@taniwharugby Yes lots of people will be harrowed by this for life.
I cannot understand why these poor decisions were made. My only guess is over-familiarity meant that the risk was undervalued. Like people driving worse in their own neighbourhood or from a personal perspective doing dumb shit in my home DIY that I would never accept at work. But I don't short-cut when I have responsibility for others.
I have a soupcon of sympathy for those being deemed culpable, as they will have to live with this for the rest of their lives, but at least they have a rest of their lives.