Injury Line: Ca, U.C. Davis
| Inspection Nr | 119755239 |
| Investigation Nr | 170717680 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Hip(S) |
| Source of Injury | Other |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Distracting Actions By Others |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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