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| Inspection Nr | 307812867 |
| Investigation Nr | 200980522 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Gases |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Mechanical controls and valve repairers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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