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TapRooT® Friends & Experts e-Newsletter
North American Edition
March 1, 2011 Thanks for being one of our 42,739 subscribers! |
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| President's Note |
 I'd like to invite all of the readers of this newsletter who aren't already connected to me on LinkedIn to send me a LinkedIn invitation. Here is the link to my profile: http://www.linkedin.com/in/markparadiesWhat if you don't have a LinkedIn profile? It's time to start one! In addition to being in my network of over 3,000 people interested in root cause analysis, you can join the LinkedIn TapRooT® Group. I'll explain that in a future TapRooT® e-Newsletter. Best regards, Mark Mark Paradies President, System Improvements The TapRooT® Folks
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| Investigations and Accidents/Lessons Learned | |
Read news on the Root Cause Analysis blog about investigations and accidents around the world. Here are a few recent updates:
Worker Caught Between Unmanned Seismic Track Drill and Truck: Driller fatally injured. What went wrong? (Read more.)
Train Strikes Truck in New York, Killing Driver: Root Cause? (Read more.)
Lost Luggage - Part One: Root cause analysis opportunity? No - more like zero quality improvement (Read more).
Lost Luggage - Part Two: An interesting twist (Read more).
How Many Fatalities Does It Take To Learn To Prevent Them? If seems that fines aren't enough to make corrective actions happen (Read more).
Luge Accident Returns to the News: What is "management's" responsibility? Especially when technical experts (in this case a sport's federation) sign off on the design? That's the controversy that confronts us after an accident killed a luge event participant (Read more).
One Worker Dies in Enterprise Products Blast: The body of one worker has been recovered after the blast and fire at Enterprise Products in Mont Belview, Texas (Read more).
Video from the Enterprise Products Fire in Mont Belview, Texas: (View video.)
Pedestrian Near Miss: Thought for accident investigators ... did security cameras catch the accident on video? (View video.)
Animal Causes Equipment Failure: After we blame the animal, we shift to blaming the equipment (Read more).
Nuclear Navy Nostalgia: For Navy Nuc readers, here are some memories (Read more).
NTSB Sending Team to Assist Ireland in Metroliner Investigation: NTSB Press Release (Read more).
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Root Cause Analysis Tip: Does Management Agree With Your Investigation?
By Ken Reed
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So ... you've completed your investigation. You've run through the TapRooT® process, using the SnapCharT® to gather your information, the Root Cause Tree® to find unbiased root causes, and the Corrective Action Helper® to develop effective corrective actions. You turn in your report, feeling pretty confident about your results. The phone rings, and your boss says: This isn't what I was looking for. We need to make some changes. Why did your investigation not meet your manager's expectations? ( Read more.) =========================================================================  Ken Reed is a Partner at System Improvements, Inc.
Root Cause Analysis Tips is a weekly column on the TapRooT® Root Cause Analysis blog.
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| Career Development: Employers Seek TapRooT® Skills | |
Each week, we feature job openings for candidates with root cause analysis skills. Here are recent openings:
Tampa, Florida - WellCare Health Plans - Quality and Audit Specialist - Needs Root Cause Analysis Skills (View opening).
Chevron - Andrews, Texas - Safety Specialist - Needs Root Cause Analysis Skills (View opening).
Fort Washington, Pennsylvania - McNEIL-PPC, Inc. - Quality Systems Lead, Data Acquisitions Systems - Needs Root Cause Analysis Skills (View opening).
Qatar - RasGas - Reliability Engineering Specialist - Needs Root Cause Analysis Skills (View opening).
USA - Safety Positions Nationwide - TapRooT® Root Cause Analysis Training Could Make You a Step Ahead (View openings).
View more job openings. |
| TapRooT® Around The World | |
2-Day TapRooT® Incident Investigation and Root Cause Analysis in Santa Fe, New Mexico
(View photos.)
Mark Paradies Speaks About Process Safety and Admiral Rickover
at the European Council on Health & Safety of the Conference Board
(View photos.)
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| Register for a TapRooT ® Course | PUBLIC COURSES IN THE US AND CANADA
2-Day TapRooT
®
Incident Investigation and Root Cause Analysis Course
Houston, Texas - March 29 - 30
St. Louis, Missouri - April 6 - 7
Windsor, Canada - April 12 - 13
New Orleans, Louisiana - April 18 - 19
Tulsa, Oklahoma - April 18 - 19
Edmonton, Canada - April 26 - 27
Knoxville, Tennessee - May 10 - 11
Boston, Massachusetts - May 11 - 12
Calgary, Canada - May 18 - 19
Pittsburgh, Pennsylvania - May 19 - 20
Midland, Texas - May 23 - 24
5-Day TapRooT® Advanced Root Cause Analysis Team Leader TrainingCalgary, Canada - March 7 - 11 Las Vegas, Nevada - March 7 - 11 Portland, Oregon - March 14 - 18 St. John's, Canada - March 14 - 18 Knoxville, Tennessee - March 21 - 25 Washington, DC - March 28 - April 1 Montreal, Canada (French) - April 4-8 Salt Lake City, Utah - April 4 - 8 San Antonio, Texas - April 11 - 15 Houston, Texas - May 9 - 13
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| Weekly Wisdom |
Experience is the name everyone gives to their mistakes. ~ Oscar Wilde |
Last Week to Vote!
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Dear Readers,
Vote for the winner of our Best Practice Contest by visiting the weblog and clicking "Like" for the entry you think should win. All votes cast before Friday, March 4 at 6:00 p.m. EST will be tallied for the winner. In the event of a tie, the in-house instructors at System Improvements will cast the tie-breaking votes. Here are the entries in the order received:
Entry #1: Better Initial Information Collection
Entry #2: Stopping Future Accidents by Correcting Problems That Did Not Cause Accidents Being Investigated
Entry #3: Investigation Detects Lack of Experience in Experienced Personnel And Leads To Job Simulation To Improve Performance
Entry #4: Saving Time, Resources & Effort with Single User Software
View them all here.
Best regards,
Barb Phillips
Editorial Director
for 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 TapRooT® by clicking on the "Forward email" link at the end of this newsletter. |
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