TapRooT® Friends & Experts e-Newsletter
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North American Edition
August 17, 2010
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In This Issue
Investigations and Accidents/Lessons Learned
2010 Summit News
Win an iPad!
Career Development
Wisdom Quote
TapRooT® Around the World
Register for a TapRooT® Course
J.O.K.E. of the Week
Editor's Note: Bring Our Instructors to Your Site
Connect With Us ...
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TapRooT® Root Cause Analysis Users and Friend Group (On LinkedIn)

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President's Question
mark1Dear Readers:

Have you attended the TapRooT® Summit?  If so, I'd like to hear what you think.

I think the TapRooT® Summit is the best conference for sharing best practices and benchmarking with industry peers and experts.

Of course, I'm biased because I'm the conference chair and I've helped organize this meeting since 1996.

I'll post my comment below WHY I think this is the best conference. If you've attended, I'd like to hear your comments too.  Leave them here:

http://www.taproot.com/wordpress/2010/08/12/summit-recommendations/

For more Summit info and to register for the Summit, see:

http://www.taproot.com/summit.php

Best regards,

Mark

Mark Paradies
President
System Improvements, Inc.
http://www.taproot.com

Investigations and Accidents/Lessons Learned
Bad News from China:  Get links to articles (Read more).

UK Rail Accident Investigation Branch Publishes Bulletin About a Train Collision with a Level Crossing Gate:
  The UK RAIB's report had three "Learning Points" (Read more).

Extreme "Free Fall" Ride Has History of Accidents:  Get link to article (Read more).

The UK RAIB announces an accident investigation into runaway and collision near Raigmore, Inverness on 20 July 2010:
  Get link to article (Read more).

Medical Device Problems Hurt 70,000+ Kids Annually:  I read the article and then asked "AND"? There is so much more information that needs to be collected and compared (Read more).

Are Cataracts the Root Cause of Several Sentinel Events?  A Canadian Health Unit report said that a doctor's cataracts are partly to blame for incorrect pathology reports that led to an unnecessary colostomy, two mastectomies, and at least four other cases of "serious concern" (Read more).

19 Dead in "Love Parade" Stampede In Duisburg, Germany:  German prosecutors are investigating the causes of a crowd control failure that lead to the deaths of 19 at the Love Parade techno music festival in Duisburg, Germany (Read more).

"Hands-only CPR, Pushy Dispatchers are Lifesavers":  Get link to article (Read more).

Fatigue a Potential Issue in an Investigation? Try FACTS!:  View announcement from Circadian Technologies (Read more).

BBC Reports Tony Hayward Prepares to Leave BP:  Major accidents ruin careers (Read more).

Can You Lose Your CEO Job After an Accident? Ask ex-CEO Tony Hayward:  Of course, major accidents have bad outcomes. Now, many CEO's should feel less secure after the recent BP Deepwater Horizon accident outcomes (Read more).

Did BP Counsel acknowledge that BP was "Grossly Negligent"?:  Why is the admission of gross negligence a big deal? (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.
 
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

Summit

BEST PRACTICE TRACKS

Here are some details about two of the nine Best Practice Tracks at this year's Summit.  Read next week's edition to learn about more tracks:

Corrective Actions Program

Behavior Change and Stopping Human Error

TESTIMONIALS


A first time attendee's thoughts about the Summit:  Are you thinking about registering for the first time?  Hear what someone just like you had to say about his experience (View video).

An attendee shares what he is taking back to his facility from the Summit:  2010 is an extremely important year to catch up!  Get back on the improvement track and create a plan to revolutionize performance at your facility (View video).

IMPORTANT INFO ABOUT SCHEDULING

Customize your Summit Schedule and Take Your Improvements to New Heights!  Ever attend a conference or training event, and walk away feeling like there was one piece of the puzzle that you really needed an answer to but you just didn't get? We want to assure you that you won't feel that way about the TapRooT® Summit! (Read more.)

Which Summit Track is Right for You?
  Have you registered for the Summit?  October 27th will be here before you know it, so don't procrastinate! We'll be posting detailed track information every Tuesday and Thursday to help you with your decision (Read more).

New this Year:  SPECIAL TOPICS:  You've always had the option to replace any best practice session on your track with a session from another track, but this year you can also choose from a list of special topics to make your track the perfect fit (Read more).

Exclusive 2-Day Courses = Awesome Discounts for Summit Attendees!  Most of these courses are only offered once each year.  Don't miss out! (View courses.)

NETWORKING, KEYNOTE SPEAKERS, AND BEST PRACTICE SESSIONS

TapRooT® Summit Returns 170% More Than a Regular Conference - What an Investment!  What conference has 170% more than other conferences? Well then, lets look at each of the percentages for proof (Read more).

CERTIFIED INSTRUCTORS

TapRooT®  Instructors:  Maintain Your Certification:  What does it take to maintain your TapRooT® Instructor certification?  Every two years you must attend the TapRooT® Summit and one of the pre-Summit Courses (Read more).

TRAVEL PLANNING

Summit Travel Planning:  Have you started your planning to attend the TapRooT® Summit?  Now is the time to plan the trip to get the best airline fares (Read more).

VIDEO:  Why We Chose San Antonio as 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 (View video).

2010 Summit: Enjoy Yourself without Ever Leaving the Conference Hotel:  San Antonio, a city with a vibrant night life, is the host for the 2010 Summit ... but we didn't forget travelers who are content to just relax in the hotel after a busy Summit day (Read more).

Riverwalk Restaurant Reviews:  TapRooT® staff picks:    Schilo's and Boudro's
Win an iPad!
Enter the TapRooT® Best Practice Contest!  Submit your TapRooT® Success Stories to editor@taproot.com (please type "Best Practice Submission" in the subject line) for a chance to win an iPad.

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.  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 TapRooT® Summit is all about best practices, so be sure to enter the ideas you learn and implement at your facility!

If you need help with your entry, contact editor@taproot.com.
Career Development
Employment Opportunities for Candidates with Root Cause Analysis Training

Saudi Arabia - Saudi Aramco - Senior Safety Engineer - Needs TapRooT® Root Cause Analysis Skills (View opening).

Washington, DC - NTSB - Human Performance Investigator (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

"We learn something every day, and lots of times it's that what we learned the day before was wrong." ~ Bill Vaughan

TapRooT® Around the World
Bedford SA
Onsite Root Cause Analysis Training in Bedford, South Africa
(View photos.)

Seattle
Seattle Public 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course
(View photos here and here and here.)

Alaska
TapRooT® 5-Day Root Cause Analysis Course on the North Slope of Alaska
(View photos.)

Gatlinburg
5-Day TapRooT® Class in Gatlinburg, Tennessee
(View photos.)
Don't Wait!  Register for a TapRooT® Course
Don't wait! TapRooT® Courses fill up and have waiting lists - a sign that the economy is picking up.  What courses have filled up lately?  (Read more.)

Course

PUBLIC COURSES IN US AND CANADA

2-Day TapRooT® Incident Investigation and Root Cause Analysis 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

Gatlinburg, Tennessee - October 20-21

San Antonio, Texas - October 25-26

St. John's, Canada - November 3-4

Denver (Golden), CO - November 16-17

Toronto, Canada - November 22-23

Charleston, South Carolina - November 30-December 1

New Orleans, Louisiana - December 1-2 (Add 1-Day Equifactor® Equipment Troubleshooting Course!)

Las Vegas, Nevada - December 6-7 (Add 1-Day Equifactor® Equipment Troubleshooting Course!)

Calgary, Canada - December 7-8 (Add 1-Day Equifactor® Equipment Troubleshooting Course!)



5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training

Calgary, Canada - September 13-17

Las Vegas, Nevada - September 27 - October 1

Philadelphia, Pennsylvania - October 11-15

Portland, Oregon - October 18-22

Knoxville, Tennessee - November 8-12

Edmonton, Canada - November 15-19

Houston, Texas - December 6-10



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
 
St. John's, Canada - November 3-5

New Orleans, Louisiana - December 1-3

Las Vegas, Nevada - December 6-8

Calgary, Canada - December 7-9



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

Dallas, Texas - August 13

New Orleans, Louisiana - December 3

Las Vegas, Nevada - December 8

Calgary, Canada - December 9


View our worldwide calendar of courses at:

http://www.taproot.com/courses.php

J.O.K.E. of the Week
laugh
Editor's Note:  Bring Our Instructors to Your Site
Dear Readers,

Our course listing above includes all of our scheduled public courses but we have instructors worldwide who are available to come to your site and train.

Bring the instructor to you.
When you schedule one of our courses onsite, you get world-class training from a world-class TapRooT® instructor in a location that's convenient for you.

Onsite training is very cost effective.
When you send people to a public course, there are often travel costs involved in addition to the course fee.  As a result, if you have several people to train, onsite training can be quite cost-effective.

Not sure if you should hold a course at your site?

Contact one of our TapRooT® Implementation Strategists!
She will ask you about:
  • your learning objectives;
  • the number of employees you need trained; and
  • logistics like when and where you need training.
Request a no obligation quote at:

http://www.taproot.com/contact.php

Best regards,

Barb Phillips

Editor & HR Rep
System Improvements, Inc.
editor@taproot.com
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email: info@taproot.com
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