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| Inspection Nr | 300756921 |
| Investigation Nr | 201032042 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Multiple |
| Source of Injury | Hoisting Apparatus |
| Event Type | Struck By |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Other |
| Occupation | Machinery maintenance occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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