Injury Line: Harold W Peterson Inc.
| Inspection Nr | 102037801 |
| Investigation Nr | 14197404 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Legs |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Caught In Or Between |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Plumbers, pipefitters and steamfitters |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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