2-Day Pre-Summit Courses, june 14 – 15, 2021


TapRooT® Root Cause Analysis Training

The 2-Day TapRooT® Root Cause Analysis Course focuses on the essential TapRooT® techniques needed to investigate a precursor incident. The 5-Step investigation process simplifies TapRooT® to make the investigation efficient yet effective. The training focuses on understanding what happened, identifying Causal Factors, analyzing the Causal Factors using the Root Cause Tree®, and developing effective fixes using the Corrective Action Helper® Module.

Attendees should bring safety incidents or quality issues from their facility for a team exercise. These may be either written reports or they may have knowledge of an incident with no written report. We divide into teams of 2-4 people and have each team analyze a different problem during the course.

Day 1 (8:00am to 5:00pm)Day 2 (8:00am to 5:00pm)
  • Class Introductions and TapRooT® Introduction
  • TapRooT® System Overview – What you will be learning
  • SnapCharT® Basics – Gathering Information
  • SnapCharT® Exercise – Practice
  • Causal Factors – Identifying the Error
  • Root Cause Tree® – Eliminating Blame
  • Root Cause Tree® Exercise – On Your Own
  • Corrective Actions – Developing Fixes
  • Software Overview – Practicing the Techniques
  • Generic Causes – Optional Technique
  • Causal Factors – Additional Practice
  • Reporting – Management Presentation
  • Frequently Asked Questions
  • Final Exercise – Putting What You’ve Learned to Work

Course materials we provide:

  • TapRooT® Essentials Book
  • Laminated TapRooT® Root Cause Tree®
  • TapRooT® Root Cause Tree® Dictionary
  • Course Workbook
  • Corrective Action Helper® Guide

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for this course *and* the Global TapRooT® Summit.

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Equifactor® Equipment Troubleshooting and Root Cause Analysis

Do you need to efficiently and effectively find the root causes of equipment failures to improve your facility’s equipment reliability? Imagine the downtime prevented and money saved NOT having repeat equipment failures. If this sounds interesting (and worthwhile), then this completely revised course is for you.

The Equifactor® Techniques are based on the work of noted equipment reliability expert Heinz Bloch.

In two days, you will learn how to use Equifactor® to troubleshoot equipment issues and find out what is leading to failures. Then you will learn to use the TapRooT® System to organize the information you collect, identify the Causal Factors of the failure, and find the fixable root causes of the failure. Finally, you will learn to develop effective fixes to stop future equipment failures.

The tools you will learn include:

  • Equifactor® Troubleshooting Tables – a systematic guide to troubleshooting common equipment problems.
  • SnapCharT® Diagram – visualize and organize the information you collect to make what happened understandable.
  • Root Cause Tree® Diagram and Dictionary – find the real, fixable root causes of human performance and equipment issues.
  • Corrective Action Helper® Module – provides suggested corrective actions to help you develop effective fixes.
  • Safeguard Analysis – helps define Causal Factors and develop effective corrective actions.
  • Change Analysis – collect and understand information about problems caused by changes or differences in system, equipment, or people.

The tools can be used by maintenance personnel, equipment reliability specialists, maintenance managers, or investigators who don’t have an extensive understanding of equipment engineering.

In addition, the Equifactor® Techniques can be used to develop proactive equipment performance improvement initiatives and equipment troubleshooting procedures.

Course Outline

Day One

  • Introductions
  • Understanding What Happened – SnapCharT® Basics
  • SnapCharT® Exercise
  • Collecting Information
  • Failure Modes and Failure Agents
  • Equifactor® Troubleshooting Tables
  • Human Errors
  • Process Troubleshooting
  • Example: Troubleshooting a Seawater Pump

Day Two

  • TapRooT®/Equifactor® Software Introduction
  • Identifying Causal Factors
  • Introduction to the Root Cause Tree®
  • Exercise: Walking Through the Root Cause Tree®
  • Exercise: Teams Find Root Causes Using the Root Cause Tree®
  • Change Analysis
  • Change Analysis Exercise
  • Final Exercise: Solving a Major Equipment Issue

The course materials include the book, Using Equifactor® Troubleshooting Tools and TapRooT® Root Cause Analysis to Improve Equipment Reliability, a TapRooT® Root Cause Tree®, the Root Cause Tree® Dictionary, and the Corrective Action Helper® Guide, a $129 value. The book includes a complete set of Heinz Bloch’s troubleshooting tables.

Upon completion of the course, attendees will receive a certificate of completion and a 90-day subscription to TapRooT® VI Software, our dynamic cloud-based software that computerizes the Equifactor® and TapRooT® Techniques.

REGISTER for this course *and* the Global TapRooT® Summit.

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TapRooT® Analyzing and Fixing Safety Culture Issues

Safety culture has become an industry buzzword. But what does it really mean and how does it relate to your TapRooT® Root Cause Analysis results?

Brian Tink will teach you how to use a proven technique to access your safety culture and relate it to the root causes you identify using TapRooT®.

This course includes:

  • A clear definition of safety culture.
  • An overview of various safety culture models.
  • An organizational culture survey from Human Synergistics International designed to identify your current culture.
  • Why it is good business to improve the safety culture.
  • The relationship between incidents and safety culture.
  • The importance of strong safety leadership. What some organizations are doing to strengthen their safety culture.
  • What “puzzle pieces” you need to put in place to improve your safety culture.

So, if you want to understand safety culture and improve the safety culture at your company, this is a great course to attend.

REGISTER for this course *and* the Global TapRooT® Summit.

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Risk Management – Best Practices & ROBT Risk & Opportunity Based Thinking

In all your HSEQ risk domains and management Systems – are you frustrated that the outcomes of your current risk assessments performed in your organization lack consistency, confidence, reliability, and accuracy?

Do you & your facilitators and participants of the risk assessments have the knowledge & skills to use the most effective RA methods and tools?

Risk & Opportunity Based Thinking ROBT & Risk Assessments RA are now recognized by new versions of ISO 31000 / ISO 45001 / ANSI Z10 / ISO 14001 / ISO 9001 / ANSI Z590.3 as definitely needed in each and every risk-informed decision-making process.

ROBT and RA need to be applied in all aspects of your business without being confused and undermined by subjective beliefs, biases and risk perceptions.

The course has been continually improved. It still covers the core Best Practices that have made facilitation and participation in risk assessments as accurate and reliable as possible. As well, a number of other recent improvements include:•

  • updates to the new Standards ANSI/ASSP/ISO 31000:2018 – RM Guidelines and IEC/ISO 31010:2019 Risk Assessment Techniques
  • an interactive WORD template that takes the user through the risk assessment process and when completed serves as a diligent entry to your Risk Register or Risk Dashboard;
  • new emphasis on Risk & Opportunity Conversations ROC Talk as part of important Communication & Consultation aspects of the RM process.
  • new neuroscience-based explanations of the variability of an individual’s risk perceptions and risk-taking; and
  • each participant receives a USB stick with over of approx. 2 Gb of course handouts, copies of all slides, useful reference materials, and sample PPTX files accumulated and developed by the presenter over the last 30+ years of HSE Risk Management consultancy & training.

The presenter is Australian Jim Whiting, an international risk management expert, and long-time TapRooT® Instructor. Jim was a contributory member of the committee that wrote the first international risk management standard ISO 31000:2009 Risk Management – Guidelines, which has now become the USA Standard – ANSI/ASSP/ISO 31000:2018 Risk Management – Guidelines and CAN/CSA/ISO 31000.

The course is facilitated in a participative workshop format. Jim brings his risk management and root cause analysis experience and best practices from around the world (Australia/New Zealand, North America, Asia, Africa, and Europe) to this course. If you are interested in advancing the quality of your risk assessments in ALL risk domains, but particularly HSEQ, then attend and profit from this course.

Course Outline

Day 1 (8:00am to 5:00pm)Day 2 (8:00am to 5:00pm)
  • Introductions
  • Overview of Risk Management RM
  • Risk & Opportunity Management – Purposes, Approaches, and Methods Strengths and Limitations – the basis for a new safety culture to move beyond traditional BBS principles and practices
  • ROBT Risk & Opportunity Based Thinking in ISO 9001, ISO 14001 & new ISO 45001 & ANSI Z10
  • How to establish/compare your RM System to conform/comply with Standards ANSI/ASSP/ISO 31000:2018 Z690.2 and CAN/CSA/ISO 31000
  • Better Risk Communication & Consultation with ROC Talk
  • Common Misuses of HSEQ Risk Language
  • Neuroscience-based explanations of the variability of risk perceptions & risk-taking
  • Risk Identification incl. construction and use of Risk Maps (compare to RCA Maps e.g. SnapCharts®)
  • Exercise in Risk Mapping
  • Risk Analysis – 3 levels of Risk Analysis -Qualitative / Semi-Quantitative / Full QRA
  • How to make sure that the Matrix Method really works for you
  • Full Quantitative Risk Analysis (QRA)
  • Quantitative Logic Trees and Bow-Ties
  • Discuss uses of methods of ANSI Z690.3 and IEC 31010: 2019
  • Exercises in Risk Analysis
  • Summary of Day 1 Topics
  • Revision of Previous Day 1 Topics
  • Matching the RM methods and tools to specific risk questions and situations
  • Risk Evaluation & Risk Owners
  • Risk tolerability criteria and frameworks at all levels personal / social / corporate / industry /national / international
  • How to demonstrate ALARP – As Low As Reasonably Practicable & SOFAIRP
  • Risk Treatment Plans – A contrast to Corrective Actions to Risk Controls – Measures of Effectiveness of Risk Controls
  • A new version of Hierarchy of Risk Controls – principles and applications – Optioneering
  • Risk Tolerability Treatment Options RTTO – principles and methods of choice
  • Exercises in Risk Evaluation and Risk Treatment / Control / Mitigation
  • Record / Monitor / Review
  • Risk Registers & Dashboards
  • Exercises with Attendees’ own examples
  • Tips for Facilitating a Risk Assessment
  • Successes and Traps in Setting up RM systems and RA processes to conform/comply with ANSI /ASSP/ISO 31000 Z690 & CAN/CSA/ISO 31000, ISO9001, ISO14001, ISO45001
  • Summary of the Whole Course
  • Optional Post Workshop Exercise emailed to facilitator/mentor/coach for individual assessment.

REGISTER for this course *and* the Global TapRooT® Summit.

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TapRooT® Software Implementation and Application

To get the most from your TapRooT® VI Software you need to learn how to:

  • Create your own Custom Tabs, fields, and pick lists.
  • Design and build your own reports.
  • Select Global preferences for your company, including Language options.
  • Select SnapCharT® preferences for yourself.
  • Use Optional investigation techniques.

Because the TapRooT® Software is constantly updated and this course brings you the latest information about the software, you could say this course is new every year!

Angie Comer, Software Project Manager, and Dan Verlinde, Vice President of Information Technology and Software Development will teach an in-depth look at the TapRooT®VI Software. Whether you are a System Administrator or a TapRooT® User, you will learn all the capabilities built into this amazing software. Don’t get just 10-20% of your software investment. Learn the full power of your TapRooT® Software!

Course Guarantee: Attend this course then use the knowledge that you’ve gained when you return to your facility. If you aren’t satisfied that the course helps you perform your job better and that the course will save you much more than the cost of the course fee, just return the books, course materials, and/or software and we will refund your entire course fee. It’s that simple. How can we offer such an iron-clad, risk-free guarantee? We know this course is so good that you won’t want to send your materials back! Please bring your laptop to this course (with wireless capabilities, if possible).

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for this course *and* the Global TapRooT® Summit.

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TapRooT® Evidence Collection and Interviewing Techniques to Sharpen Investigation Skills

Barb Carr will teach you the skills you need to gather the evidence that leads to a complete SnapCharT®.

There is so much to remember during evidence collection … and so much to lose if you are not prepared.

  • Ever have trouble completing a sequence of events on a SnapCharT® because you lacked pieces of information?
  • How can you remember what to collect?
  • What is an effective structure for conducting an investigation interview?
  • How do you help witnesses to an incident remember important facts with better accuracy during an investigative interview?
  • What is the best way to handle the challenges of preservation and contamination of evidence?

Course Agenda

Module 1: Class Introductions and Investigation Skills Inventory

Module 2: Preplanning for Evidence Collection

  • Write an Investigation Policy (a sample is provided)
  • Consult Legal Counsel
  • Prepare Investigation Kits
  • Prepare Investigation Forms (samples are provided)

Module 3: Evidence Collection and the TapRooT® Process

  • Where does evidence collection fit into the TapRooT® process?
  • SnapCharT® – the central repository for evidence collection

Module 4: Scene Management

  • Scene Management Priorities
  • Collect Fragile Evidence
  • Evidence Packing Guidelines

Module 5: Initial Site Visit

  • Where to Begin
  • What to Look for
  • Sketches, Photography, Videotaping
  • Document Equipment
  • Collect PPE
  • Collect Paper

Module 6: Use TapRooT® Tools to Collect Better Evidence

  • Human Performance Troubleshooting Guide
  • Collect Evidence with the Root Cause Tree® & Dictionary as guides
  • Questions to ask during a walk-through
  • Critical Human Action Profile (Task analysis)

Module 7: Effective Interviewing for Incident Investigation

  • Memory and Observation
  • The TapRooT® 12-Step Interviewing Process
  • DeCoding NonVerbal Behavior

Course materials include the book, TapRoot® Evidence Collection and Interviewing Techniques to Sharpen Investigation Skills, a $69.95 value.

Upon completion of the course, attendees will receive a certificate of completion and a 90-Day Subscription to TapRooT® VI, our dynamic online software that guides you through the TapRooT® process with ease and efficiency.

REGISTER for this course *and* the Global TapRooT® Summit.

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Stopping Human Error

  • Do you want to achieve excellent human performance?
  • Would you like to understand the methods you can apply to effectively stop major accidents and incidents by “stopping” human error?
  • Do you need to understand what are the most effective human performance improvement techniques and which ones are counterproductive (yes, some techniques really don’t work)?

If any of the above questions received a “Yes!” for an answer, you should attend this course.

Mark & Alex discuss Stopping Human Error

Mark Paradies, human factors expert and Board Certified Ergonomist (certificate #85) and Alex Paradies, experienced TapRooT® Instructor and Lean Transformation leader, will help you understand:

  • The causes of human error
  • Human factors design best practices
  • Methods to find error likely situations
  • CHAP
  • Human Performance improvement Technology
  • Designing your human performance improvement program.

Here is the course outline…

Course Outline

Day 1 (8:00am to 5:00pm)

  • Foundations of Improving Human Performance
  • Resilience and Safeguards
  • Using TapRooT® Root Cause Analysis for Reactive Problem Analysis
  • Using TapRooT® Human Performance Best Practices Proactively
    • Human Engineering
    • Procedures
    • Training
    • Communications
    • Management System
    • Work Direction
    • Quality Control
  • Stopping Normalization of Deviation
  • Pre-Job Hazard Analysis
  • Pre-Job Briefs
  • Personal Safety Assessment

Day 2 (8:00am to 5:00pm)

  • Applying Critical Human Action Profile Proactively
  • Human Performance Improvement Technology
    • Procedure Use/Adherence
    • Place Keeping
    • Independent Verification
    • Three-Way Communication
    • Pre-Job Brief
    • Personal Safety Assessment
    • Observation and Coaching
    • Post-Job Brief
    • Concurrent Verification
    • Questioning Attitude
    • Stop-Think-Act-Review
    • Time Out
    • Attention to Detail
    • Management of Change
    • Error Traps and Precursors
    • Validate Assumptions
    • Do Not Disturb Sign
    • Conservative Decision Making
  • Admiral Rickover and “Facing the Facts”
  • Which Tools Will Work Best for You?
  • Sample Plan/Suggested Plan
  • Customizing Your Plan
  • Present Your Plan, Benchmarking, and Feedback

You will leave this course with a clear understanding of methods to improve human performance and a plan to apply those methods at your company to achieve great gains in safety, quality, or operational and maintenance performance (all of which depend on human performance).

Participants will also receive the new book, Stopping Human Error, a $99.95 value, as part of the course materials. in addition, participants will receive a certificate of completion and a 90-day subscription to TapRooT® VI Software, our dynamic cloud-based software that computerizes the Equifactor® and TapRooT® Techniques.

REGISTER for this course *and* the Global TapRooT® Summit.

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Best Practices in Mistake Proofing & Corrective Action Writing

Kevin McManus, Chief Excellence Officer for Great Systems!, experience TapRooT® Instructor, and member of the Malcolm Baldrige Performance Excellence Award Judge’s Panel can help you learn how to mistake-proof performance and write more effective corrective actions. Kevin has taught more than 400 TapRooT® Courses as an international contract trainer. During his almost forty years in the business world, Kevin has served as an Industrial Engineer, Training Manager, Production Manager, Plant Manager, and Director of Quality. He holds an undergraduate degree in Industrial Engineering and an MBA.

Kevin McManus Teaching

Why attend this course? Ask these questions:

  • How effective are the safeguards and countermeasures you use to minimize errors and risk potential each day?
  • How often do the corrective actions you put in place fail to keep problems from coming back, again and again?
  • Would you like to learn techniques for measuring and improving Safeguard and barrier effectiveness?

If you are looking to reduce the potential for daily process errors, and in turn, risk potential, this workshop is for you. If you have attended the TapRooT® 2-Day or 5-Day course, the workshop concepts and tools will help you write more effective corrective actions to address the root causes that you have identified. The workshop content and exercises will also help you leverage the power of those ‘Needs Improvement’ (NI) root causes that you might have selected.

This workshop also explores the common types of work process and tool design flaws that contribute to human error, including fixes that fail. From a reactive improvement perspective, it gives you a coach and a practice field for learning to write more effective and sustainable corrective and preventive actions. If you want to proactively reduce the potential for errors and failures, this workshop gives you many best practices and assessment tools that can be used to improve safeguard effectiveness and ‘mistake-proof’ your workplace.

All two-day course participants will receive a 180-page, full color, course workbook and a copy of the facilitator’s book, “Error Proof – How to Stop Daily Goofs for Good.”

In this workshop, you will learn how to:

  • Use best practice approaches for mistake-proofing job tasks of any type
  • Proactively identify and analyze error and risk potential in a systematic manner
  • Better utilize the 32 TapRooT® NI root causes through benchmarking and best practice exploration
  • Assess the relative strength of different corrective action and safeguard options
  • Write effective corrective and preventive actions that add value, reduce risk potential, and can be sustained over time
  • Capture and use process-level error rates as leading indicators of potential risk levels and corrective action effectiveness

REGISTER for this course *and* the Global TapRooT® Summit.

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