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| Inspection Nr | 123257420 |
| Investigation Nr | 170340053 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Head |
| Source of Injury | Buildings/Structures |
| Event Type | Struck By |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Assemblers |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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