Injury Line: Express Fabrication, Inc.
| Inspection Nr | 111919197 |
| Investigation Nr | 170615314 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Strain/Sprain |
| Part of Body | Back |
| Source of Injury | Working Surface |
| Event Type | Fall(Same Level) |
| Environmental Factor | Sound Level |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Welders and cutters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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