Injury Line: Cole Roofing Co. Inc.
| Inspection Nr | 2868610 |
| Investigation Nr | 14299721 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Strain/Sprain |
| Part of Body | Back |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Roofers |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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