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| Inspection Nr | 120131388 |
| Investigation Nr | 170593909 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Dislocation |
| Part of Body | Legs |
| Source of Injury | Gases |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors; distrib., sched'g & adjusting clerks |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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