Injury Line: Humberto Vidal, Inc.
| Inspection Nr | 126961911 |
| Investigation Nr | 170074637 |
| Line Nr | 13 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Arm-Mult |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | General office clerks |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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