Injury Line: Jones Washington Stevedoring Co
| Inspection Nr | 111523254 |
| Investigation Nr | 170252019 |
| Line Nr | 10 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Freight, stock and material handlers, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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