Injury Line: C.P. Ward Incorporated
| Inspection Nr | 101747095 |
| Investigation Nr | 14516470 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Back |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck Against |
| Environmental Factor | Catch Point/Puncture Action |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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