Injury Line: San Jose Country Club
| Inspection Nr | 119650562 |
| Investigation Nr | 202315859 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Head |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Attendants, amusement and recreation facilities |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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