All I've done so far is read the exec summary and recommendations, but the two impressions that come to mind are that 1. It is surely a condemnation of the current directors performance and 2. The recommendations are really just about re-arranging the deck chairs. It is not recommending fundamental change to either CASA or the current regulations, rather further tinkering and " reform".
I think the report has failed to understand the cause, but is rather trying to treat the symptoms.
Sigh.