Injury Line: Jl Ward Company Inc
| Inspection Nr | 303309702 |
| Investigation Nr | 201700838 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Face |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation Not Listed |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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