Injury Line: Super Store Industries
| Inspection Nr | 125749820 |
| Investigation Nr | 201103082 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Foot/Ankle |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Caught In Or Between |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Machine operators, not specified |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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