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| Inspection Nr | 120093182 |
| Investigation Nr | 170694723 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Malfunc, Neuromuscular System |
| Occupation | Sales occupations, other business services |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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