Injury Line: Cms Limited Partnership Dba Carolina Masonry Suppl
| Inspection Nr | 18508382 |
| Investigation Nr | 943191 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Multiple |
| Source of Injury | Hoisting Apparatus |
| Event Type | Caught In Or Between |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Mixing and blending machine operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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