Surely the main focus of this dreadful incident is who is going to present the evidence of events ' leading' to it for the coroner to assess.
The scenario was indeed avoidable had even the basic rules of both display authorisation, and the display on the day oversight been implemented,
The regulations were in place to prevent such incidents,and yet it appears little attention has been given to their significance.and indeed their failure to prevent the situation on the day.
The actual Display authorisation appears to have been somewhat lacking in its remit, and this was then compounded by the lack of the actual display oversight which failed to alert and indeed stop the proceedings when the basic criteria fell below the requirements. All this took place before the claimed G induced situation and was therefore very relevant to the outcome. The whole point of DA's and a proper visual check on the day is to protect both the public and pilots from such a scenario 'developing' , and is very important where you have a high energy machine operating in a somewhat 'confined' display arena. This thread has well discussed the actual event, and the various 'issues' that occurred, however the coroner may well find that the 'system' itself was lacking in this case, and therefore a better understanding of the situation may arise.