Injury Line: West Coast Fuel Supply, Inc.
| Inspection Nr | 111960027 |
| Investigation Nr | 170168058 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Shoulder |
| Source of Injury | Other |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Position Inapropriate For Task |
| Occupation | Supervisors, production occupations |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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