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| Inspection Nr | 312440266 |
| Investigation Nr | 200532810 |
| Line Nr | 2 |
| Age | |
| Sex | |
| Nature of Injury | Fracture |
| Part of Body | Shoulder |
| Source of Injury | Bodily Motion |
| Event Type | Rep. Motion/Presure |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Laborers, except construction |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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