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| Inspection Nr | 116494204 |
| Investigation Nr | 200630531 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Cut/Laceration |
| Part of Body | Neck |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Struck By |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors, production occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |