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| Inspection Nr | 119596435 |
| Investigation Nr | 14479729 |
| Line Nr | 3 |
| Age | |
| Sex | |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Air Pressure |
| Event Type | Other |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Other |
| Occupation | Mixing and blending machine operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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