March 3, 2008 | Mark Paradies

Monday Accident & Lessons Learned: Attend the Investigation & Root Cause Analysis Track at the TapRooT® Summit!

Interested in learning lessons about accidents, accident investigation, and root cause analysis? Then attend the TapRooT® Summit in Las Vegas on June 25-27!

There are some great sessions in the Investigation & Root Cause Analysis Best Practices Track, including:

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Root Cause Analysis of Major Accidents – This session will have three presentations about investigations. The first presentation (Lexington Airport Runway Mixup) shows how TapRooT® can be applied to publicly available information to analyze a real aviation accident’s root causes. The second (Cameco Cigar Lake Mine Flood) presents the investigation of an accident that was investigated using TapRooT®. The third (investigating Fatalities) shares experiences of an investigator from Cal OSHA.

Investigations Learned from the Field – Three experienced investigators (Ken Turnbull, Brian Locker, and Barry Baumgardner) will share lessons that they have learned over their extensive experience investigating accidents and incident.

FACTS – Computerized Analysis of Fatigue as the Cause of an Incident – Bill Sirois, VP & COO of Circadian Technologies, will share the results of research they have performed that has helped them build a tool for accident analysis of fatigue as a cause of an accident.

What’s New in Investigations and Corrective Actions – This session has three talks that share information of interest to investigators. First, Brian Locker will share the latest methods for defining Causal Factors that was developed as part of the 2008 TapRooT® Book. Next, Kay Gallogly will share the progress being made by an IEEE committee that is developing a root cause analysis standard for the nuclear power industry. Third, Bryce Donaldson will show some advanced multimedia techniques for sharing lessons learned after an investigation.

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Root Cause Analysis of the Accident at Three Mile Island – This interactive session will provide an opportunity for investigators to use their investigative skills to analyze the root causes of the accident at Three Mile Island. The session will be facilitated by one of the operators present at the time of the accident.

That’s just a sample of the sessions in the Investigation & Root Cause Analysis Best Practices Track. For the complete schedule, click on the track title at:

Beyond the Best Practice Tracks at the Summit, there are also three Keynote Speakers that should be of special interest to those looking to learn lessons from accidents.

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First, Gulf War veteran Lt Col Ralph Hayles will speak about the aftermath of a friendly fire accident at the start of the first Gulf War. His story will show how an investigation focussed on blame can harm those it is meant to help.

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Second, the Chief Inspector of the UK Rail Accident Investigation Branch, Carolyn Griffiths, will share the lessons she has learned from starting a new, independent investigation organization.

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Third, Ed Frederick, Board Operator during the accident at Three Mile Island, will share his account of the accident and the post accident investigation.

These are three great speakers that will enlighten and motivate accident investigators.

Beyond the great speakers and sessions, perhaps the most valuable activity at the Summit is NETWORKING with other from leading organizations from around the world. How do I know that? Watch this video of what past Summit attendees have to say:

And watch this link to Summit attendees discussing the BEST PRACTICES they learned.

So if you are interested in accident investigation and root cause analysis, don’t miss this Summit!

To register and for more information, see:

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