Injury Line: Fidelity Roof Company
| Inspection Nr | 119748937 |
| Investigation Nr | 170379135 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Chest |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(Same Level) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Distracting Actions By Others |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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