The Case File Library

Publicly documented quality failures, dissected for lessons — case file by case file. Recalls, groundings, outbreaks: what actually failed, and which discipline would have caught it.

Hoverboards: when supply chain speed outran quality ownership
Consumer Products

Hoverboards: when supply chain speed outran quality ownership

The 2015 hoverboard recall shows what happens when supply chain speed outruns quality ownership: 500,000 units with no approved suppliers, no PFMEA, and no accountability for battery safety.

Case file #24·July 20, 2026·6 min readRead case →
ARC Automotive: when defining a defect becomes a 52-million-unit question
Automotive

ARC Automotive: when defining a defect becomes a 52-million-unit question

The ARC Automotive airbag recall shows how one word — "isolated" or "systemic" — can determine whether you quarantine a batch or recall a decade of production.

Case file #23·July 19, 2026·5 min readRead case →
Qantas QF32: How an out-of-spec pipe wall grounded the A380 fleet
Aerospace

Qantas QF32: How an out-of-spec pipe wall grounded the A380 fleet

A 0.5mm pipe wall deviation nearly opened an A380 wing fuel tank to a spinning turbine disc. Here's how an out-of-spec sub-tier component grounded the fleet.

Case file #22·July 18, 2026·6 min readRead case →
Fisher-Price Rock 'n Play: when the standard is written by the regulated
Consumer Products

Fisher-Price Rock 'n Play: when the standard is written by the regulated

Over 30 infant deaths and 4.7M units recalled—a case study in what happens when manufacturers write the safety standards meant to regulate them.

Case file #21·July 17, 2026·6 min readRead case →
Abbott Sturgis: how a sanitation CAPA failure became a national formula shortage
Food & Beverage

Abbott Sturgis: how a sanitation CAPA failure became a national formula shortage

Sturgis reveals what happens when CAPA paperwork replaces actual correction—contamination goes national, exposing a fragile supply chain with nowhere else to go.

Case file #20·July 16, 2026·6 min readRead case →
KFC UK 2018: how a logistics switch became a single-point-of-failure case
Food & Beverage

KFC UK 2018: how a logistics switch became a single-point-of-failure case

When KFC UK swapped a multi-depot network for a single DHL depot, ~600 restaurants shut down within days of cutover. A textbook PFMEA failure.

Case file #19·July 15, 2026·5 min readRead case →
Chipotle: how a fresh-sourcing model created a multi-pathogen crisis
Food & Beverage

Chipotle: how a fresh-sourcing model created a multi-pathogen crisis

Chipotle's 2015–16 outbreaks exposed how a fresh-sourcing model built for differentiation removed critical safety buffers — a systemic gap, not bad luck.

Case file #18·July 14, 2026·6 min readRead case →
Boeing 787: how a containment box became the concession that prevention failed
Aerospace

Boeing 787: how a containment box became the concession that prevention failed

When a regulator signs off on a steel box as the remedy for a battery that catches fire in flight, you are not witnessing engineering elegance. You are witnessing the moment every stakeholder agreed…

Case file #17·July 13, 2026·6 min readRead case →
Hyundai-Kia Theta II: how machining debris and delayed recalls cost millions
Automotive

Hyundai-Kia Theta II: how machining debris and delayed recalls cost millions

In aerospace, a machining-process defect that follows a part into service is an escape. A safety-event escape grounds a fleet within hours. The automotive equivalent is slower—one engine at a time,…

Case file #16·July 12, 2026·5 min readRead case →
Vioxx: how ignored risk signals became a $4.85B quality failure
Medical & Pharma

Vioxx: how ignored risk signals became a $4.85B quality failure

A blockbuster drug, a foreseeable risk, and an organization that kept running: Vioxx as a $4.85B lesson in what happens when quality signals are ignored.

Case file #15·July 11, 2026·6 min readRead case →
PCA salmonella: how 'test until it passes' became a 28-year federal sentence
Food & Beverage

PCA salmonella: how 'test until it passes' became a 28-year federal sentence

In quality, the first test result is the real one. Every test after that is a negotiation with reality — and the more you negotiate, the more you are telling yourself something you do not want to…

Case file #14·July 10, 2026·5 min readRead case →
Intel Pentium FDIV: how the response, not the defect, cost $475 million
Software & Systems

Intel Pentium FDIV: how the response, not the defect, cost $475 million

Intel's correct frequency estimate for the Pentium FDIV bug became a $475 million liability — not because the math was wrong, but because trust doesn't reduce to a single number.

Case file #13·July 9, 2026·5 min readRead case →