One of Toyota's mantras is "If the student has failed to learn, the teacher has failed to teach." Their point is that managers are responsible for solving issues that come from employee ignorance, not line workers.
I do understand that humans don't have an instinctual understanding of using nipples, human babies have a physical sucking reflex that kicks in when you put anything near their mouths. They usually quickly learn that sucking a nipple in a particular way gives out lots of yummy milk.
I find this hard to believe. At some point a person in a space suit was introducing them into a clean room; she should have noticed that the packages were not sealed.
There's a good chance a tamper revealing seal would have stopped the clerk from opening the containers, and of course it they'd been broken before reaching the people at the fab lines who were supposed to open them that would have clued Intel into the problem before any went into production and would have allowed them to quickly trace the problem back upstream.
Or in this case energy, ignorance, and not learning enough of the big picture, or wondering why these wafers were sealed in air tight containers in the first place.
It's the well meaning mistakes that tend to be the most dangerous since most people are of good will, or at least don't want to kill the company and lose their jobs.
In high tech this can get really messy, these are frequently inherently more fragile companies. My favorite example is from Robert X. Cringley in this great book: http://www.amazon.com/Accidental-Empires-Silicon-Millions-Co... ; from memory:
One day Intel's yields suddenly went to hell (that's the ratio of working die on a wafer to non-working, and is a key to profitability). And no matter how hard they tried, they could only narrow it down to the wafers being contaminated, but the wafer supplier swore up and down they were shipping good stuff, and they were. So eventually they tasked a guy to follow packages from the supplier all the way to the fab lines, and he found the problem in Intel's receiving department. Where a clerk was breaking open the sealed packages and counting out the wafers on his desk to make damned sure Intel was getting its money worth....
His point is that you can have a Fortune 500 company, normally thought to be stable companies that won't go "poof" without ample warning, in which there are many more people than in previous kinds of companies who can very quickly kill it dead.