Very sad state of affairs all round, if the report is as accurate as it appears to be. The report makes some observations that I presume are more formally addressed in a classified version, can anyone say? I note that the documentation of aircrew records is incomplete. Also, the pathology reports are not supported by statistics and the alcohol measurement is not given. The actions of the maintenance crew appear to have been inept. The flightdeck crew seem to have been incapable of operating the aircraft. I would suggest that the report describes the performance you might expect of an untrained and unqualified crew. Bad
OAP