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| Inspection Nr | 305723033 |
| Investigation Nr | 100354471 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Bodily Motion |
| Event Type | Fall(Same Level) |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Other |
| Occupation | Short-order cooks |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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