Injury Line: C. Spirito, Incorporated
| Inspection Nr | 18110213 |
| Investigation Nr | 14540579 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Back |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Caught In Or Between |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Construction trades, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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