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| Inspection Nr | 103015251 |
| Investigation Nr | 200100097 |
| Line Nr | 4 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Arm-Mult |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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