Injury Line: Gaylord Container Corporation
| Inspection Nr | 111884227 |
| Investigation Nr | 170200604 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Hand(S) |
| Source of Injury | Water |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Machine operators, not specified |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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