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| Inspection Nr | 107403370 |
| Investigation Nr | 550046 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Abdomen |
| Source of Injury | Hand Tool (Manual) |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Chief exec's & gen'l administrators, public admin. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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