Injury Line: Coastal Petroleum Services, Inc.
| Inspection Nr | 302395918 |
| Investigation Nr | 201361151 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Dislocation |
| Part of Body | Lower Leg |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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