Injury Line: Raphael'S Party Rental
| Inspection Nr | 310811187 |
| Investigation Nr | 201070968 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Lower Leg |
| Source of Injury | Metal Products |
| Event Type | Struck By |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Laborers, except construction |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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