Injury Line: Servco Pacific Inc Dba Rex Tire & Supply
| Inspection Nr | 311436471 |
| Investigation Nr | 201942745 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Head |
| Source of Injury | Metal Products |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Garage and service station related occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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