Injury Line: Sisco Erectors, Inc.
| Inspection Nr | 109941435 |
| Investigation Nr | 644344 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Legs |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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