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| Inspection Nr | 123868440 |
| Investigation Nr | 14239503 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Shoulder |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Flying Object Action |
| Human Factor | Insuff/Lack/Engineerng Controls |
| Occupation | Concrete and terrazzo finishers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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