Taproot | Root Cause Tree Dictionary Pdf

Developed by System Improvements, Inc., the is a systematic, diagnostic tool that guides investigators beyond superficial causes (like "operator error") to identify root causes. It acts as a diagnostic questionnaire that helps investigators organize information gathered during an investigation.

The TapRooT® Root Cause Tree Dictionary is commercially available through authorized channels:

[1. SnapCharT®] ──> [2. Causal Factors] ──> [3. Root Cause Tree] │ (Use Dictionary) ▼ [6. SMARTER Fixes] <── [5. Corrective Actions] <── [4. Root Causes] Step 1: Map the Event (SnapCharT®)

Deficiencies in how workers were taught to perform a task. taproot root cause tree dictionary pdf

Once the dictionary confirms your path, record the specific root cause. You may find multiple root causes for a single Causal Factor. Step 6: Develop Corrective Actions

Before diving into the Dictionary, it's important to understand the system it supports. The TapRooT® System is a comprehensive investigation and improvement process. It guides investigators step-by-step from an initial incident report to the development of powerful, effective corrective actions. The system's core strength lies in its ability to help teams understand precisely "what happened" and "how it happened" before ever trying to determine "why it happened." This is accomplished using a visual mapping tool called the , which lays out the sequence of events, conditions, and causal factors. Once the sequence is clear and causal factors are identified, investigators turn to the Root Cause Tree® and its companion, the TapRooT® Root Cause Tree Dictionary, to systematically uncover the root causes.

TapRooT® Root Cause Tree® Dictionary is a core component of the TapRooT® system, providing a standardized set of questions to identify the underlying causes of incidents. It is often used in conjunction with the Root Cause Tree® Diagram Developed by System Improvements, Inc

The Complete Guide to the TapRooT® Root Cause Tree Dictionary

Before touching the tree, you must map out the sequence of events and identify the "Casual Factors." These are the specific mistakes or failures that, if eliminated, would have prevented the incident. 2. Navigating the 15 categories

The tree breaks down incident causes into seven main categories: Procedure Difficulties Training Issues Quality Issues Management Systems Human Factors Communication Issues SnapCharT®] ──> [2

For each Causal Factor, the investigator uses the Root Cause Tree® to guide their analysis. When they reach a branch on the tree, they open the . Step 4: Answer the Questions

Using the dictionary is a step-by-step process embedded within the larger TapRooT® investigation cycle: Step 1: Map the Facts (SnapCharT®)