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| Inspection Nr | 108497090 |
| Investigation Nr | 14557821 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Lower Arm |
| Source of Injury | Fire/Smoke |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Supervisors, extractive occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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