Injury Line: Brian Shew D/B/A Shew'S Construction
| Inspection Nr | 18472670 |
| Investigation Nr | 14253140 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Electricians' apprentices |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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