A summary report by the British Government into the cause of death of the British Citizens in Orient Thai/One-Two-Go OG269 is available at
www.InvestigateUdom.com.
A part of the judge's job was to determine whether the deaths were accidental or deliberate; he deemed them neither and entered a (highly unusual but very instructive) narrative verdict damning the airline, the management, the lack of safety at the airline, the pilots illegally excessive work hours, the pilots poor training and skills, the airport, the runway, ATC, and the airport rescue staff.
A selection of his comments:
- "The primary failure so far as I am concerned relates to the corporate culture which prevailed both prior to and following the air crash"
- "The evidence highlights systemic failures and a highly deficient safety culture at both [One-Two-Go Airlines and Orient Thai Airlines] airlines."
- "Further the Company [One-Two-Go Airlines and Orient Thai Airlines] falsified records in a clear attempt to mislead the Authorities who were investigating the circumstances surrounding this tragic air crash."
Further, the judge requests the EC Air Safety as well as other travel organizations be advised and take action to warn travelers.