Injury Line: West Covina, City Of - Maintenance Dept.
| Inspection Nr | 112197033 |
| Investigation Nr | 170182414 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Finger(S) |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Shear Point Action |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Miscellaneous machine operators, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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