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| Inspection Nr | 111998399 |
| Investigation Nr | 170161830 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Multiple |
| Source of Injury | Petroleum Products |
| Event Type | Fall(Same Level) |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Helpers, construction trades |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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