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| Inspection Nr | 120215603 |
| Investigation Nr | 201494150 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Fracture |
| Part of Body | Chest |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Supervisors, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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