Originally Posted by
slip and turn
I am surprised neither the AAIB nor any of you pros have made any comment of any formal safety recommendation that something should be done to avoid brushing an incident like this under the carpet for as long as it was.
If I read the report correctly, the aircraft and crew flew on for damn near two weeks before the seriousness of the incident surfaced in any regulatory sense
I think the Findings on "Safety Management" in section 3.1 pretty much cover this issue. What I believe has "saved" an SR on the topic is the seventh item in that section:
The operator has undertaken significant changes in their OFDM and safety management system following this event.
I think if that had not been the case, there'd likely be an SR to make it happen.