Injury Line: Davis Roofing Corp.
| Inspection Nr | 111863940 |
| Investigation Nr | 14537286 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Strain/Sprain |
| Part of Body | Back |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Position Inapropriate For Task |
| Occupation | Carpenters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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