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| Inspection Nr | 303819833 |
| Investigation Nr | 200840999 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Back |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Other |
| Occupation | Supervisors, production occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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