Injury Line: C.B. Power, Inc.
| Inspection Nr | 109678920 |
| Investigation Nr | 14333868 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Structural metal workers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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