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| Inspection Nr | 310501523 |
| Investigation Nr | 200355816 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Back |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Carpenters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |