Very interesting reading. Two points.
To those who mutter about the time taken to see the official reports - take
one hour to read this report- all 130 pages- and see the detail involved for a relatively minor incident. Well done SACAA.
Secondly, as expected, a chain of errors,
Personally I find the signage/lighting deficit slightly more significant than the briefing error. (Not well done Acasa.)
But my experience of ORT is now more than 15 years old. I recollect it being quite hard work at night.
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