Injury Line: Pacific Pure Aid Company
| Inspection Nr | 115751448 |
| Investigation Nr | 710764 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Lower Arm |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Other |
| Environmental Factor | Catch Point/Puncture Action |
| Human Factor | Position Inapropriate For Task |
| Occupation | Laborers, except construction |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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