Injury Line: Self Service Furniture Inc
| Inspection Nr | 115704835 |
| Investigation Nr | 170128730 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Elbow(S) |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Freight, stock and material handlers, n.e.c. |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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