Injury Line: Ultramar Inc
| Inspection Nr | 120120779 |
| Investigation Nr | 170891451 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Upper Leg |
| Source of Injury | Water |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors; handlers,equip-cleaners,laborers nec |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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