Injury Line: Caldor (Store #120)
| Inspection Nr | 18815134 |
| Investigation Nr | 821314 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Boxes/Barrels, Etc. |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Supervisors and proprietors, sales occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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