Injury Line: Polte Home Corp.
Inspection Nr | 112407853 |
Investigation Nr | 894238 |
Line Nr | 3 |
Age | |
Sex |   |
Nature of Injury |   |
Part of Body |   |
Source of Injury |   |
Event Type |   |
Environmental Factor |   |
Human Factor |   |
Occupation | Occupation Not Listed |
Degree of Injury |   |
Task Assigned |   |