Injury Line: Carlos R Calix Dba Calix Janitorial
| Inspection Nr | 312692148 |
| Investigation Nr | 201186145 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Legs |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Position Inapropriate For Task |
| Occupation | Janitors and cleaners |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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