Injury Line: Goorgen M. Stepanians Dba G Tech Const & Elect.
| Inspection Nr | 310197215 |
| Investigation Nr | 202465118 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Chest |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Caught In Or Between |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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