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| Inspection Nr | 105987028 |
| Investigation Nr | 14348072 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Fracture |
| Part of Body | Arm-Mult |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Insuff/Lack/Engineerng Controls |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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