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| Inspection Nr | 312917115 |
| Investigation Nr | 201493848 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Hoisting Apparatus |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Supervisors; carpenters and related workers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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