Injury Line: T M Poly-Film, Inc.
| Inspection Nr | 101860260 |
| Investigation Nr | 14340392 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Lower Arm |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Defective Equipment In Use |
| Occupation | Misc. metal & plastic processing machine operators |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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