I think the "No Blame" culture here would have helped, in the sense that the ground crew would not have anything to fear reporting a mishap like this one.
Of course neglecting the need to report something should have drastic consequences, as it endangeres lives.
The story is actually hard to believe - how can someone in their right mind ignore stuff like that!!!
Nic
P.S: It figures that the thread about the Flybe turning back to Cardiff recieves much more attention...