TapRooT® Friends & Experts e-Newsletter
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 North American Edition
June 15, 2010
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In This Issue
Investigations and Accidents/Lessons Learned
Quality Manufacturing: Is "Warn" The Right Word of the Day?
Career Development: Got Business Cards?
Wisdom Quote
2010 Summit News
TapRooT® Around the World
Special 2-Day Courses! Summit Discounts! Wow!
Upcoming Equifactor® Course in Dallas!
Register for a TapRooT® Course
J.O.K.E. of the Week
Editor's Note: I Left My Heart in San Francisco ...
Connect With Us ...
View our profile on LinkedIn

Find us on Facebook

Follow us on Twitter

TapRooT® Root Cause Analysis Users and Friend Group (On LinkedIn)

Join Our Mailing List!
President's Question
mark1Have you noticed how many major accidents there have been lately?

Perhaps it's time we did something different to prevent them ...

I published this idea several weeks ago on the Root Cause Analysis Blog:

Consider Oil Company's Environment and Safety Record When Leasing Drilling Rights


What do you think? Leave your comments by clicking on the posting link above.

Best regards,


Mark Paradies
System Improvements, Inc.

Investigations and Accidents/Lessons Learned
MSNBC Investigates Scandal of BP Deepwater Horizon Incident - Corporate Homicide?  (View video.)

Reuters Reports Mistake Made Reading Test Results Causes Blowout of BP Oilwell:  (Read report.)

CNN Reports: BP Suspends 'Top Kill' Effort:  (View video.)

Cockpit Fire - Equipment Failure Root Cause:  A cockpit fire that forced a United Airlines flight to make an emergency landing was located in a piece of window-heating equipment that was the subject of a safety warning three years ago (Read more).

Either You Are Leading the Solution or You Are Part of the Problem:  These lessons are not just for people in the petroleum industry. They apply to all industries where a major accident could cause loss of life and damage to the company's reputation (Join ongoing discussion).

UK Rail Accident Investigation Branch Investigates Derailment of Runaway Wagons at Ashburys, Manchester, on 4 May 2010:  (View article.)

Mother Dies at UK NHS Hopital After Injection of Wrong Drug:  The story said that the mother had died needlessly (Read more).

thumbsupYour opinion counts! Leave your comments to the articles above on our weblog, and when you find that one is particularly helpful, press the "thumbs up" icon so we have a better idea of what information is relevant to you for future e-Newsletters.  Questions?  Contact the Editor at editor@taproot.com.
Quality Manufacturing: Is "Warn" the Right Word of the Day?
by Chris Vallee
I read this article in ASQ Quality News Today: "Toyota's Safety Blitz May Delay Product Plan." Read this excerpt and then think about it for a minute:  Some analysts warn that product development will slow as Toyota takes more time to review its quality and safety processes, and diverts resources to those areas.

Is "warn" the right word of the day?  In TapRooT® Root Cause Analysis Training we teach problem facilitators not to be judgmental when writing down facts ... it is best to keep a root cause analysis objective and nonemotional. Of course, most of us are all human so what did you feel or infer when you heard the word "warn"?

My thoughts? Isn't the rapid pace of new products tied to the current massive recalls? "Warn" sounds like there is worry that new products in the pipeline may now have to be delayed which $$$ people feel may be bad for future return on investment based on expected delivery dates.

Now the good news is the great response to the quote above from project general manager for vehicle safety Seigo Kuzumaki. He stated that shifting resources to safety was the right compromise at the right time. "Toyota needs to move faster to respond to customer needs," he said.

What do you think?  (Comment to this article here.)

Chris Vallee.2Chris Vallee is a Senior Associate at System Improvements.  He invites you to join in the discussion on TapRooT® Root Cause Analysis Users and Friends Group on LinkedIn.  This article is part of a new weekly series on Quality Manufacturing. 
Career Development:  Got Business Cards?
by Barb Phillips
HandshakeIs your desk a mess with business cards?  Are you always looking for that one business card from the contact you met last week, last month, last year?  The one that could really help you out right now ... if only you had his contact information?

And if you do find it, will he remember you?

A free LinkedIn profile can serve as your electronic Rolodex and keep you in touch with those connections you don't want to lose.  It's so easy!  In fact, when I taught "Combine a Super Resume with A Social Media Network" at the 2009 TapRooT® Summit, I advised attendees to take all of those business cards they collected at the Summit and wanted to save, use the info to connect to all of those people on LinkedIn -- then throw those cards away.  Get organized, keep your important connections and clean your desk too!

Connecting on LinkedIn is as simple as sending the person you met a message through your LinkedIn account that says, "It was great meeting you at the Summit last week.  I'd like to connect with you on LinkedIn."  It is good LinkedIn etiquette to mention where you met a person in your connection request to jog his or her memory -- especially if you don't have time to enter your business cards for a few weeks.  (You don't want to be reported as a spammer.) 

Through LinkedIn connections you can keep in touch with interesting people you meet over the years, and learn about their promotions, change of companies, and what they are up to without ever sending them an e-mail or calling them.  You sure don't get this ongoing business connection when you place a business card in your card file ... when people change companies or retire after you meet them, it's hard to track them down with just a company business card.

Are you on LinkedIn?  If not, you are missing a valuable opportunity!  Don't ever scratch your head and wonder "what ever happened to ..." again.  System Improvements' President, Mark Paradies, has over 1,000 connections.  LEARN MORE about LinkedIn on the Root Cause Analysis Blog (Read more).

Employment Opportunities

A root cause analysis course is a small investment of time that can pay off in a big way.  View opportunities for applicants with root cause analysis skills:

Santa Clara, CA - Medical Device Industry - Quality Engineer - Needs Root Cause Analysis Skills (View opening).

Orlando, FL - Mechanical Engineer - Needs Root Cause Analysis Skills (View opening).

And check out these employment opportunities on the root cause analysis blog (View openings).

Thinking about registering for a course to add to your personal resume?  Our worldwide calendar of public courses can be found at:  http://www.taproot.com/courses.php

BarbBarb Phillips is the Editor of the TapRooT® Friends & Experts e-Newsletter.  She will be teaming up with Brad Towe, President of Towe & Associates, and System Improvements' Senior Associate Dave Janney again at the 2010 TapRooT® Summit.  Join them by choosing "Self Improvement for Your Future" scheduled for Wednesday, October 27 at 10:30 a.m. when you select your Summit schedule!
Wisdom Quote

"The factory of the future will have only two employees - a man and a dog.  The man will be there to feed the dog.  The dog will be there to keep the man from touching the equipment."
~ Warren Bennis

2010 TapRooT® Summit News
Tie StringDates to Remember

TapRooT® Summit:  October 27-29, 2010
Special 2-Day PreSummit Courses:  October 25-26, 2010
Live Music/Costume Party:  October 27, 2010
TapRooT® 7th Annual Scramble Charity Golf Tournament:  October 29, 2010

The Summit Hotel and Host City are:
The Westin Riverwalk, San Antonio, Texas
Learn more:  http://www.taproot.com/summit.php

What do our attendees say?  (View video.)



Have you noticed that on the Summit Schedule Page we have a track called "Special Topics"?  This is "technically" not a track, but options -- and we know you love options to your schedule.  As always, you can pick a track, and if there is a best practice session within that track that you are not interested in attending, you have the ability to modify that session by clicking the "modify" button and changing to a different session on another track, but this year we are adding even more topics that are not part of any particular track, they are just Special Topics to give you more choices for a customized schedule to fit your needs.  Here are the Special Topics:

Medical TapRooT® Instructor Update
Prioritizing Improvements
Sustainable Development
What Does Management Need to Know About Root Cause Analysis (Discussion Session)
Asset Management Problems and Solutions
Solving Equipment Reliability Problems
PowerPoint Tips & Tricks
Know the Law When Dealing with MSHA After a Serious Accident

If you have questions about modifying your Summit track schedule, or choosing a special topic, call us at 865.539.2139 or e-mail us at info@taproot.com.


Barb Phillips reports from the Summit host hotel, the Westin Riverwalk in San Antonio, Texas about the exciting line-up of keynote speakers planned for 2010! (View video.)

Register for the Summit online:  https://taproot.com/summit.php?t=register
TapRooT® Around the World

Chris Vallee and Dave Janney
at the ASQ World Conference on Quality and Improvement
St. Louis, Missouri (View more photos)


TapRooT® Root Cause Analysis Course in Bogotá, Colombia (View more photos)

Midland Texas

On-Site 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course
Midland, Texas
Special 2-Day Courses!  Summit Discounts!  Wow!
Don't miss out!  Most of these courses will only be offered once this year!

October 25 and 26, 2010 mark the dates for our special 2-Day Courses!  This year these exclusive courses taught by our global instructors will be held in San Antonio, Texas.  Schedule for the TapRooT® Summit immediately following a special 2-day course, and save $200 on your registration (Multi-attendee discounts:  3 or more people who register for a special 2-Day Course together save $100 each.  3 or more people who register for the Summit and Special 2-Day Course together save $400 each)!

Choose from this list of Special 2-day Pre-Summit Courses:

A Police Enquiry into a Death in the Work Place - Corporate Responsibility

Improving Your Organization's Safety Culture

2-Day TapRooT® Incident Investigation & Root Cause Analysis Course

(Spanish) 2-Day TapRooT® Incident Investigation & Root Cause Analysis Course 

Special 2-Day Equifactor Equipment Troubleshooting and Root Cause Analysis Course

Advanced Trending Techniques

Advanced TapRooT® Techniques

How to Interview & Gather Evidence

Stopping Human Error

Risk Analysis and Management Best Practices

Hazard Recognition Best Practices

Getting the Most from Your TapRooT® Software

LEARN MORE on our course page:  http://www.taproot.com/courses.php

Limited space is available! 

Upcoming Equifactor® Course in Dallas!
Learn Equifactor® Equipment Troubleshooting Technique for root cause failure analysis of equipment problems in Dallas, Texas. 

We have a 1-Day Equifactor® Troubleshooting course scheduled in Dallas, Texas on August 13, 2010.  This course immediately 2-Day TapRooT® Incident Investigation and Root Cause Analysis course on August 11-12.  (The 2-Day Root Cause Analysis Course is a prerequisite for the Equifactor® Course.)

Only four more chances in 2010 to register for Equifactor®:  Dallas, New Orleans, Las Vegas, and Calgary!  (View dates on our website.)

Contact info@taproot.com for more information, or visit our course page: 

Register for a TapRooT® Course

2-Day TapRooT® Incident Investigation and Root Cause Analysis Course
(View Course Description.)

Edmonton, Canada - June 22-23

Hartford, Connecticut - June 24-25

Calgary, Canada - July 13-14 (Add 1-Day Equifactor® Equipment Troubleshooting Course!)

San Francisco, California - July 19-20 (LEARN MORE in Editor's Note below!)  (Add Equifactor®!)

St. Louis, Missouri - August 4-5

Dallas, Texas - August 11-12 (Add 1-Day Equifactor® Equipment Troubleshooting Course!)

Albuquerque, New Mexico - September 16-17

Boston, Massachusetts - September 21-22

Vancouver, Canada - September 23-24

Edmonton, Canada - October 13-14

Chicago, Illinois - October 14-15

Nashville, Tennessee - October 20-21

San Antonio, Texas - October 25-26

5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training (View Course Description)

Gatlinburg, Tennessee - July 26-30

Seattle, Washington - July 26-30

Calgary, Canada - September 13-17

Las Vegas, Nevada - September 27 - October 1

Philadelphia, Pennsylvania - October 11-15

Portland, Oregon - October 18-22

Special 2-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Failure Analysis (View Course Description)

San Antonio, Texas - October 25-26

3-Day TapRooT®/Equifactor® Equipment Troubleshooting and Root Cause Failure
Analysis (View Course Description)
Calgary, Canada - July 13-15

San Francisco, California - July 19-21

Dallas, Texas - August 11-13

1-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Failure Analysis (For previous 2-day/5-day course attendees (View Course Description)

Calgary, Canada - July 15

San Francisco, California - July 21 (Learn more in the Editor's Note below!)

Dallas, Texas - August 13

View our worldwide calendar of courses at:


J.O.K.E. of the Week
Editor's Note:  I Left my Heart in San Francisco ...
Dear Readers,

We have a 2-day root cause analysis course in San Francisco, California July 19-20, 2010 as well as an equipment troubleshooting course on July 21 (there is a 2-day root cause analysis course prerequisite to register for the equipment troubleshooting course).

What's there not to like about San Francisco? 

Golden GageThe Golden Gate Bridge:  The photos in this note were taken during my one day excursion in San Francisco last April.  Believe me, with a little planning you can do a lot in one day! If you've never crossed the Golden Gate Bridge, I can tell you it's worth renting a car and traveling across!  Besides, it's the way to Muir Woods and Wine Country!

Muir Woods:  Want to see giant Sequoia trees in one of the most well loved nature sanctuaries in California?  Visit Muir Woods!

California vineyardWine Country:  I really enjoyed visiting the Dry Creek General Store on the way to the vineyards.  Established in 1881, it is the perfect spot to grab a fresh sandwich or have a beer at the bar. 

Chinatown:  Visit the largest Chinatown outside of Asia and the oldest in North America! 

Fisherman's Wharf: Close to Alcatraz and the Golden Gate Bridge, attractions on the Wharf include the sea lions who hang out there, Ripley's Believe It Or Not, a The Wax Museum, Aquarium of the Bay, Theatre 39 and more!

Alcatraz Island:  Learn the fascinating history of the federal penitentiary that operated here from 1934 to 1963.

It's a great opportunity to arrive the weekend before and get a little summer fun in before the course.  I wish I was going to this course!

Register for the San Francisco course:

2-Day TapRooT® Incident Investigation and Root Cause Analysis (July 19-20)

3-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Failure Analysis (July 19-21)

1-Day TapRooT®/Equifactor® Equipment Troubleshooting & Root Cause Failure Analysis (July 21 - NOTE:  the 2-day course is a prerequisite to this course.)

Best regards,

Barb Phillips

Barbara Phillips
Editor & HR Rep
System Improvements, Inc.
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