Injury Line: Arizona Dept Of Transportation (Highway Division)
| Inspection Nr | 115650103 |
| Investigation Nr | 170052211 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Lower Leg |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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