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| Inspection Nr | 120268339 |
| Investigation Nr | 170383467 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Asphyxia |
| Part of Body | Multiple |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Construction trades, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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