EAP86
Here's what I would have done.
1. Assess H-C's recommendations (i.e. relating to systemic failures) What single process would have prevented them? (Same answer for most)
2. Question to all PTs. Are you maintaining the Build Standard?
3. Answer (invariably) - No. We're taught it's a waste of money. We just sign to say we've done it to get the likes of you off our backs.
4. Issue reminder of legal obligations.
5. New print run of mandated Def Stan, copy to every individual. Read, inwardly digest. Practical examinations before being allowed in any DE&S / MAA engineering post. Keep on your desk at all times.
6. Sack those who still think it a waste of time.
7. MAA recruitment drive to replace sacked senior staff.
8. Update MAA regulatory set, as it gets the basic definition of the overarching process completely wrong.
Tongue not entirely in cheek.