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| Inspection Nr | 306139189 |
| Investigation Nr | 200352961 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Fracture |
| Part of Body | Head |
| Source of Injury | Buildings/Structures |
| Event Type | Struck By |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Insuff/Lack/Housekeeping Program |
| Occupation | Janitors and cleaners |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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