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| Inspection Nr | 106102700 |
| Investigation Nr | 170577621 |
| Line Nr | 11 |
| Age | |
| Sex | |
| Nature of Injury | Other |
| Part of Body | Lung |
| Source of Injury | Gases |
| Event Type | Inhalation |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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