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| Inspection Nr | 301276655 |
| Investigation Nr | 201690864 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Strain/Sprain |
| Part of Body | Back |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Industrial truck and tractor equipment operators |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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