Injury Line: Valley Perforating Co
| Inspection Nr | 120215959 |
| Investigation Nr | 201087046 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Arm-Mult |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Fabricating machine operators, n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
Translate