Originally Posted by
andrasz
On first read a rather well prepared report with no window washing. What I find rather sobering is the number of uncovered shortcomings both on the side of the airport and the operator, many of which were not a contributing cause and would have remained unnoticed were not for the accident.
And that, dear friends, is the inevitable result of a lack of oversight. A problem we are seeing more and more in countries that used to have well-funded, well staffed and well trained regulators. Transport Canada is one of many that have been decimated in this current world of reduced regulatory capability. They are so far behind in their "surveillance activities" of service providers (airports, airlines, and Nav Canada) that this same issue (undiscovered shortcomings) will become the norm in accident reports.
Ironically, exactly the opposite result from what is intended in today's SMS focussed world...