Injury Line: E Bloomfield Tn Highway Dept Paving Crew
| Inspection Nr | 115810111 |
| Investigation Nr | 1003763 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Upper Leg |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Struck By |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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