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| Inspection Nr | 119579993 |
| Investigation Nr | 170066476 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Electric Shock |
| Part of Body | Multiple |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Other |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Chief exec's & gen'l administrators, public admin. |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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