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| Inspection Nr | 107541955 |
| Investigation Nr | 170110290 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Water |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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