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Significant Factors


  1. The pilot did not complete the Pre Take Off and After Take Off cabin pressurisation checks.
  2. The pilot became pre-occupied with programming the GPS after receiving a track change instruction.
  3. The aircraft was allowed to climb above 10,000 ft in an unpressurised state.
  4. The effectiveness of the aircraft's cockpit warning system was reduced by the operator's practice of allowing postponement of the After Take Off check.

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