You are absolutely correct the Pelair ditching is a black mark on Australia's aviation record. The "system" did its absolute best to make sure that he crew copped ALL of the blame.
It is what public servants do best, when he s&$t hits the fan it is a disaster, however if a public servant can be nailed for it, that is a really really big catastrophe.
The Senate report makes for very interesting reading, actually it is quite sickening as to just how low some public servants can stoop!