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| Inspection Nr | 111970125 |
| Investigation Nr | 170168124 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Back |
| Source of Injury | Petroleum Products |
| Event Type | Struck Against |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Roofers |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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