Earlier quoted context omitted.
I'm an industrial engineer, so this is all right up my alley! My favorite example is a two-part foam injection machine. They needed to change the injection head, and accidentally put it on backwards. The parts mixed and worked their way back in the supply lines, solidifying along the way. Hundreds of thousands of dollars in lost productivity, multiple weeks to get it fixed. They promptly switched the coupling so it w…
A Proton rocket launch failed in 2013, supposedly due to sensors being installed backwards: https://en.wikipedia.org/wiki/Proton-M#Notable_launch_failur... The Genesis sample-return capsule crash-landed due to the accelerometer controlling the parachute deployment being installed upside-down: https://en.wikipedia.org/wiki/Genesis_(spacecraft)#Mishap_In...
The improper installation apparently required some considerable physical effort, which, somehow did not raise any alarm at GKNPTs Khrunichev's assembly plant in Moscow. (...) By July 13, investigators simulated the improper installation of the DUS angular velocity sensors on the actual hardware. As it turned out, it would be very difficult to do but not impossible. To achieve that personnel would need to use procedures and instruments not certified either by the design documentation or the installation instructions. As a result, the plate holding the sensors sustained damage. Yet, when the hardware recovered from the accident was delivered to GKNPTs Khrunichev, it was discovered that the nature of the damage to the plate had almost exactly matched the simulated version.
(via: http://www.russianspaceweb.com/proton_glonass49.html)
In other words: poka-yoke, meet hammer...
(To make it clear, I absolutely love the idea of poka-yoke, and find it great help in software development as well; still, I find the story both hilarious and educative ;) )