It did not declare Vincent personally responsible for every act committed under him, but it criticized senior leadership for inadequate oversight and unquestioning reliance on assurances.

Separate legal proceedings concerning particular individuals and claims remained ongoing.

Vincent read every page.

He had once signed a summary without reading it.

This time he made notes in the margins and asked Elena to explain technical sections he didn’t understand.

At the next board meeting, he proposed stepping down from day-to-day leadership while the company implemented the independent safety program and resolved its obligations.

He would cooperate with the remaining proceedings and retain no authority to interfere with evidence, witnesses, or safety decisions.