Injury Line: Raul Montes
| Inspection Nr | 126168749 |
| Investigation Nr | 201050911 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Puncture |
| Part of Body | Othbodysys |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Carpenters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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