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| Inspection Nr | 112179940 |
| Investigation Nr | 170698039 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Strain/Sprain |
| Part of Body | Back |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Rubbed/Abraded |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Miscelaneous food preparation occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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