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| Inspection Nr | 125385971 |
| Investigation Nr | 170393391 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Hip(S) |
| Source of Injury | Machine |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Industrial machinery repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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