Page 9 - sfdcoronersverdict
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Personnel

                                The  entire  personnel  of  the  Department  of  Water

                 Works  and  Supply  and  the Department  of  Water  and  Power

                 Commissioners,  who  were  responsible  for  the  building  of  the

                 dam,   appears  to  have  had  an  unusual  degree  of  confidence  in

                 the  Chief  Engineer  and  relied  entirely  upon  his  ability,

                 experience  and  infallibility  in  matters  of  engineering


                 judgment.
                               With  a  background  of  many  years  of  very  dis-

                 tinguished  achievement  in  the  building  of  a  great  water

                 works  system,  including  seventeen  earth  fill  and  rock  fill


                 dams,  there  was  ample  reason  for  a  very  high  degree  of
                 confidence.


                               However,  the  Chief  Engineer  and  his  principal
                                    I
                 assistants  had  had  limited  experience  in  the  building  of

                 large  masonry  or  concrete  dams  prior  to  the  building  of  the
                 St.   Francis    Dam.     Earth  fill  and  rock  fill  dams  are  built


                 wholly  or  in  part  on  unconsolidated  or  yielding  foundations,
                 while masonry  or  concrete  dams  must  have  hard,                impervious,


                 unyielding  foundations.            This  organization  apparently  did  not

                 appreciate  the  necessity of  doing  the  many  things  that  must

                 be done  in  order  to  be  certain  that  the  foundation  of  a  dam

                 of  the  concrete  gravity  type  is  and  will  remain  hard,

                 impervious  and  unyielding.

                                As a  consequence  of  these  conditions,  serious

                 errors  were  made,  while the  entire  responsible  organization

                 seemed  confident  that  they  were maintaining  their  previous
                           ,
                 high  standard  of  accomplishment.

                                There  appears  to  have  been  no  disposition  to

                 neglect  anything  because  of  expense,  as  funds  were  available

                 to  moot any  requirement  deemed  necessary.                 The  only  reasonable

                 explanation  is  that  those  in  charge  were  completely  deceived

                 as  to  the  true  conditions  and  acted  through  ignorance  and  not

                 from  intent  to  omit  any  precaution            from  any  motive.





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