Injury Line: Santa Theresa Community Hospital (Kaiser)
| Inspection Nr | 111781118 |
| Investigation Nr | 170169247 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Bodysystem |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Inhalation |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Janitors and cleaners |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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