Injury Line: Jack Jones Painting
| Inspection Nr | 300888856 |
| Investigation Nr | 201180619 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Foot/Ankle |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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