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| Inspection Nr | 643171 |
| Investigation Nr | 14535413 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Amputation |
| Part of Body | Legs |
| Source of Injury | Buildings/Structures |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Insuff/Lack/Housekeeping Program |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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