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| Inspection Nr | 109641712 |
| Investigation Nr | 839217 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Fracture |
| Part of Body | Head |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Caught In Or Between |
| Environmental Factor | Shear Point Action |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Concrete and terrazzo finishers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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