Injury Line: Mid-States Concrete Industries, Llc
| Inspection Nr | 1337816.015 | 
| Investigation Nr | 109493.015 | 
| Line Nr | 1 | 
| Age | 30 | 
| Sex | M | 
| Nature of Injury |   | 
| Part of Body |   | 
| Source of Injury |   | 
| Event Type | Fall(From Elevation) | 
| Environmental Factor |   | 
| Human Factor |   | 
| Occupation | Construction laborers | 
| Degree of Injury | Hospitalized injury | 
| Task Assigned | Task not regularly assigned | 
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