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| Inspection Nr | 309301752 |
| Investigation Nr | 202549218 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Arm-Mult |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Supervisors, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |