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| Inspection Nr | 104457643 |
| Investigation Nr | 170066567 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Electric Shock |
| Part of Body | Eye(S) |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Struck Against |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Defective Equipment In Use |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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