Injury Line: Wildish Paving Company
| Inspection Nr | 303178867 |
| Investigation Nr | 201201118 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Bodysystem |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Miscellaneous material moving equipment operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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