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| Inspection Nr | 119629004 |
| Investigation Nr | 170838767 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Supervisors; handlers,equip-cleaners,laborers nec |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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