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| Inspection Nr | 300749744 |
| Investigation Nr | 201021656 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Pump/Prime Mover |
| Event Type | Caught In Or Between |
| Environmental Factor | Catch Point/Puncture Action |
| Human Factor | Other |
| Occupation | Laborers, except construction |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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