Injury Line: Greens Builders & Remodeling, Inc.
| Inspection Nr | 308994458 |
| Investigation Nr | 202004784 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Foot/Ankle |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Roofers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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