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| Inspection Nr | 302758131 |
| Investigation Nr | 201340833 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Other |
| Event Type | Other |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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