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| Inspection Nr | 119871036 |
| Investigation Nr | 170882807 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Multiple |
| Source of Injury | Petroleum Products |
| Event Type | Struck By |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Other |
| Occupation | Extruding and forming machine operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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