Hi MOOSP. I hear you but my real question is why the investigation fell short of interviewing the reasons for the flight in the first place. That issue never seems to be in questioned. The number of callouts to Cheung Chau during the year is unprecedented anywhere else. It seems that those making callouts for ridiculous reasons and then GFS management making ridiculous demands upon aircrew to meet unreasonable time limits need to be scrutized and held accountable. Why was the pilot so upset by the performance pledge when he should have been used to it by then.
The report hints at it but doesn't really say that management decisions are a causal factor. It sure pointed out the pilots mistakes though! Perhaps whoever wrote the report was stifled from putting what really happened, but left enough hints in it to raise some questions by the courts down the road.