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TapRooTŪ Friends & Experts e-Newsletter
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International Edition
June 29, 2010
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President's Question
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 On June 14, I published a question about the BP Deepwater Horizon accident: How Long Must We Wait To Learn?I asked: "Do we need to wait for the completion of the Presidential Commission's investigation to learn from the BP Deepwater Horizon Accident?" Now, I've posted the answer: NO - WE DON'T NEED TO WAIT TO LEARN.This doesn't seem like a question ... does it? So please read the rest of what I had to say and then leave a note to tell me if you agree or disagree. Here's the link to what I wrote: http://www.taproot.com/wordpress/2010/06/25/lessons-about-safety-culture-from-the-bp-deepwater-horizon-accident-that-we-can-learn-now/ I look forward to reading your comments. Best regards and good luck keeping your organization accident free. President System Improvements, Inc. http://www.taproot.com |
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| Investigations, Accidents and Lessons Learned | How long does a disaster last? Bhopal 26 years later (Read more).
Tornado vs. Train Video: You might have seen this video in a previous posting ... but here it is again with a different thought (Read more).
Interesting Analysis of Regulatory Process in the Off-Shore Oil Industry ... What Do You Think? Do you think that lack of regulation contributed to the BP/Transocean Deepwater Horizon blowout? (Read more).
CSB News Release: CSB Releases New Hot Work Safety Video
Emphasizing Effective Hazard Evaluations and Gas Monitoring Procedures
around Storage Tanks (Read release.)
Stearman Bi-Plane Flips at DCA - June 8, 2010: (View video.)
JORDAN BARAB, Deputy Assistant Secretary For Occupational Safety and Health, Speaks at NPRA: "Learning From Industry Mistakes": (Read text of talk.)
CNN Reports on "Criminal" Conduct by BP in Story Titled: "Rig survivors: BP ordered shortcut on day of blast": (View videos.)
Great Letter to the Editor in the Wall Street Journal Lays Out Causal Factors Immediately Before the Well Blowout: (Read letter.)
 Your 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.
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Career Development
| 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 experience on the root cause analysis blog. Here are some recent postings: Georgia - Novartis - Reliability Engineer - Needs Root Cause Analysis Skills ( View opening). Oakland, California - Schnitzer Steel Industries -
Operations Analyst - Needs Continuous Improvement and Root Cause
Analysis Skills ( View opening). West Point, Pennsylvania - Merck - Senior Engineer
(Vaccine Process) - Need Troubleshooting and Root Cause Analysis Skills ( View opening). P.S. 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 |
| Wisdom Quote |
"Only those who do nothing make no mistakes." ~ Harry S. Truman
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2010 TapRooTŪ Summit News
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 Dates to RememberTapRooTŪ Summit: October 27-29, 2010Special 2-Day PreSummit Courses: October 25-26, 2010Live Music/Costume Party: October 27, 2010TapRooTŪ 7th Annual Scramble Charity Golf Tournament: October 29, 2010The Summit Hotel and Host City are:The Westin Riverwalk, San Antonio, TexasLearn more: http://www.taproot.com/summit.php Why We Chose San Antonio as the 2010 Summit Host City!The Westin Riverwalk hotel offers spacious meeting rooms, a well
laid-out facility that allows attendees to move around without
bottlenecks and delays, as well as covered terraces where attendees can
step out of the hotel to make a phone call or review notes while
enjoying a Riverwalk view. Comfortable guest rooms and the many
amenities including a pool, gym and spa make the Westin a wonderful
retreat for an extended weekend stay and for your family or a friend to
travel with you ... not to mention the many attractions that San Antonio
offers! View this video from our recent visit to San Antonio to learn
more! ( View video.)
Not sure which track to register for? Here is some information to help you with your decision -- but keep in mind each track is completely customizable, (i.e., you can replace any best practice session with a session from another track by simply clicking the "modify" button):
Behavior Change & Stopping Human ErrorRegister for this track if you are interested in learning these best practices: - Combining TapRooTŪ with INPO's Error Prevention Tools to Improve Human Performance
- Influencing without Authority
- Coaching Skills to Sustain Behavior Change
- Human Factors & Behavior Change Best Practices
- Measuring Fatigue Using FACT
- Using Mistake Proofing to Stop Human Error
- Lesson Learned About Human Factors & Generic Causes from Recent Airline Incidents
- Practice Fixing Human Performance & Behavior Problems: An Interactive Exercise Session
- Planning Your Improvements
Corrective Action ProgramRegister for this track if you are interested in learning these best practices: - Getting "Outside the Box" Corrective Actions
- Closing the Loop: Corrective Action Effectiveness Reviews
- Sticky Corrective Actions
- Using TapRooTŪ for Regulatory Safety Compliance
- Making Bad Corrective Actions SMARTER
- Advanced Ideas for Corrective Actions
- Corrective Actions for Culture Problems (Fixing Employee Communications NI + More)
- Coach for Improved Corrective Action Development & Implementation
- Planning Your Improvements
Healthcare Quality, Patient Safety, Sentinel EventRegister for this track if you are interested in learning these best practices: - Sharing Improvement Ideas
- Safety Culture & Healthcare Performance
- Healthcare Literacy & Patient Knowledge Impact of Sentinel Events
- TapRooTŪ Integration Into Healthcare Information Technology
- High Performance Ideas for Leading Improvement
- TapRooTŪ User Best Practice Session
- Using Mistake Proofing to Improve Patient Safety
- Quality in Life and Work
- Planning Your Improvements
Improvement ProgramRegister for this track if you are interested in learning these best practices:
- Self Improvement for Your Future
- Character Driven Success
- Changing Behavior By Praising the 49 Character Traits
- How To Set-Up and Sustain a Continuous Improvement System
- Lessons Learned about Excellence & Safety from Admiral Rickover
- What Are Your Proactive Performance Indicators
- Using Training Simulation to Improve Performance
- Planning Your Improvements
Investigation, Troubleshooting & Root Cause AnalysisRegister for this track if you are interested in learning these best practices: - Success Stories from TapRooTŪ Users
- Legal Aspects of TapRooTŪ Investigations
- Lifecycle of an Incident
- Investigation Ideas
- Ideas for Leading Investigation Teams
- TapRooTŪ User Best Practice Session
- Police Tips for Leading Investigation Teams
- Leading Successful Investigations: Drawing on UK Experience
- Planning Your Improvements
Latin American TapRooTŪ UsersRegister for this track if you are interested in learning best practices in the Spanish language including: - Latin Users Problems & Ideas for Corrective Actions
- Safety Management Systems and Advanced Root Cause Analysis in Latin America
- TapRooTŪ Software
- Planning Your Improvements
- and five more best practice sessions!
Safety & Risk ManagementRegister for this track if you are interested in learning these best practices: - Improving Incident Investigation and Safety in the BW Fleet
- Communicating with Management About Risk
- Ahead of the Law: OSHA Enforcement Problems & Solutions
- Using TapRooTŪ for Regulatory Safety Compliance
- How Does Your Corporate Culture Effect Your Investigations?
- Advanced Ideas for Corrective Actions
- Be a Safety STAR: How a VPP Program & TapRooTŪ Can Be Combined for Excellent Safety Performance
- Quality in Life and Work
- Planning Your Improvements
TapRooTŪ Software Super UsersRegister for this track if you are interested in learning these best practices: - Bridging the Gap - From Software Installation to Successful Implementation
- My Web Implementation: A TapRooTŪ Software User's Perspective
- What's New in the TapRooTŪ Software
- Using the TapRooTŪ Software Essential Techniques: From SnapCharTŪ to Corrective Actions
- TapRooTŪ Software Behind the Scenes: Development for Continuous Software Improvement
- TapRooTŪ User Best Practice Session
- Trending Using the TapRooTŪ Software
- A Software User's Forum
- Planning Your Improvements
Certified TapRooTŪ InstructorCertified TapRooTŪ Instructors will keep up-to-date with this great line-up: - TapRooTŪ Instructor Update
- Legal Aspects of TapRooTŪ Investigations
- What's New in the TapRooTŪ Software
- What Makes a Good Instructor Great?
- Ideas for Leading Investigation Teams
- TapRooTŪ User Best Practice Session
- Police Tips for Leading Investigation Teams
- Leadership Responsibilities for Each Step of the TapRooTŪ 7-Step Process
- Planning Your Improvements
Special Topics In a recent e-Newsletter we highlighted "Special Topics." Special Topics is not a track, but a list of options to choose from if you'd like to replace a best practice session on your track to meet your goals. Special topics include: - Medical TapRooTŪ 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 need help customizing your schedule, contact us at info@taproot.com or 865.539.2139. |
| Special 2-Day Courses! Summit Discounts! Wow! | Don't miss out! Space is limited!
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 TapRooTŪ 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)!
Most of these courses will only be offered once this year!
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 TapRooTŪ Incident Investigation & Root Cause Analysis Course
(Spanish) 2-Day TapRooTŪ Incident Investigation & Root Cause Analysis Course
Special 2-Day Equifactor Equipment Troubleshooting and Root Cause Analysis Course
Advanced Trending Techniques
Advanced TapRooTŪ Techniques
How to Interview & Gather Evidence
Stopping Human Error
Risk Analysis and Management Best Practices
Hazard Recognition Best Practices
Getting the Most from Your TapRooTŪ Software
LEARN MORE on our course page: http://www.taproot.com/courses.php
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| Register for a TapRooTŪ
Course | PUBLIC 2-DAY TAPROOTŪ INCIDENT
INVESTIGATION
AND ROOT CAUSE ANALYSIS COURSE SCHEDULE (Outside of North America)
(View Course Description) AUSTRALIA, Adelaide: July 26-27
AUSTRALIA, Brisbane: July 22-23 and September 22-23
AUSTRALIA, Darwin: July 1-2
AUSTRALIA, Kalgoorlie: September 6-7
AUSTRALIA, Mackay: August 16-17
AUSTRALIA, Melbourne: July 19-20 and September 20-21 AUSTRALIA, Perth: July 15-16 and August 9-10 and September 9-10
AUSTRALIA, Singleton: July 28-29 AUSTRALIA, Sydney: August 5-6 and September 20-21 BRAZIL, Sao Paulo: August 4-5 ENGLAND, Birmingham: October 13-14 INDONESIA, Batam: September 2-3
MALAYSIA, Kuala Lumpur: August 9-10 and September 29-30 NEW ZEALAND, Christchurch: August 19-20 SINGAPORE, Singapore: August 4-5 and August 12-13
PUBLIC 5-DAY TAPROOTŪ ADVANCED ROOT CAUSE ANALYSIS TEAM LEADER TRAINING SCHEDULE (Outside of North America)
(View Course Description)
View our worldwide calendar of courses at:
http://www.taproot.com/courses.php
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| J.O.K.E. of the Week | 
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Editor's Note: TapRooTŪ Resources
| Dear Readers,
We have some great TapRooTŪ topics on the weblog under "Popular Posts" that you may not have noticed:
How Does TapRooTŪ Work? Download a paper that outlines an environmental incident and how TapRooTŪ helped the investigator dig into the problem (download paper).
Defending Categorization - Why the TapRooTŪ Root Cause TreeŪ Works Better Than Unguided Root Cause Analysis: This is an excerpt from the TapRooTŪ Book - Changing the Way the World Solves Problems (Read more).
World Class Root Cause Analysis: What is World Class Root Cause Analysis? TapRooTŪ, of course! (Read more.)
Are there any other TapRooTŪ topics you'd like to read about?
Let me know at editor@taproot.com.
Best regards,
Barb Phillips
Barbara Phillips
Editor
System Improvements, Inc. |
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The opinions and information contained in this newsletter are provided in the spirit of cooperation
and continued learning. They do not represent any corporation's views. Use the information to help you form your opinions but all risk based on your use of this information is assumed by you and your company.Please feel free to pass this e-Newsletter along to other individuals interested in TapRooTŪ by clicking on the "Forward email" link at the end of this newsletter. |
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