Injury Line: Herbert Malarkey Roofing Co
| Inspection Nr | 311699268 |
| Investigation Nr | 201637873 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn(Chemical) |
| Part of Body | Face |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Struck By |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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