Injury Line: Rci Roofing Supply Company Inc
| Inspection Nr | 311467294 |
| Investigation Nr | 200053502 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Bodysystem |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Truck drivers, light |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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