Injury Line: Clougherty Packing Llc Dba / Farmer John
| Inspection Nr | 112156179 |
| Investigation Nr | 170153365 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Othbodysys |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Supervisors; handlers,equip-cleaners,laborers nec |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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