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| Inspection Nr | 125813915 |
| Investigation Nr | 201105749 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Arm-Mult |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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