Injury Line: Carriage-By-The-Lake Of Ihs, Inc.
| Inspection Nr | 18051615 |
| Investigation Nr | 837914 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type |   |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Occupation not reported |
| Degree of Injury |   |
| Task Assigned |   |
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