You find out that the report was filled out by a state inspector named Blake Barrymore who gave the inspection forms to a groundskeeper for delivery to the appropriate hospital administrator. Barrymore tells you that he gave the form to a groundskeeper because “it was raining that day and I was late for another inspection.” He quickly adds that there is nothing in his job description that made it his official responsibility to deliver the report himself, or to follow up on it. He tells you that Jack Handy, a reliable and well-liked groundskeeper, delivered the inspection report. Handy, you discover, is reliable and well liked, but also illiterate. He did not know what the forms contained because he could not read them. He did not report any problems with the walls or the ceiling because Barrymore did not tell him there were any problems. Besides, Handy added, “Nobody listens to a groundskeeper anyway. I could tell an administrator that there was a bomb in the hospital and because I am just a groundskeeper, they’d let it pass.” He gave up making waves years ago. Now, he just “does what he is told to do.” In this case, he delivered some forms he could not read to a secretary who could.