One of the truths of quality control is that the better it is, the easier it is to take it for granted. When you have very few problems, it is hard to be as careful as you should, and the problems you do have are more difficult to anticipate. In any business, you do not announce your problems to the world, and unfortunately, this makes it difficult for others to learn from your mistakes. This GAMGRAM is a collection of stories about problems other people have experienced. You may learn from their mistakes. To avoid embarrassment, no names or locations are given. We have tried our best to tell these stories accurately, although some are based on second hand information. The problems are real and can happen anywhere.

It is not possible to find humor in these stories. The chance of disaster is remote. Usually several errors, failure or mistakes have to occur simultaneously for a disaster. The question is, could you live with yourself if you were responsible for death or suffering? Intentions are not important, performance is. One accident a year worldwide is one too many. We have come too close to major disasters in the past — it can happen.


BALANCED POLICY – In ancient times, it was policy to kill the messenger that brought bad news. We assume that not all bad news got through! CAN’T DO THIS! Review your methods, and don’t make the punishment for a mistake equal to the punishment for covering up a mistake. This especially applies to fuel spills and other legal and safety related situations. Don’t laugh, we’ve heard of people who tried to hide fuel spills to protect their jobs! In one example, an employee washed the fuel into a stream — resulting in a much larger mess to clean up. The government sees this as your fault and may levy larger fines!!