebook Live today. You’ll join TapRooT® professionals as we explore a contemporary, workplace-relevant topic. We look forward to being with you on Wednesdays!

Here’s how to connect with us for today’s Facebook Live:

Where? https://www.facebook.com/RCATapRooT/

When? Today, Wednesday, April 25

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

If you missed last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation, you can catch up on the discussion via the Vimeo below. You may want to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

NOTE: Remember to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Monday Accidents & Lessons Learned: Putting Yourself on the Right Side of Survival

Posted: April 23rd, 2018 in Accidents, Current Events, Human Performance, investigation, TapRooT

While building an embankment to circumvent any material from a water supply, a front end loader operator experienced a close call. On March 13, 2018, the operator backed his front end loader over the top of a roadway berm; the loader and operator slipped down the embankment; and the loader landed turning over onto its roof. Fortunately, the operator was wearing his seat belt. He unfastened the seat belt and escaped the upside-down machine through the broken right-side window of the loader door.

Front end loaders are often involved in accidents due to a shift in the machine’s center of gravity. The U.S. Department of Labor Mine Safety and Health Administration (MSHA) documented this incident and issued the statement and best practices below for operating front end loaders.

The size and weight of front end loaders, combined with the limited visibility from the cab, makes the job of backing a front end loader potentially hazardous. To prevent a mishap when operating a front end loader:
• Load the bucket evenly and avoid overloading (refer to the load limits in the operating manual). Keep the bucket low when operating on hills.
• Construct berms or other restraints of adequate height and strength to prevent overtravel and warn operators of hazardous areas.
• Ensure that objects inside of the cab are secured so they don’t become airborne during an accident.
• ALWAYS wear your seatbelt.
• Maintain control of mobile equipment by traveling safe speeds and not
overloading equipment.

We would add the following best practices for loaders:
• Check the manufacturer’s recommendations and supplement appropriate wheel ballast or counterweight.
• Employ maximum stabilizing factors, such as moving the wheels to the widest setting.
• Ensure everyone within range of the loader location is a safe distance away.
• Operate the loader with its load as close to the ground as possible. Should the rear of the tractor tip, its bucket will hit the ground before the tractor tips.

Use the TapRooT® System to put safety first and to solve problems. Attend one of our courses. We offer a basic 2-Day Course and an advanced 5-Day Course. You may also contact us about having a course at your site.

Career Opportunities for Candidates with TapRooT® Skills

Posted: April 23rd, 2018 in Career Development, Courses, Job Postings, Training

If you are TapRooT® trained, you can count on your education, experience, and expertise to speak volumes about your preparation for successful career development. Professional training and skill sets in investigation, problem-solving, and root cause analysis will communicate confidence and competency to the potential employer across the desk from you. If you have TapRooT® training and skills, step into a brand-new position through one of these global opportunities.

Associate-Senior Engineer Nuclear (Electrical)

Environmental Safety & Health Manager

Integrity Risk Engineer

Manager – EHS/Quality

Patient Safety Analyst Nurse

Pipeline Risk/Integrity Engineer

Regional EHS Director

Regional EHS Director

Reliability Engineer

Senior Process Engineer

Senior Process Engineer (Multiple Unit Technologies)

Specialist – Customer Quality

 

If you are not yet TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is clearly the proven path to develop your skill sets and training. Pursue your goals through these TapRooT® courses to advance your professional development.

Pensacola, Florida, April 30, 2018: 2-Day TapRooT® Root Cause Analysis Training

Toronto, Canada, May 7, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Sao Paulo, Brazil, May 21, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Cork, Ireland, May 23, 2018: 2-Day TapRooT® Root Cause Analysis Training

Pittsburgh, Pennsylvania, May 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, May 28, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Perth, Australia, May 30, 2018: 2-Day TapRooT® Root Cause Analysis Training

Gatlinburg, Tennessee, June 4, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Singapore, Singapore, June 11, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

Friday joke

Posted: April 20th, 2018 in Jokes

How far away is death?

Posted: April 19th, 2018 in Accidents, Human Performance

Lockout-tagout fail: Notepaper sign – “Don’t start”

Lunch & Learn: Meet TapRooT® at noon EST on Facebook Live!

Posted: April 18th, 2018 in Career Development, Presentations, TapRooT, Topic of the Week, Video

Tune into TapRooT®’s Facebook Live today. You’ll join TapRooT® professionals as we explore a contemporary, workplace-relevant topic. We look forward to being with you on Wednesdays!

Here’s how to connect with us for today’s Facebook Live:

Where? https://www.facebook.com/RCATapRooT/

When? Today, Wednesday, April 18

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

If you missed last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation, you can catch up on the discussion via the Vimeo below. You may want to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

NOTE: Remember to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Gear up with TapRooT® in Gatlinburg

Posted: April 18th, 2018 in Career Development, Courses, investigation, Local Attractions, TapRooT, Training

In less than a week, learn everything you need to know to conduct an investigation and develop effective Corrective Actions. A TapRooT® course can be a career booster or a professional game changer.

From beginners to experts, TapRooT® Techniques are designed for everyone. You will learn to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other types of problems. Techniques learned include: SnapCharT®, Root Cause Tree® & Corrective Action Helper®, plus additional advanced topics such as CHAP, Human Engineering, Interviewing, Safeguard Analysis and Proactive Improvement. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Most importantly, you will have the advantage of professional training in your wheelhouse and on your resume!

Attendees should bring safety incidents or quality issues from their workplace for a team exercise. These may be either written reports or, alternately, you may have knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

For the 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training, we’ll gather at Hilton Garden Inn Gatlinburg on June 4. The inn offers out-the-door convenience to local highlights or for a stroll through downtown Gatlinburg.

Experience Gatlinburg
Wrapped by the hazy blue Smoky Mountains, Gatlinburg is beautiful by day and by night. Take a break from your coursework and soak up live music (and maybe some moonshine!) at one of these venues: Smoky Mountain Brewery, Crystelle Creek Restaurant and Grill, Ole Smoky Moonshine Distillery, Sugarlands Distilling Company. If you want to go farther afield, Townsend, Pigeon Forge, and Sevierville have much to offer.

Catch a show at the Space Needle or Sweet Fanny Adams Theatre. Soar up Crockett Mountain on the Gatlinburg Sky Lift by night for one of the best panoramic overlooks of the mountain town. Ascend to Ober Gatlinburg for indoor ice skating, a wildlife encounter, the alpine slide, and a scenic chairlift.

Hiking and biking are great ways to get next to nature in the Smokies. The sky’s the limit here: Cades Cove, Greenbriar, Mount LeConte, Ramsey Cascades, Laurel Falls, and so many more. Drive through Roaring Fork Motor Trail for a true taste of the grandeur of these ancient mountains. Insider’s tip: Roll your car windows down on this motor trail and listen to the force of the water.

Discover gems to explore on our Gatlinburg Pinterest page and plan your TapRooT® trip to Gatlinburg today.

Register here to advance your professional development in beautiful Gatlinburg, Tennessee.

TapRooT® Around the World: Colombia

Posted: April 17th, 2018 in Career Development, Courses, Performance Improvement, Training

Many thanks to Diana Munevar for this TapRooT® training photo from a refresher course at Occidental de Colombia, LLC in Colombia!

Put yourself in this picture. Advance your career and your development through TapRooT® training!

We are global to meet your needs. Register today for a TapRooT® Training course and gain advantage, experience, and expertise from our professional instructors. Below is a sample of our upcoming courses.

May 2, 2018: Oklahoma City, Oklahoma, 2-Day TapRooT® Root Cause Analysis Training

May 7, 2018: Toronto, Canada, 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

May 14, 2018: Cape Town, South Africa, 5-Day Advanced Root Cause Analysis Team Leader Training

May 24, 2018: Pittsburgh, Pennsylvania, 2-Day TapRooT® Root Cause Analysis Training

June 04, 2018: Gatlinburg, Tennessee, 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

June 06, 2018: Aberdeen, Scotland, 2-Day TapRooT® Root Cause Analysis Training

June 11, 2018: Denver, Colorado, 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

July 16, 2018: Auckland, New Zealand, 2-Day TapRooT® Root Cause Analysis Training

August 08, 2018: Sao Paulo, Brazil, 2-Day TapRooT® Root Cause Analysis Training

August 27, 2018: Monterrey, Mexico, 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

September 26, 2018: Amsterdam, Netherlands, 2-Day TapRooT® Root Cause Analysis Training

October 14, 2018: Dubai, UAE, 5-Day Advanced Root Cause Analysis Team Leader Training

You’re invited to Facebook Live for Wednesday lunch

Posted: April 16th, 2018 in Career Development, Investigations, Presentations, Root Cause Analysis Tips, Topic of the Week, Video

We invite you to tune into TapRooT®’s Facebook Live every Wednesday. You’ll be joining TapRooT® professionals as we bring you a contemporary, workplace-relevant topic. Put a reminder on your calendar, in your phone, or stick a post-it on your forehead to watch TapRooT®’s Facebook Live this week for another terrific discussion and for news you can use. We look forward to being with you on Wednesdays!

Here’s how to connect with us for Wednesday’s Facebook Live:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, April 18, 2018

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

If you missed last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation, you can catch up on the discussion via the Vimeo below. You may want to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

NOTE: Be sure to save the date for the 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Monday Accidents & Lessons Learned: We’re not off the runway yet

Posted: April 16th, 2018 in Accidents, Great Human Factors, investigation, Root Causes

NASA’s Aviation Safety Reporting System (ASRS) from time to time shares contemporary experiences to add value to the growth of aviation wisdom, lessons learned, and to spur a freer flow of reported incidents. ASRS receives, processes, and analyzes these voluntarily submitted reports from pilots, air traffic controllers, flight attendants, maintenance personnel, dispatchers, ground personnel, and others regarding actual or potential hazards to safe aviation operations.

We acknowledge that the element of surprise, or the unexpected, can upend even the best flight plan. But, sometimes, what is perceived as an anomaly pales in comparison to a subsequent occurrence. This was the case when an Air Taxi Captain went the second mile to clear his wingtips while taxiing for takeoff. Just as he thought any threat was mitigated, boom! Let’s listen in to his account:

“Taxiing out for the first flight out of ZZZ, weed whacking was taking place on the south side of the taxiway. Watching to make sure my wing cleared two men mowing [around] a taxi light, I looked forward to continue the taxi. An instant later I heard a ‘thump.’ I then pulled off the taxiway onto the inner ramp area and shut down, assuming I’d hit one of the dogs that run around the airport grounds on a regular basis. I was shocked to find a man, face down, on the side of the taxiway. His coworkers surrounded him and helped him to his feet. He was standing erect and steady. He knew his name and the date. Apparently [he was] not injured badly. I attended to my two revenue passengers and returned the aircraft to the main ramp. I secured the aircraft and called [the Operations Center]. An ambulance was summoned for the injured worker. Our ramp agent was a non-revenue passenger on the flight and took pictures of the scene. He stated that none of the workers was wearing a high visibility vest, which I also observed. They seldom have in the past.

“This has been a recurring problem at ZZZ since I first came here. The operation is never [published in the] NOTAMs [for] an uncontrolled airfield. The pilots just have to see and avoid people and animals at all times. I don’t think the person that collided with my wingtip was one of the men I was watching. I think he must have been stooped down in the grass. The only option to [improve the] safety of the situation would be to stop completely until, hopefully, the workers moved well clear of the taxiway. This is one of…many operational deficiencies that we, the pilots, have to deal with at ZZZ on a daily basis.”

We invite you to use the TapRooT® System to find and fix problems. Attend one of our courses. We offer a basic 2-Day Course and an advanced 5-Day Course. You may also contact us about having a course at your site.

Career Opportunities for Candidates with TapRooT® Skills

Posted: April 16th, 2018 in Career Development, Job Postings

As someone who is TapRooT® trained, you can rely on your expertise to speak volumes about how seriously you’ve taken your career development. Professional training and skill sets in investigation, problem-solving, and root cause analysis will communicate competency to the potential employer across the desk from you. If you have TapRooT® training and skills, step into a new career through one of these global opportunities.

Environmental Safety & Health Manager

Safety Manager

Regional EHS Director

Patient Safety Analyst

Pipeline Risk/Integrity Engineer

Sr Engineer

Integrity Risk Engineer

Specialist – Customer Quality

If you are not yet TapRooT® trained, becoming TapRooT® trained in troubleshooting and identifying root causes of issues and incidents is clearly the proven path to develop your skill sets and training. Pursue your goals through these TapRooT® courses to advance your professional development.

Pensacola, Florida, April 30, 2018: 2-Day TapRooT® Root Cause Analysis Training

Toronto, Canada, May 7, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Sao Paulo, Brazil, May 21, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Cork, Ireland, May 23, 2018: 2-Day TapRooT® Root Cause Analysis Training

Pittsburgh, Pennsylvania, May 24, 2018: 2-Day TapRooT® Root Cause Analysis Training

Bogota, Colombia, May 28, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Perth, Australia, May 30, 2018: 2-Day TapRooT® Root Cause Analysis Training

Gatlinburg, Tennessee, June 4, 2018: 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Singapore, Singapore, June 11, 2018: 2-Day TapRooT® Root Cause Analysis Training

Manchester, United Kingdom, October 1, 2018: 2-Day TapRooT® Root Cause Analysis Training

The Scientific Method In Relation To Root Cause Analysis

Posted: April 13th, 2018 in Career Development, Investigations, Presentations, Root Cause Analysis Tips, Root Causes, Topic of the Week, Video

Did you miss last week’s Facebook Live session with TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discussed methodologies for root cause analysis in incident investigation? Here’s an opportunity to catch up on the discussion, as Mark and Barb distill the disciplines and factors that historically have been involved in solving complex problems. Also, peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

The Scientific Method In Relation To Root Cause Analysis from TapRooT® Root Cause Analysis on Vimeo

Tune into TapRooT®’s Facebook Live every Wednesday. You’ll be joining TapRooT® professionals as we bring you a workplace-relevant topic. Put a reminder on your calendar or in your phone to watch TapRooT®’s Facebook Live this week for another terrific discussion and for news you can use. We look forward to being with you on Wednesdays!

Here’s the info you need to connect with us for our next Facebook Live:

Where? https://www.facebook.com/RCATapRooT/

When? Wednesday, April 18, 2018

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Friday joke

Posted: April 13th, 2018 in Jokes

Take TapRooT® in Toronto

Posted: April 13th, 2018 in Career Development, Courses, Local Attractions, Training

Enhance your career with TapRooT® in Toronto!

The 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training course is designed for every level of learning, from new learners to expert. In less than a week, you’ll absorb the TapRooT® Essentials to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other types of problems. The Techniques include: SnapCharT®, Root Cause Tree® & Corrective Action Helper® plus additional advanced topics such as CHAP, Human Engineering, Interviewing, Safeguard Analysis and Proactive Improvement.Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Best of all, you will have the advantage of professional training in your skill set and on your resume!

Attendees should bring safety incidents or quality issues from their facility for a team exercise. Bring either written reports or, alternately, you may offer an incident without a written report. We’ll divide into teams of 2-4 people; each team will analyze a different problem during the course.

For the 5-Day training course, we’ll be at the Hilton Toronto Airport Hotel & Suites at 5875 Airport Road. Enjoy the ample amenities of the hotel. When you’re rested up, we suggest you take a break to enjoy your host city.

Experience Toronto
Take advantage of the view atop an observation deck at CN Tower; the 1,815-foot tower is considered one of the Seven Wonders of the Modern World by the American Society of Civil Engineers. Shop, enjoy the atmosphere, and taste authentic brews in the historic Distillery District, a cobblestoned pedestrian-only neighborhood. You’ll be amid Victorian buildings, art galleries, performance spaces, cafes, restaurants, and a brewery.

From the District, walk over to historic St. Lawrence Market for scrumptious Canadian fare. If the weather is good, hop a ferry to nearby Toronto Islands, or enjoy our beaches. When the season is right, go to Air Canada Centre to yell on the Toronto Maple Leafs. And any weather is right for getting your hockey fix on at the Hockey Hall of Fame, just a block or so east of Union Station. Use our Toronto Pinterest board to help you plan your Toronto experience.

Register
Don’t forget to register here for a career-changing experience.

Meet TapRooT® in Pittsburgh

Posted: April 13th, 2018 in Career Development, Courses, Local Attractions, Training

Enhance your career in Pittsburgh!

TapRooT® Techniques are designed for everyone, from new learners to expert. In two days, you’ll absorb the TapRooT® Essentials to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other types of problems. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Best of all, you will have the advantage of professional training in your skill set and on your resume!

Attendees should bring safety incidents or quality issues from their facility for a team exercise. Bring either written reports or, alternately, you may offer an incident without a written report. We’ll divide into teams of 2-4 people; each team will analyze a different problem during the course.

For the 2-Day TapRooT® Root Cause Analysis Training course, we’ll congregate at the Embassy Suites Pittsburgh Downtown at 535 Smithfield Street. Enjoy the ample amenities of the hotel. When you’re rested up, take a break to enjoy your host city.

Experience Pittsburgh
Cross a piece of history as you travel above the Monongahela River via the Hot Metal Bridge, a truss bridge that’s part of America’s steel-making heritage during WWII. You can hike or bike the Great Allegheny Passage trail that crosses this bridge in the approach to Pittsburgh’s Golden Triangle area. Hey, in the Steel City, with 446 bridges, you have to cross one!

If you’re a history/architecture buff, check out the Laurel Highlands mountain region where you can tour Fallingwater, the famed Frank Lloyd Wright house. Back in Pittsburgh proper, you can relish beautiful Victorian homes in the tree-lined East End, stately row houses on the North Side, and over 80 bars in the Southside. Venture to Lawrenceville for its art galleries and hipsters, and Oakland is the college town and home of the University of Pittsburgh and Carnegie Mellon, plus scads of museums, green spaces, and ethnic restaurants. Use our Pittsburgh Pinterest board to help you plan.

Register
Don’t forget to register here for a career-changing experience.

How far away is death?

Posted: April 12th, 2018 in Accidents

Taste Cork & get TapRooT® Trained

Posted: April 11th, 2018 in Career Development, Courses, Local Attractions, Training

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Come to Ireland to learn TapRooT® and explore Cork!

From beginners to experts, TapRooT® Techniques are designed for everyone. In the span of our two-day course, you will learn the TapRooT® Essentials to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other types of problems. Upon course completion, attendees will receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Most importantly, you will have the advantage of professional training in your wheelhouse and on your resume!

For the Two-Day TapRooT® Techniques course, we’ll gather at the Imperial Hotel Cork on South Mall, where guests such as Sir Walter Raleigh, Thackeray, Liszt, and Dickens have stayed. Walk out the door to nearby restaurants and local highlights. Connect with us to discover more to see and do on our Cork Pinterest board.

Grab your camera and get ready to see Cork, easy to cover on foot. This city on the southwest coast of Ireland has a history steeped in religious, sporting, musical, and culinary traditions. Cork was founded in the 6th century by Saint Fin Barre and is home to Murphy’s Irish Stout, beautiful Fitzgerald Park on the River Lee, and plenty of rugby.

With its heritage dating to the 12th century, the Church of St Anne is home to the famous Four-Faced Liar and one of Cork’s most iconic landmarks, the Shandon Bells. Climb to the first floor and play the bells; the tunes are on numbered cards. Go up to the steeple’s top for an amazing panoramic view of “the rebel city,” as Cork has been known since the Wars of the Roses.

Here’s a little something to tuck into your mobile to help you in speaking like and interpreting the locals.

Course attendees should bring safety incidents or quality issues from their facility for a team exercise. These may be either written reports or, alternately, you may have knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a different problem.

Register here to advance your professional development in Cork, Ireland.

Tune in today: Is the scientific method best for root cause analysis?

Posted: April 11th, 2018 in Career Development, Presentations, Topic of the Week, Video

Scribble yourself a note to clear your calendar at lunchtime today. You don’t want to miss TapRooT® co-founder Mark Paradies and Barb Carr, editorial director at TapRooT®, as they discuss methodologies for root cause analysis in incident investigation. You may hear some namedropping, such as “Albert Einstein” and “Isaac Newton,” as Mark and Barb distill the disciplines and factors that historically have been involved in solving complex problems. Take time to peruse Mark’s article, Scientific Method and Root Cause Analysis, to supplement this significant learning experience. Feel free to comment or ask questions on our Facebook page.

Here’s the info you need to connect with us today:

Where? https://www.facebook.com/RCATapRooT/

When? Today! April 11, 2018

What Time? Noon Eastern | 11:00 a.m. Central | 10:00 a.m. Mountain | 9:00 a.m. Pacific

In last week’s Facebook Live session, we delved into the timely topic of autonomous vehicles. Join the conversation below with Ken Reed and Benna Dortch as they discuss safety and other factors surrounding these vehicles. After listening to Ken and Benna, post your comments here. As always, we look forward to chatting with you!

Be sure to tune into TapRooT®’s Facebook Live every week. You’ll be joining TapRooT® professionals as we bring you a workplace-relevant topic. Put a reminder on your calendar or in your phone to watch TapRooT®’s Facebook Live next week for another terrific discussion and for news you can use.

NOTE: Save the date for 2019 Global TapRooT® Summit: March 11-15, in the Houston, TX area (La Torretta Lake Resort)!

Pick up TapRooT® in Auckland

Posted: April 10th, 2018 in Career Development, Courses, Local Attractions, TapRooT, Training

Take two days to become TapRooT® Trained in Auckland. Within these two days, you’ll gain experience and perspective in myriad workplace situations. You will learn to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other categories of problems.

At the completion of your course, you’ll receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. The true benefit is that you will have added the advantage of professional training to your expertise and on your resume!

While you’re in Auckland, you may want to take a day or two and explore the area. Cornwall Park is a haven in Auckland’s center, featuring gardens, panoramic views, grazing sheep and cattle, free seasonal events, and recreational paths. See views atop Sky Tower, the tallest structure in the Southern Hemisphere. Tiritiri Matangi Island, in the sparkling blue waters of the Hauraki Gulf of New Zealand, 19 miles northeast of Auckland, is rich in Māori and European history and a stunning wildlife sanctuary for New Zealand’s native birds. Ferry to Waiheke Island, with pristine forests and vineyards, for a wine or culinary experience. When you’re making plans or while you are there, be sure to use our Auckland Pinterest board to discover adventures, dining suggestions, and city sights.

In the course, we’ll participate in an exercise, using safety incidents or quality issues from your work environment. Be sure to bring one or more for us to dive into. These may be written reports, or you may share knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a unique problem. You’ll be amazed at how much you learn in two days that you can immediately apply!

Advance your professional development through TapRooT® Training: Register for a two-day, game-changing experience in Auckland.

Learning TapRooT® in Canberra

Posted: April 9th, 2018 in Career Development, Courses, Local Attractions, Training

Spend two days with TapRooT® Training in Canberra and gain expertise and perspective in workplace situations. Learn to find and fix the root causes of incidents, accidents, quality problems, near-misses, operational errors, hospital sentinel events, and many other categories of problems.

At the completion of your course, you’ll receive a certificate and a 90-day subscription to TapRooT® VI, the online software service. Importantly, you will have the advantage of professional training in your expertise and on your resume!

While you’re in the capital city of Australia take time to become familiar with Canberra. It’s small wonder that Canberra is dubbed “the new capital of cool,” since the city encircled by a sash of mountains had its blueprint determined via an international design competition in 1911. To snap some of the cultural coolness, grab your camera and walk to the Shine Dome, its design inspired by Sputnik I. The National Museum of Australia holds the records of Australia’s social history; even on the outside, this non-symmetrical complex weaves together stories of the Australian confluence of cultures. If you’re lucky, you may catch a rugby match at Canberra Stadium.

Cyclists, walkers, and nature lovers experience the best of Canberra’s urban and natural environments on the Centenary Trail; download the app and learn while you take in the history and natural beauty. Tidbinbilla Nature Reserve lets you enter a world of endangered species, as well as a wide range of Australian animals including kangaroos, platypus, potoroos, wallaroos, possums, echidnas, emus, lyrebirds, and many other birds and reptiles. Canberra is only two hours’ drive to the New South Wales south coast with its stunning scenery, unspoiled beaches, and quaint towns. When you’re making plans or while you are there, be sure to use our Canberra Pinterest board to discover adventures, dining and nightspots, and city sights.

Attendees should bring safety incidents or quality issues from their work environment to use in a team exercise. These may be written reports, or course participants may share knowledge of an incident without a written report. We’ll divide into teams of 2-4 people, with each team analyzing a unique problem.

Advance your professional development through TapRooT® Training: Register for a two-day, game-changing experience in Canberra.

Monday Accidents & Lessons Learned: When retrofitting does not evaluate risks

Posted: April 9th, 2018 in Accidents, Current Events, Great Human Factors, Investigations

Bound for London Waterloo, the 2G44 train was about to depart platform 2 at Guildford station. Suddenly, at 2:37 pm, July 7, 2017, an explosion occurred in the train’s underframe equipment case, ejecting debris onto station platforms and into a nearby parking lot. Fortunately, there were no injuries to passengers or staff; damage was contained to the train and station furnishings. It could have been much worse.

The cause of the explosion was an accumulation of flammable gases within the traction equipment case underneath one of the train’s coaches. The gases were generated after the failure of a large electrical capacitor inside the equipment case; the capacitor failure was due to a manufacturing defect.

Recently retrofitted with a modern version of the traction equipment, the train’s replacement equipment also included the failed capacitor. The project team overseeing the design and installation of the new equipment did not consider the risk of an explosion due to a manufacturer’s defect within the capacitor. As a result, there were no preventative engineering safeguards.

The Rail Accident Investigation Branch (RAIB) has recommended a review of the design of UK trains’ electric traction systems to ensure adequate safeguards are in place to offset any identified anomalies and to prevent similar explosions. Learn about the six learning points recommended by the RAIB for this investigation.

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