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| Inspection Nr | 125890053 |
| Investigation Nr | 201087731 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Dislocation |
| Part of Body | Othbodysys |
| Source of Injury | Furniture/Furnishing |
| Event Type | Fall(Same Level) |
| Environmental Factor | Illumination |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Administrative support occupations, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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