Injury Line: Mirra Company, Inc.
| Inspection Nr | 109625319 |
| Investigation Nr | 655431 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Foot/Ankle |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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