Injury Line: Concord Custom Cleaner
| Inspection Nr | 115942062 |
| Investigation Nr | 780627 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Extruding and forming machine operators |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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