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| Inspection Nr | 120120993 |
| Investigation Nr | 170358857 |
| Line Nr | 10 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Other |
| Event Type | Absorption |
| Environmental Factor | Other |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Plumbers, pipefitters and steamfitters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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