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| Inspection Nr | 109180000 |
| Investigation Nr | 201523396 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Other |
| Occupation | Occupation Not Listed |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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