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| Inspection Nr | 111960712 |
| Investigation Nr | 170697320 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Cut/Laceration |
| Part of Body | Ear(S) |
| Source of Injury | Other |
| Event Type | Struck Against |
| Environmental Factor | Flying Object Action |
| Human Factor | Other |
| Occupation | Supervisors, n.e.c. |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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