Category: Summit

TapRooT® Users – Use It ALL

June 13th, 2018 by

NewImage

I had an interesting question from a TapRooT® user the other day.

“When will you be adding something to TapRooT® to deal with human performance issues?”

I had to stop and think. Of course, our whole design effort was to make TapRooT® the world’s best system for analyzing and fixing problems due to human error. But I realized that we had made the use of TapRooT® so transparent that this user, and probably others, didn’t know what they had.

They might not know that TapRooT® can them help fix:

  • human errors
  • human performance issues
  • company culture problems
  • behavior issues
  • management system failures
  • simple incidents
  • complex accidents
  • audit findings

TapRooT® can be used reactively (after an accident) or proactively (before a major accident). The application of TapRooT® is really flexible.

We’ve made this flexibility and applicability completely transparent. You don’t have to be a human performance expert (a Certified Ergonomist – like I am) to use the system and get great results.

We’ve made difficult analysis so easy that people don’t know all the power they have.

How can a TapRooT® User learn more about what they have?

  1. Read the blog and the weekly TapRooT® Friends & Experts Newsletter. Sign up for the newsletter HERE.
  2. Join the TapRooT® LinkedIn discussion group HERE.
  3. Attend advanced TapRooT® Training – the 5-Day TapRooT® Advanced Team Leader Training.
  4. Attend the annual Global TapRooT® Summit.
  5. Read TapRooT® Root Cause Analysis Leadership Lessons.

That’s a good start and two of the ideas are free.

Get as much as you can from the tools and processes that you already know – TapRooT®.

And if you have any questions, leave them as a comment here or contact us by CLICKING HERE.

2018 Global TapRooT® Summit Best Practices: Engineers Have Freedom To Investigate Low Level Incidents

June 13th, 2018 by

2018 Global TapRooT® Summit Best Practices – Engineers Have Freedom To Investigate Low Level Incidents from TapRooT® Root Cause Analysis on Vimeo.

Learn more about investigating low-level incidents in the TapRooT® book Using the Essential TapRooT® Techniques to Investigate Low-to-Medium Risk Incidents and through our courses. Discover what TapRooT® can do for you; Contact or call us: 865.539.2139.

Our Best Practices speaker for this session is Will Canda, representing Nutrien Ltd. The Saskatchewan agriculture industry leader, Nutrien, has more than 1,500 farm retail centers and employs more than 20,000 people across operations in 14 Canadian countries. Nutrien is the biggest global fertilizer producer by capacity, and has the largest U.S. network of farm retail stores.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

 

 

2018 Global TapRooT® Summit Best Practices: Instilling Competencies Around Employees

June 12th, 2018 by

2018 Global TapRooT® Summit Best Practices – Instilling Competencies Around Employees from TapRooT® Root Cause Analysis on Vimeo.

In this session, Stephen Sandlin, Ocean Air International, discusses investigations in his company’s incident management process, and the vetting and roles of the individuals responsible for the investigations.

Is your team trained to handle a catastrophic event?

Major accidents happen when precursors are missed. Precursors are indicators that a potential crisis is brewing; however, they can be proactively analyzed to stop that crisis from occurring as well as reactively analyzed so they never happen again.

Our 5-day TapRooT® Advanced Root Cause Analysis Team Leader Training equips your team to recognize critical precursors. Find and fix the root causes of a major accident using all of the essential TapRooT® techniques plus advanced tools to analyze problems, and find root causes that you previously would have overlooked before they become a major crisis. Onsite training is available for 10 or more.

View course outline.

Inquire about hosting an onsite course for 10 or more at your company.

Register one or more for a public course near you.

Save the date for our upcoming 2019 Global TapRooT® Summit, March 11-15, 2019, in the Houston, Texas, area at La Torretta Lake Resort.

Decisions that get people killed

May 30th, 2018 by

When you read “decisions that get people killed” do you think about decisions that workers make? These are not the decisions we are referring to!

What are we referring to? Come and learn at the 2019 Global TapRooT® Summit. We are pleased to announce our first confirmed keynote speaker, Mark Paradies, President of System Improvements, Inc.

He will be discussing decisions that set up major accidents. These types of decisions are usually made by senior management, and they can have very serious consequences. Management needs to know about them, and what they need to do to prevent major accidents.

 

Mark your calendar to join us for the 2019 Global TapRooT® Summit, March 11 – 15, 2019 at La Toretta Lake Resort & Spa, Montgomery, Texas.

2018 Global TapRooT® Summit Best Practices – Implement a Dedicated Investigation Team

May 17th, 2018 by

After you’ve attended a TapRooT® course and learned how to use the techniques, the real challenge begins! How do you actually start a real investigation? What do you need to know in order to efficiently lead a team of investigators? And what do team members require to optimally focus on the actual investigation process?

At the 2018 Global TapRooT® Summit, attendees listened and learned about implementing best practices for a dedicated investigation team. Shelley Hassen, HSE Assurance & Compliance Manager, Willbros, a leading contractor in specialty energy infrastructure, was an informative part of this discussion, as you will learn from this Vimeo.

 

 

For another look at Shelley’s insights into best practices, see the blog, Success Story Contest: Saving Time, Resources & Effort with Single User Software.

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

Is April just a bad month?

April 24th, 2018 by

I was reading a history of industrial/process safety accidents and noticed that all the following happened in April:

Texas city nitrate explosion

April 16, 1947 – 2,200 tons of ammonium nitrate detonates in Texas City, Teas, destroying multiple facilities and killing 581 people.

Deepwater horizon

April 20, 2010 – A blowout, explosions, and fire destroy the Deepwater Horizon, killing 11. This was the worst oil spill in US history.

West texas

April 17, 2013 – 10 tons of ammonium nitrate detonates in West, Texas, destroying most of the town and killing 15 people.

Maybe this is just my selective vision making a trend out of nothing or maybe Spring is a bad time for process safety? I’m sure it is a coincidence but it sure seems strange.

Do you ever notice “trends” that you make you wonder … “Is this really a trend?”

The best way to know is to apply our advanced trending techniques. Watch for our new book coming out this Summer and then plan to attend the course next March prior to the 2019 Global TapRooT® Summit.

2018 TapRooT® Global Summit Twitter Highlights

March 9th, 2018 by

First, I would like to start off by thanking everyone who attended the Summit this year. It was a great success, and we here at System Improvements received lots of positive feedback from everybody. Without our amazing clients, instructors, and employees we wouldn’t be here today so thank you! Because of you, we get to be in the business of saving peoples lives.

Okay, I am finished with the mushy stuff… Let us get on with the fun photos!

The Twitter Contest was a huge success. We received tons of photos, quotes, and videos. So many in fact there is no way I could include every tweet. If I did the post would be 5,000 pages long!

Below are just a few of my favorite tweets I saw through out the week. If you would like me to generate more posts with more of my favorite tweets please leave it in a comment below, or email me at roberts@taproot.com

 

Keeping Your Equipment Reliability Team Sharp

March 7th, 2018 by

study, read, reliability, troubleshoot

 

 

 

 

 

 

 

We have just completed our annual Global TapRooT® Summit, and we all walked away with some terrific ideas to bring back to our companies. Many people think the Summit is only for our customers to improve their processes, but I ALWAYS come away with new ideas for myself.

Heinz Bloch was one of our speakers this year.  He had 2 excellent sessions on how equipment reliability is tied directly to your company’s bottom line.  As always, he had some great insights into how a company can integrate reliability techniques into their business model for real, measurable savings.

One of his observations is that, as technology progresses, it is imperative that your reliability and maintenance team  keep up-to-date on the current best practices and technologies.  It is too easy to assume your excellent reliability and maintenance engineers will just magically remain top-notch.  His suggestion (almost a demand!) was to ensure we give our team the time and motivation to actually READ about their craft.  Your team should be allocating some amount of time EVERY DAY to reading professional journals and articles to see what is happening outside their own company boundaries.

  • Are you using the very best lubricant?
  • What new bearing materials are available for your applications?
  • How much can we save by investing in slightly more expensive, but much more efficient technology?
  • What are our competitors using for condition-based maintenance?

As managers, we should be giving our team both the time and the incentive to read these journals and articles.  Trust me, your competition is doing this; don’t be left behind!

Highlights from the 2018 Global TapRooT® Summit

March 5th, 2018 by

IMG 7328
 

Coming up with a highlight reel from the 2018 Global TapRooT® Summit is almost impossible. I always think that the Summit just can’t get any better and then we outdo ourselves planning the next one. Here are some highlights followed by the top six items attendees shared that they needed to do better at their facilities.

First, a video to share the experience…

By the way, the next Global TapRooT® Summit is scheduled for March 11-15, 2019, in Houston (Montgomery, TX) at the La Torretta Lake Resort & Spa (picture below).

Screen Shot 2018 03 05 at 11 54 44 AM
 

Now for my impressions of the highlights …

First, the Keynote Speakers were outstanding.

We started with Dr. Carol Gunn who gave an inspiring talk about medical errors and how to encourage error reporting and effective investigations. Carol is a TapRooT® User and medical doctor … she knows what she is talking about.

Next, we had an UNBELIEVABLE talk by Boaz Rauchwerger who told us all to take a positive approach to improvement.

IMG 7342
 

The final keynote on Wednesday was Inky Johnson. How can I explain how he inspired us? There was a long line of people who just came up to thank Inky and get their picture taken with him. If you don’t know Inky’s story. watch it below for motivation to accomplish more in life.

 

After Inky’s keynote, Carl Dixon entertained us at the Summit Reception. Here I am singing Proud Mary with him…

 

On Thursday, I was the opening keynote and concluded with a TapRooT® Implementation Gap Analysis. People shared where they needed to improve their TapRooT® implementation. What were the top 6 items they needed to do better?

  1. Use advanced root cause analysis (TapRooT®) for both reactive and proactive investigations.
  2. Use an investigation rewards program more effectively.
  3. Guide their improvement programs through management’s use of performance measures and advanced trending techniques.
  4. Proactive improvement that drives improvement success (tie with 5).
  5. Develop a leadership succession plan.
  6. Communicate improvement accomplishments successfully.

These items will help us plan sessions for next year’s Summit.

Screen Shot 2018 03 05 at 1 39 03 PM
 

Vincent Phipps closed out the day with his discussion of the four personality types and how to use them to communicate more effectively.

On Friday we started with the session that helped attendees develop plans to fill their program gaps (started with the gap analysis performed on Thursday).

IMG 7338

 

Then, I (Mark Paradies) interviewed Mike Williams about his experiences when the Deepwater Horizon experienced a blowout, explosion(s), and fire. Wow! What an experience. People were sitting on the edge of their seats as Mike answered my questions and all the questions from the Summit participants. We actually ran over the finish time by 15 minutes as people asked interesting questions. The lessons learned from this one session about emergency response, investigations, and safety were … UNBELIEVABLE! I learned several things about the accident that I didn’t know from the various reports (CSB, Presidential Commission, BP, or Coast Guard) that added to my understanding of the Causal Factors and root causes. There was also an important lesson for investigators about empathy and PTSD after a major accident.

And that’s just a summary of the Keynote Speakers impact. There were also some great Best Practice Sharing sessions and speakers. My favorite was the TapRooT® Users Share Best Practices Session (soon, you will be seeing videos from this session to share some of the best practices).

Here are what some TapRooT® Users had to say about their 2018 Global TapRooT® Summit experience…

 

What a Summit! Hope to see you in Houston in 2019!

Great Courses! Getting Ready for the 2018 Global TapRooT® Summit…

February 26th, 2018 by

IMG 7302

There are over a hundred people attending various TapRooT® Courses in Knoxville on Monday and Tuesday before the 2018 Global TapRooT® Summit that starts on Wednesday.

IMG 7293

There people taking the 2-Day TapRooT® Root Cause Analysis Training …

IMG 7296

and several advanced courses teaching trending, software, interviewing, human factors, safety culture, Equifactor®, and risk management.

IMG 7289

IMG 7310

IMG 7316

 

IMG 7319

IMG 7322

IMG 7323

And the set-up is progressing for Wednesday’s 2018 Global TapRooT® Summit General Session kick-off. Looking forward to seeing you there!
 
IMG 7327

2018 Global TapRoot® Summit: Presentations for Best Practice Sessions 1 – 8

February 23rd, 2018 by

TapRooT® Summit week is February 26 to March 2, 2018.

Presentations received from speakers will be uploaded to this post as they are received. If the presentation you are looking for is not available, check back later. If you have any questions, please email Anne.

Welcome Presentation
Wednesday, February 28, 2018
8:00 am – 9:00 am

==========

Ready, Set, Go!
– Instructors: System Improvements Staff

View Presentation

 

Best Practice Session 1
Wednesday, February 28, 2018
10:30 am – 12:00 pm

==========

TapRooT® Users Share Best Practices
– Instructors: Linda Unger, Michelle Wishoun, & Benna Dortch

Live session – No presentation will be made available for this session.

==========

How to Replace 5 Whys with TapRooT® for Better Results
– Instructors: Per Ohstrom

View Presentation

==========

The TapRooT® Software Sandbox
– Instructors: Dan Verlinde & Angie Comer

Presentation not yet available.

 

Best Practice Session 2
Wednesday, February 28, 2018
1:30 pm – 2:30 pm

==========

Defining Better Causal Factors
– Instructors: Ken Turnbull

Presentation not yet available.

==========

Top 5 Reasons for Human Error & How to Stop Them
– Instructors: Mark Paradies

View Presentation

==========

Making Audits an Integral Part of a Proactive Improvement Program
– Instructors: John Boyle

View Presentation

==========

Improving Patient Safety: Gaining, a Win From a Loss
– Instructors: Michele Lindsay

View Presentation

==========

Improving Safety Culture Through Measuring and Grading Investigations
– Instructors: Jack Frost

Presentation not yet available.

==========

Improve People Skills and Become More Productive
– Instructors: Boaz Rauchwerger

View Presentation

 

Best Practice Session 3
Wednesday, February 28, 2018
2:45 pm – 3:45 pm

==========

Stop Daily Goofs for Good
– Instructors: Kevin McManus

Presentation not yet available.

==========

Improving Maintenance Troubleshooting with Equifactor® Equipment
– Instructors: Ken Reed

View Presentation

==========

 

Improving Sentinel Event Investigations
– Instructors: Ken Turnbull

View Presentation

==========

Making Sense of Complex Investigations
– Instructors: Pat Fortune

Presentation not yet available.

==========

What is New in the TapRooT® Software
– Instructors: Dan Verlinde

Presentation not yet available.

==========

TapRooT®: The One Stop Solution to Managing Risk
– Instructors: Nancy Hitchins

View Presentation

 

Morning Keynote Presentation
Thursday, March 1, 2018
9:00 am – 10:00 am

==========

How Good Is Your TapRooT® Implementation
– Instructors: Mark Paradies

View Presentation

 

Best Practice Session 4
Thursday, March 1, 2018
10:15 am – 11:45 am

==========

TapRooT® Certified Instructor Re-certification Workshop
– Instructors: Ken Reed, Linda Unger, & Michelle Wishoun

Materials will be provided to licensed clients at the session. 

==========

Multiple Failures Without Learning
– Instructors: Chris Vallee & Brian Tink

View Presentation

==========

The Psychology of Failing Fixes
– Instructors: Kevin McManus

Presentation not yet available.

==========

Building Your Software Incident Report
– Instructors: Dan Verlinde & Ralph Brickey

Presentation not yet available.

 

Best Practice Session 5
Thursday, March 1, 2018
12:45 pm – 1:35 pm

==========

Supporting Grid Reliability with Low-to-Medium Risk TapRooT® Investigations
– Instructors: Jeff Hubbartt

View Presentation.

==========

The Business End of Equipment Reliability, Part I
– Instructors: Heinz Bloch

Presentation not yet available.

==========

Top 7 Secrets of a Great Investigation Interview
– Instructors: Barb Carr

View Presentation

==========

Clarifying Common Misuses of Safety Risk Language
– Instructors: Jim Whiting

View Presentation

 

Best Practice Session 6
Thursday, March 1, 2018
1:50 pm – 2:40 pm

==========

Taking Your Investigation Communication Skills to a Dynamic New Level
– Instructors: Vincent Phipps

More information about professional training by Vincent.

Handout.

==========

The Business End of Equipment Reliability, Part II
– Instructors: Heinz Bloch

Presentation not yet available.

==========

Deep Dive into the Procedures Basic Cause Category
– Instructors: Ralph Brickey

View Presentation

==========

What is a Trend and How Can You Find Trends in the TapRooT® Data?
– Instructors: Chris Vallee

View Presentation

 

Best Practice Session 7
Thursday, March 1, 2018
2:55 pm – 3:45 pm

==========

Best Practices for Sharing Lessons Learned
– Instructors: Pat Fortune

Presentation not yet available.

==========

Using Wearables to Minimize Daily Human Errors
– Instructors: Kevin McManus

Presentation not yet available.

==========

Minimizing Downtime by Minimizing Repair time
– Instructors: Chris Vallee

View Presentation

==========

Pike River: The Human Story
– Instructors: Karl Berendt

Presentation not yet available.

==========

TapRooT® Advisory Board
– Instructors: Mark Paradies & Linda Unger

Live session – No presentation will be made available for this session.

 

Best Practice Session 8
Friday, March 2, 2018
9:00 am – 10:45 am

==========

Performance Improvement Gap Analysis
– Instructors: TapRooT® Instructor Team

Live session – No presentation will be made available for this session.

Summit Details for Attendees

February 20th, 2018 by

TapRooT® Global Summit Day 1 Critique

TapRooT® Global Summit Day 2 Critique

TapRooT® Global Summit Day 3 Critique

Are you attending the 2018 Global TapRooT® Summit? Here is some important information…

Link to Summit Presentation Slides … CLICK HERE

Knoxville Convention Center layout…

The address is: 701 Henley Street, Knoxville, TN 37902.

The security/lost and found number there is: 865-251-6040.

Emergency muster site during the Summit …

Summit Schedule

Bring Business Cards … You need these for networking.

Dress for Summit … Business Casual. Definitely bring a coat or sweater because it can be cold in February and March in East Tennessee. Here is a picture of “Business Casual” from the internet …

I thought it was too dressy. I found this “do and don’t” photo and had a laugh …

Then I thought … Why not show a photo of people from a past Summit!

Food: Breakfast and lunch are supplied at the Summit and at the pre-Summit courses. There will also be food and drink at the Wednesday night reception. We will try as best as possible to accommodate special meal requests but … you don’t get your own private chef!

Reception on Wednesday: Plan to attend the Wednesday night TapRooT® Summit Reception. There will be live music, food, and drinks. It is a great place to meet and make friends. Your spouse is invited, too. Carl Dixon and band will provide musical entertainment.

Be On Time: Don’t miss the OPENING WELCOME at 8 AM on Wednesday. You will have three people looking to meet you during THE NAME GAME and a reward for completing the game. Also, you will get a ticket for a prize drawing whenever you are on time for a session.

Breakfast Activities: Breakfast on Thursday and Friday is from 8 to 9. On Thursday, the breakfast activity will be a Version 6 TapRooT® Software trial. If you want to learn more about the TapRooT® Software, come to breakfast at 8 AM. On Friday, we will prepare for the keynote presenter, Mike Williams, with a review of the Deepwater Horizon accident.

DON’T LEAVE EARLY! Friday is an important day at the Summit. The Gap Analysis Session will help you design the improvements your company needs. You will go back to work with a planned mission to improve. PLUS the final speaker is Mike Williams – the real life hero from the movie Deepwater Horizon. We are doing a question-and-answer format; so if you have questions about the accident, get answers from someone who was there. Don’t schedule your flight until the afternoon. Or stay until Saturday and have time to meet and talk with Mike after his presentation.

Follow us on Twitter and use the hashtag #taprootsummit (Learn more.)

If you have any questions about anything regarding the Summit, call our office at: 865-539-2139.

Deepwater Horizon … The Movie

February 20th, 2018 by

Last night, to prepare for the 2018 Global TapRooT® Summit, I watched the movie Deepwater Horizon.

I’m interviewing Mike Williams (who was played by Mark Wahlberg in the movie … see the trailer above).

I have a hard time watching the movie. The needless death of those men and the needless pain and suffering of the rest of the crew was totally avoidable.

What we do at System Improvements is to teach people to use TapRooT® Root Cause Analysis to find and fix the root causes of problems BEFORE major accidents happen. This could have been done BEFORE the Deepwater Horizon accident. I sometimes think that I didn’t do enough to get people who don’t use TapRooT® to fix problems and improve performance. If only I could have convinced BP and Transocean to use TapRooT®, maybe the accident would have been prevented.

That’s why we hold the TapRooT® Summit each year. It is one more way to get people fired up about performance improvement and stopping major accidents.

Hope to see you next week at the Summit and spend an hour talking to a survivor of the Deepwater Horizon accident.

Mike Williams 442x450

If you want to watch the movie before the Summit, you can download it at Amazon by CLICKING HERE.

Or you can read the Presidential Commission report, by clicking on this link: DEEPWATERPresidentCommission.

Ot read the Chemical Safety Board Executive Summary report: CSB BP Deepwater Horizon Exec Summary.

Technically Speaking – The 2018 TapRooT® Global Summit is Right Around the Corner

February 16th, 2018 by

The TapRooT® Support team is excited to remind you that the 2018 Global TapRooT® Summit is right around the corner with the Pre-Summit classes starting 2/26 and the Summit starting a couple days later on the 2/28. The Summit is a great way to improve your Root Cause Analysis skills, network with fellow TapRooT® users, and see how others use TapRooT® to help reduce the number of incidents at their company. We will have a table out in the Cumberland Concourse and we’d love for you to stop by and say hi!

You can register for the 2018 Global TapRooT® Summit and Pre-Summit here

Frequently Asked Questions Page of the 2018 Global TapRooT® Summit Web Site

February 14th, 2018 by

What are some of the most frequently asked questions about the Global TapRooT® Summit? See the FAQ page by clicking below.

Screen Shot 2018 01 15 at 4 43 28 PM

Support your Investigation Results with Solid Evidence Collection

February 13th, 2018 by

We have a couple of seats left in the “TapRooT® Evidence Collection and Interviewing Techniques to Sharpen Investigation Skills” 2-day Pre-Summit course, February 26-27 in Knoxville, Tennessee. My co-instructor, Reb Brickey and I are excited to share methods of collection that will help you stop assumptions in their tracks!

Evidence collection techniques help investigators focus on the facts of an investigation. We will talk about pre-planning, different types of evidence to keep in mind as well as spend a good part of the second day learning about and practicing interviewing techniques. The course begins with an interesting case study and attendees break into investigation teams and work toward solving the evidence collection puzzle for the accident presented.

Class size is limited to ensure an ideal learning environment, so register now for the 2-day course only or for the 2-day course plus the 3-day Global TapRooT® Summit.

 

2018 Global TapRooT® Summit: The Secret Ninth Track

February 13th, 2018 by

When you are choosing your track from the 8 learning tracks on the 2018 Global TapRooT® Summit schedule, you will notice that the very first option is “Alternative Sessions.”

Sometimes people wonder, “Is that the secret ninth track?”

Well… it could be.

Alternative sessions are best practice sessions that we think will appeal to our Summit attendees as a whole. So, you could sign up for the track as a whole. However, most people register for one of the eight tracks listed below it and then choose to switch a session or two with a session presented in Alternative Sessions. For example, if you registered for the Software Track but recently attended our TapRooT® VI Software Webinar (you clever Superuser you!), you may decide to spend your time in the Alternative Session “Making Sense of Complex Investigations” instead.

Alternative Sessions are options so you can fully customize your Summit track to be exactly what you want it to be. And who doesn’t love choices?

Do you have a question about customizing your Summit schedule so it’s a perfect fit? Give is a call at 865-539-2139 or send an email to info@taproot.com.

LEARN MORE about the 2018 Global TapRooT® Summit.

Career-Changing Learning Tracks at the 2018 Global TapRooT® Summit

February 12th, 2018 by

The deadline to register is approaching!

Did you know we have 8 Learning Tracks at the 2018 Global TapRooT® Summit?

It’s not too late to register. View our short, informative videos and posts below and register for our February 26 event!

Asset Optimization

Human Factors

Investigator

Patient Safety

Quality

Safety

Software

Instructor Certification

The 2018 Global TapRooT® Summit will be held February 26 to March 2 in Knoxville, Tennessee.

Learn more.

Register today!

2018 Global TapRooT® Summit Patient Safety Track

February 12th, 2018 by

The Patient Safety Track is for healthcare professionals and those interested in healthcare. Michele Lindsay shares about what you can expect when you register for this informative track.

Register for the Patient Safety Track.

Learn more about the Summit.

Carl Dixon returns to the 2018 Global TapRooT® Summit!

February 9th, 2018 by

Carl Dixon, who sang and played with Coney Hatch, April Wine, and The Guess Who, is back at the 2018 Global TapRooT® Summit as the entertainment for our reception. Don’t miss the great music and good times!

Here’s a video from back in the day – Carl and Coney Hatch …

and April Wine …

And here is Carl in 2010 with the Guess Who …

And finally CARL SINGING “No Sugar” with The Guess Who in 2016 …

You’re Invited to Our 30th Anniversary Party!

February 9th, 2018 by

2018 marks an extremely special year for System Improvements Inc., it’s the year we turn 30. So come join us at the Knoxville Summit and help us celebrate three decades of saving lives!

The celebration will start Wednesday March 1 after the 4:00 pm session, and it will be located right outside the main session hall in the Cumberland Concourse. There will be appetizers, drinks, and Carl Dixon will be there for live entertainment.

Don’t forget to bring your tickets! Blue tickets will be distributed for a prize drawing, and you will receive orange tickets for two free drinks. So get ready to eat, drink, and be merry!

To learn more about the Summit click here or email me at roberts@taproot.com. Looking forward to seeing everyone soon.

Audit Prep: A Deeper Look at the Definition of a Significant Issue.

February 1st, 2018 by

Here is Dave Janney taking a deeper look into the definition of a significant issue when preparing for an audit.

Carl Dixon at the 2018 Global TapRooT® Summit Reception

February 1st, 2018 by

You’ve heard rock star Carl Dixon talk at previous Summits about his comeback from a near-fatal car crash. Don’t miss him playing at the 2018 Global TapRooT® Summit!

Don’t forget to use the hashtag… #taprootsummit

January 31st, 2018 by

 

The question has been asked and the answer is “yes” – we will be using a conference hashtag again this year (#taprootsummit) .. so if you are a tweeter (or a would be tweeter) please remember to use the conference hashtag in your tweets. It’s a lot of fun!

Are you registered for the 2018 Global TapRooT® Summit February 26 to March 2, Knoxville, Tennessee? We’d love to hear some tweets in February about what you’re looking forward to doing after you arrive in Knoxville!

  • Ever had free time after a conference day but needed to know some of the best places to eat in an unfamiliar place? Tweet out your question to #taprootsummit after hours!
  • Ever forgot when a registration desk was open or where to even register? Tweet out your question to #taprootsummit after you arrive!
  • Ever wondered if you could start networking with some of the attendees or make a friend before you even arrived? Tweet out to #taprootsummit that you’re attending!

These are just a few fun ideas. During the last conference our attendees had a blast communicating on Twitter and sharing images of the event.

Have questions? Tweet them out! Don’t forget the hashtag… #taprootsummit !

Where Do You Get Ideas To Improve Root Cause Analysis?

January 31st, 2018 by

When I was assigned the job of figuring out how to improve investigations and root cause analysis … I knew that we were NOT finding the causes of human errors. But where would I get ideas to help make things better? The year was 1985 and there wasn’t an easy place to start …

  • no internet
  • no e-mails with upcoming courses
  • no conferences on the topic (maybe one talk at a nuclear industry conference’s breakout session)

I knew that the Institute for Nuclear Power Operations was working on a system because they had tried to hire me to help create it.

So what did I do?

  • Started looking at the human factors research.
  • Networked with the folks I knew at our corporate headquarters, INPO, the University of Illinois, INEL, EPRI, and several utilities where I knew people.
  • Started trying to create a list of causes that encompassed the human factors research that I was familiar with.

This lead to a beginning system to find root causes that, eventually, led to the development of TapRooT® Root Cause Analysis System.

It was a long road with many lessons learned.

In 1988, we started System Improvements to help people improve their root cause analysis systems. In 1990, we won a contract to help the US Nuclear Regulator Commission improve their analysis of human errors. In 1991 we started working with our first oil and chemical company (Chevron) to improve their root cause analysis as part of their efforts to improve process safety. From there our growth into all types of industries with incidents – incidents that need fixes to prevent recurrence based on the real root causes – has been … pretty dramatic.

In 1994 we held the first TapRooT® Summit (not named the Summit until sometime later). It had great speakers and 35 attendees. I cooked steaks for everyone as our closing session.

Mark Ed 2

 1996 Summit Keynote Speaker with Mark Paradies (left)

Why did we decide to have a summit to focus on root cause analysis and performance improvement? Because I thought that our clients needed it. They needed:

  • a place to learn the latest ways to improve human performance.
  • to network and share best practices they were testing and perfecting.
  • to hear about what we were doing to improve the TapRooT® System.
  • motivation to keep them at the “performance improvement grindstone.”

L M Astronaut

Linda Under and Mark Paradies with 1997 Astronaut Keynote Speaker

Little did I know that this first conference would turn into an annual event that had hundreds of attendees who are some of the smartest people improving industrial safety, quality, patient safety, process safety, asset optimization, and operational excellence from around the world.

Linda1988

Linda Unger with Summit attendee from South Korea in 1998

I would never have guessed that I would draw people from Australia, Indonesia, Malaysia, UK, Saudi Arabia, Tanzania, New Zealand, Colombia, Brazil, Canada, Mexico, South Africa, Russia, Denmark, France, and many other countries (even the USA!) to hear what we thought others needed to learn to make their performance great.

Bestpractice

People sharing best practices at the 2016 Global TapRooT® Summit

But it happened. And now, if someone asks:

“Where Do You Get Ideas To Improve Root Cause Analysis?”

The answer is … The Global TapRooT® Summit.

The next Summit is rapidly approaching. Where is it? It is being held in Knoxville, Tennessee, (our hometown) on February 26 – March 2.

Want to find out more about the 10 pre-Summit courses being held on February 26-27? CLICK HERE.

Want to find out more about the blockbuster talks being delivered by the Keynote Speakers? CLICK HERE.

Want to see a list of the Best Practice Presenters? CLICK HERE.

Want to see the schedules for all nine Summit Tracks? CLICK HERE.

But don’t spend too much time clicking. You need to REGISTER ASAP and get your hotel and travel plans finalized because you need to attend this Summit.

Watch this video to see what past Summit attendees have to say…

Connect with Us

Filter News

Search News

Authors

Angie ComerAngie Comer

Software

Anne RobertsAnne Roberts

Marketing

Barb CarrBarb Carr

Editorial Director

Chris ValleeChris Vallee

Human Factors

Dan VerlindeDan Verlinde

VP, Software

Dave JanneyDave Janney

Safety & Quality

Garrett BoydGarrett Boyd

Technical Support

Ken ReedKen Reed

VP, Equifactor®

Linda UngerLinda Unger

Co-Founder

Mark ParadiesMark Paradies

Creator of TapRooT®

Michelle WishounMichelle Wishoun

Licensing Paralegal

Per OhstromPer Ohstrom

VP, Sales

Shaun BakerShaun Baker

Technical Support

Steve RaycraftSteve Raycraft

Technical Support

Wayne BrownWayne Brown

Technical Support

Success Stories

Investigation Detects Lack of Experience in Experienced Personnel And Leads To Job Simulation To Improve Performance Submitted by: Errol De Freitas Rojas, SHE Coordinator Company: ExxonMobil, Caracus, Venezuela Challenge We investigated a Marine incident where an anchor cable picked up tension during maneuvers and caused a job to be stopped. We needed to find the …

Saving Time, Resources & Effort using TapRooT® Sofware Submitted by: Shelley Hassen, HSE Assurance & Compliance Manager Company: WILLBROS Canada Challenge Our company was utilizing the Web Based version of the TapRooT® Software globally to perform and record all RCAs but our work is very project-based and often in remote locations with internet connectivity issues. …

Contact Us