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| Inspection Nr | 123678302 |
| Investigation Nr | 899666 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Electric Shock |
| Part of Body | Foot/Ankle |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Shock |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction trades, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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