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| Inspection Nr | 003208733 |
| Investigation Nr | 014215008 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Multiple |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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