Injury Line: Revoli Construction Company, Incorporated
| Inspection Nr | 107447815 |
| Investigation Nr | 653980 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Burn(Chemical) |
| Part of Body | Face |
| Source of Injury | Fire/Smoke |
| Event Type | Struck By |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Helpers, extractive occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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