Injury Line: Appleton Medical Center
| Inspection Nr | 312553589 |
| Investigation Nr | 200651701 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Other |
| Occupation | Machine operators, not specified |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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