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Injury Line: Western Lane Ambulance District

Inspection Nr 105308266
Investigation Nr 170088389
Line Nr 3
Age
Sex  
Nature of Injury Burn/Scald(Heat)
Part of Body Bodysystem
Source of Injury Aircraft
Event Type Struck Against
Environmental Factor Weather, Earthquake, Etc.
Human Factor Insuff/Lack/Writn Wrk Prac Prog.
Occupation Motor transportation occuputions n.e.c.
Degree of Injury Fatality
Task Assigned Task not regularly assigned

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