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| Inspection Nr | 108480104 |
| Investigation Nr | 804112 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Cut/Laceration |
| Part of Body | Head |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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