You mention that the fire safety cert. was forged, they missed out firebreaks and there was a lack of escape routes. Also inadequate alarms and several other failings.

That is "just" crass negligence (dangerous and as it turns out massively fatal, negligence)

My point is that there also seems to be a possible systemic failure. There seem to be a few document releases since the disaster, of updates to standards. That implies that the standards themselves were inadequate and that is also a problem.