It has been commented that the AAIB report is inconclusive. That is incorrect. In its summary it has identified six factors. The main elements of these are:
The first three refer to the escape manoeuvre and the pilot`s perception or realisation, training and practice in that respect. The fourth and the fifth is the pilot taking the aircraft on a changed ground track which placed the exit from the manoeuvre along a public highway. The last one is why so many lost their lives. Basically to me it reads that had he bodged it along the display axis, instead of where he actually did so many lives would not have been lost. The so called "severity of outcome".
Can it be any clearer than that.