[ASIB report](https://assets.publishing.service.gov.uk/media/6527d21d2548ca0014ddf1b4/AAR_2-2023_Sikorsky_S-92A__G-MCGY.pdf)
[The hospital’s response to the report](https://www.plymouthhospitals.nhs.uk/latest-news/response-to-publication-of-aaib-report-6788)
I haven’t read all 132 pages of the report, but from the headlines, it sounds like a tragic breakdown of risk management procedures.
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LondonPilot@reddit (OP)