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| Inspection Nr | 3015997 |
| Investigation Nr | 14254999 |
| Line Nr | 17 |
| Age | |
| Sex | |
| Nature of Injury | Dislocation |
| Part of Body | Multiple |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Pinch Point Action |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors, firefighting & fire prevention occupa |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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