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| Inspection Nr | 115872665 |
| Investigation Nr | 170747307 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Electric Shock |
| Part of Body | Hand(S) |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Cooks, except short order |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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