Injury Line: E. J. Brach Corporation
| Inspection Nr | 103212312 | 
| Investigation Nr | 14213078 | 
| Line Nr | 6 | 
| Age | |
| Sex |   | 
| Nature of Injury | Other | 
| Part of Body | Lung | 
| Source of Injury | Chem Liquids/Vapors | 
| Event Type | Inhalation | 
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust | 
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. | 
| Occupation | Occupation not reported | 
| Degree of Injury | Non Hospitalized injury | 
| Task Assigned | Task regularly assigned | 
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