Thank you for your responses - and yes, I was griping about the apostrophe police. But maybe thats because I did not not realise that the report was "inconclusive".
I had apparently missed that gem because I clearly saw the root cause of the incident: The lack of capable, qualified and competent management and staff exacerbated by the lack of adequate NAA oversight.
What you guys are now alluding to are the symptoms from that cause - why did the plane stop working.