Injury Line: Mathis Brothers Furniture
| Inspection Nr | 300864667 |
| Investigation Nr | 201158854 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Hand(S) |
| Source of Injury | Hoisting Apparatus |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Freight, stock and material handlers, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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