The full account is going to make for interesting reading when it is available for consideration.
I do so agree, SASless. Problem is, this incident was two years and eight months ago. I rather suspect that, if we were ever going to hear anything, we would have heard by now.
But I definitely hope that, whatever the problem was, someone knows about it who could do something to make sure it doesn't happen again - and has done just that!
airsound