Injury Line: Erickson Air Crane Co
| Inspection Nr | 124815366 |
| Investigation Nr | 791178 |
| Line Nr | 4 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Multiple |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Timber cutting and logging occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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