Injury Line: Williams Detroit Diesel-Allison Midwest, Inc.
| Inspection Nr | 304707714 |
| Investigation Nr | 201953049 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Back |
| Source of Injury | Working Surface |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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