20 pages down the line we still don' have the slightest clue about the key question:
Was there a conscious decision not to evacuate, or was this a case of lack of action with nobody making a decision ?
We all get paid to make informed and educated decisions in unexpected and sometimes stressful situations, a part of that is also to think outside the box if necessary. If the first were the case, the occupants of the pointy end will certainly have some explaining to do, but until the circumstances are known they would have my full benefit of doubt. The second case however in inexcusable.