Accidents are invariably a combination of issues. Pilot decisions and (in)actions can be the result of a culmination of those factors. A strong investigation will not only consider the cause but the contributing factors: those actions or inactions which could have saved the day but didn't. The objective in accident investigations around the world is not to cast blame but to understand every aspect so that we can stop it happening again.
Unravelling the mystery is the most important step.
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