Look Left
but overlooked the simple fact that if the go-around was conducted according to the manual (pressing the TOGA buttons) then it probably would not have happened.
I agree Look Left, the simple fact that an error occured in the cockpit in spite of correct organisational checks and balances(SMS), is overlooked.
The blind adherence to the James Reason model can lead to interesting results when there is either an accidental or wilful violation.