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| Inspection Nr | 308607092 |
| Investigation Nr | 202045175 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Electric Shock |
| Part of Body | Multiple |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Rubbed/Abraded |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Position Inapropriate For Task |
| Occupation | Roofers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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