It does, however, state that in the days prior to the incident the crew “flew into complex airfields, dealt with multiple mission changes and flew long mission legs with several stops each day.”
The mission for the botched flight, which originated in Rome, had been changed several times before the final assignment of MacDill came about one hour before the Globemaster departed on July 20.
Several factors, including previous time zone changes, contributed to the pilot and copilot not operating at full mental capacity. The report stated that the pilot was acting at a 79 percent cognitive effectiveness and the copilot 89 percent. In comparison, a 0.08 percent blood alcohol level reduces the cognitive capacity to 70 percent.
From a CRM Human Factors view, the above pretty much nails it I think, especially with the 12 hour flight home. Fatigue is insidious. It just creeps up on you without you noticing.
The report showed no record of who was in charge of the airplane, nor does it indicate whether any disciplinary action was taken against the crew,
Embarrassment at poor supervision perhaps.