Injury Line: Koffee Korner
| Inspection Nr | 125822213 |
| Investigation Nr | 202487427 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Upper Arm |
| Source of Injury | Glass |
| Event Type | Struck Against |
| Environmental Factor | Shear Point Action |
| Human Factor | Other |
| Occupation | Waiters and waitresses |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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