Injury Line: Cook Forms
Inspection Nr | 111265989 |
Investigation Nr | 170250849 |
Line Nr | 2 |
Age | |
Sex |   |
Nature of Injury | Fracture |
Part of Body | Hip(S) |
Source of Injury | Buildings/Structures |
Event Type | Caught In Or Between |
Environmental Factor | Work-Surface/Facil-Layout Cond |
Human Factor | Misjudgment, Haz. Situation |
Occupation | Occupation not reported |
Degree of Injury | Hospitalized injury |
Task Assigned | Task not regularly assigned |