I did work in automating abuse detection years back, and the US govt clearly tells you are not to open/confirm suspected, reported, or happened upon cp. There's a lot of other seemingly weird laws and rules around it.
It is of course possible that companies may get some special sign off from LE/NCMEC to do this kind of work - I won't argue with you on that as I truly don't know. I can just tell you my company did not, and was very harshly told how to proceed despite knowing the nature of what we were trying to accomplish. But, we weren't anywhere near Apple big.
I remember chatting with our legal team, who made it explicit that laws didn't to cover carve outs - basically 'seeing' was illegal. But as you can imagine, police didn't come busting down our doors for happening upon it and reporting it. If you have links to law where this is not the case, I'll gladly eat crow. I've never looked myself and relied on what the lawyers had said.
Why would person doing manual review risk his job in case if he’s unsure? Naturally he will just play it safe and report images.