That report makes rather startling reading with so many, some arguably minor, errors which very nearly led to the loss of the aircraft. My background is ATC and I am many years out of operational work, but the description of the ground-based aspects of this event are quite frightening to me. I may be living in a rose-tinted world when I think back to my operational days but I can't help thinking that almost every aspect of the event would have rung alarm bells - particularly the MSAW alert which I am sure would have had everyone running around double-checking the QNH in my day. And the idea that at 6ft RA there was no visual reference from the aircraft suggests that the weather (even the localised conditions included in the METAR) was less good than reported.