Injury Line: Mid States Rubber Products, Inc.
| Inspection Nr | 107937484 |
| Investigation Nr | 903583 |
| Line Nr | 4 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Multiple |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Overpressure/Underpressure |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors, production occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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