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TapRooTŪ Friends & Experts e-Newsletter
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International Edition
July 27, 2010
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| Investigations and Accidents/Lessons Learned | Union Calls for Root Cause Analysis of Fatal Accident in Guyana: Read quote from the West Indian News (Read quote).
Monday Accident & Lessons Learned: Run over by equipment video (View video).
The Building Blocks of a Good Quality Program... is it in the Name? TQM, TQC, TOC, PDCA, Six Sigma, Lean, Lean Sigma, MBO, 8D ... just to
mention a few Quality Programs many in the world of Quality have been
exposed to ... but is it the name of or the effectiveness of the process
that make a good Quality Improvement Program? (Read more.)
New BP Spill: This one in Michigan (View video).
Robert Bea's Investigation: (View video.)
Here's a PDF of Robert Bea's Preliminary Findings About the BP/Transocean Deepwater Horizon Accident: (View video.)
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How Important is Your SnapCharTŪ?
by Dave Janney
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During a recent 5-Day course, we were working on a major exercise that
we call "The Water Hammer" and I was quite pleased with how well the
students did. Part of the exercise involves students identifying causal
factors from a SnapCharTŪ that we have given them. This particular class
nailed the causal factors in a short period of time in what is a fairly
involved incident with many causal factors. Later that day, when they
were working on their final exercise with their own incident, one group
was having a little trouble finding their causal factors, but when I
went to the chart I could see them right away. Why could they not find
them when they had done so well on the previous exercise? (Read article.)
=========================================================================
 Dave
Janney is a Senior Associate at System Improvements. He will be
leading two sessions at the 2010 TapRooT Summit: "Be a Safety STAR: How
a VPP Program & TapRooTŪ Can Be Combined for Excellent Safety
Performance" and "Using TapRooTŪ for Regulatory Safety Compliance." Learn more about Dave and these sessions on the Summit Best Practice
Presenter webpage: http://www.taproot.com/summit.php?t=speakers
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Win an iPad!
| Enter the TapRooTŪ Best Practice Contest! Submit your TapRooTŪ Success Stories to editor@taproot.com (please type "Best Practice Submission" in the subject line) for a chance to win an iPad.
The contest will run six months (deadline: January 27, 2011, 6:00 p.m.). All entries will be shared on the Root Cause Analysis blog as they are received along with the name of the submitter. Readers can vote for the Best Practices Success Stories that are most useful to them by simply clicking the "Like" button. In the event of a tie at deadline, the in house instructors at System Improvements will select the winner by vote.
Please submit your Best Practice in a Challenge/Actions/Results format. Here are some examples:
Ciba Vision
Canyon Fuel Company
Rohm & Hass
Intel
Enter as many Best Practice Success Stories as you like.
Don't forget -- the upcoming TapRooTŪ Summit is all about best practices, so be sure to enter the ideas you learn and implement at your facility!
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The Cost of Poor Quality Myth
by Chris Vallee
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One of the biggest trends in quality improvement was the term "The Cost
of Poor Quality" tied with "Zero Defects," with many COPQ financial
models popping up in many Fortune 500 companies. In the safety world
there was a similar drive with the term "Cost of Compensation" tied with
"Zero Injuries" and OSHA driven recordables to be tracked.
The Quality Iceberg
 Yet the focus for both safety and quality were lead by lagging visible indicators.
In other words good or bad, the findings are just too late. You march
your troops with the "Zero Defects" and "Zero Injuries" flags raised and
once you reach your destination you turn around and see who and what
equipment you have left. ( Read the rest of this article.) =========================================================================  Chris Vallee is a Senior Associate at System Improvements. He is also the moderator of the TapRooTŪ Root Cause Analysis Users and Friends
group on LinkedIn. Join in the discussion! |
What Color is your TapRooTŪ Book?
by Mark Paradies
|  I had a TapRooTŪ User call me and ask a question about finding root causes using TapRooTŪ in an investigation. I said, "That's covered in Chapter 3 of the TapRooTŪ Book."
He said, "I tried looking in the book and didn't see anything."
I looked up the page number and gave it to him. He replied, more puzzled, "I still don't see it."
That's when I realized we weren't talking about the same book. I asked, "What color is your book?" He answered, "Sort of a cream color."
It was the old 1996 three ring binder version!
He was two versions behind the times!
More than 12 years out of date.
He promised to upgrade.
How about you?
If your TapRooTŪ Book has a green cover, you are using the 2000 version. You're eight years behind the 2008 TapRooTŪ Book.
Next, check your Dictionary and Tree. Make sure they are the 2007 versions.
Also, do you have the spiral bound Corrective Action HelperŪ Guide?
It's always amazing to me that people would get so out of date with a
technology that is so important to performance improvement.
Get the latest knowledge. Upgrade to the BLACK 2008 TapRooTŪ Book. We
are busy producing the second printing (almost 20,000 sold). It will be
around for a long time.
Call 865-539-2139 to order yours or go to the TapRooTŪ Store.
What's in the new TapRooTŪ Book? Find out here:
http://www.taproot.com/wordpress/2008/05/12/whats-in-the-new-taproot%C2%AE-book/
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Certified TapRooTŪ Instructors: Maintain Your Certification
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What does it take to maintain your TapRooTŪ Instructor
certification? Every two years you must attend the TapRooTŪ Summit and
one of the pre-Summit Courses.
Why?
Because instructors need to understand the latest improvements
in TapRooTŪ and not let their improvement skills rust away. TapRooTŪ
Instructors are training the leaders of performance improvement in
their companies. They need to continually sharpen their skills. After
all, Capt. William Rodriguez said:
If you're not peddling, you're going downhill.
(Read more.)
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| Wisdom Quote | We must always think about things, and we must think
about things as they are,
not as they are said to be.
~ George Bernard
Shaw
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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 |
| Special 2-Day Courses! Summit Discounts! Wow! | Many of these exclusive courses are only 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 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)!
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
Limited space is available!
REGISTER TODAY!
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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, Brisbane: September 22-23
AUSTRALIA, Karratha: October 4-5
AUSTRALIA, Mackay: August 16-17
AUSTRALIA, Melbourne: September 20-21 AUSTRALIA, Perth: August 9-10 and September 6-7 and September 9-10 and October 7-8
AUSTRALIA, Singleton: July 28-29 and October 7-8
AUSTRALIA, Sydney: August 5-6 and September 20-21 BRAZIL, Sao Paulo: August 4-5 ENGLAND, Birmingham: October 13-14 INDONESIA, Balikpapan: 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
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Dear Readers,
You may have noticed the past couple of weeks we've reminded our Certified Instructors to maintain their certification in this eNewsletter.
How can one become a Certified Instructor?
I'm glad you asked because we have a link to that FAQ on the right sidebar of our weblog:
http://www.taproot.com/wordpress/2005/12/06/process-for-becoming-a-certified-taprootr-instructor/
If there are other questions you think of as you read through this eNewsletter, please let me know. If you thought of it, there are probably others who are wondering the same thing, and we can make the information easily accessible on our website. Thank you!
Best regards,
Barb Phillips
Editor & HR Rep
System Improvements, Inc.
editor@taproot.com
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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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