Injury Line: Costco Wholesale Corporation Store 469
| Inspection Nr | 315347955 |
| Investigation Nr | 201079233 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Foot/Ankle |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Managers and administrators, n.e.c |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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