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| Inspection Nr | 301406500 |
| Investigation Nr | 201921863 |
| Line Nr | 120 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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