Injury Line: Moore Business Forms, Inc.
| Inspection Nr | 110516903 |
| Investigation Nr | 14438493 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Multiple |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Electricians |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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