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| Inspection Nr | 300612744 |
| Investigation Nr | 200850055 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Shoulder |
| Source of Injury | Hoisting Apparatus |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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