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| Inspection Nr | 104468327 |
| Investigation Nr | 170751341 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Other |
| Event Type | Shock |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Chief exec's & gen'l administrators, public admin. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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