Injury Line: California Spray Dry Co
| Inspection Nr | 111891008 |
| Investigation Nr | 958785 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Elbow(S) |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Illumination |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Mixing and blending machine operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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