Injury Line: The Goodyear Tire & Rubber Co. Service, Store 2380
| Inspection Nr | 18513242 |
| Investigation Nr | 810176 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Face |
| Source of Injury | Air Pressure |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Garage and service station related occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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