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| Inspection Nr | 3190634 |
| Investigation Nr | 14215214 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Machine |
| Event Type | Struck By |
| Environmental Factor | Overpressure/Underpressure |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Industrial truck and tractor equipment operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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