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| Inspection Nr | 107321002 |
| Investigation Nr | 655134 |
| Line Nr | 5 |
| Age | |
| Sex | |
| Nature of Injury | Asphyxia |
| Part of Body | Chest |
| Source of Injury | Buildings/Structures |
| Event Type | Struck By |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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