Injury Line: Lucky Stores, Inc.
| Inspection Nr | 120335377 |
| Investigation Nr | 170812226 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn(Chemical) |
| Part of Body | Back |
| Source of Injury | Cleaning Compound |
| Event Type | Fall(Same Level) |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Miscelaneous food preparation occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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