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| Inspection Nr | 316481621 |
| Investigation Nr | 200515682 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Puncture |
| Part of Body | Head |
| Source of Injury | Machine |
| Event Type | Struck By |
| Environmental Factor | Catch Point/Puncture Action |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Miscellaneous machine operators, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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