Injury Line: La-Z-Boy Midwest
| Inspection Nr | 300003373 |
| Investigation Nr | 200000198 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Other |
| Event Type | Caught In Or Between |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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