Para 2 (page 1) of judge's statement,
"his seat was inadvertently ejected, something that is a recognised risk"
And that is why Martin Baker recommended the fitment of a shroud on the ejection handle, in order to mitigate that risk. But the RAF/MoD rejected a solution that had been applied for many years on earlier RAF seats, and still used world wide.
Some will say it was not liked, fine, so have it modified, which is precisely what is happening (may have happened) right now. Too late.
DV