Injury Line: Randall W. Jordan
| Inspection Nr | 102835907 |
| Investigation Nr | 605766 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Abdomen |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Struck By |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Insuff/Lack/Engineerng Controls |
| Occupation | Construction laborers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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