Injury Line: G.V. Masonry Incorporated
| Inspection Nr | 2573277 |
| Investigation Nr | 979450 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck Against |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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