Injury Line: Safeway Stores Inc (Store #1109)
| Inspection Nr | 1442545.015 |
| Investigation Nr | 121377.015 |
| Line Nr | 1 |
| Age | 58 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Other |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Machine operators, not specified |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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