Injury Line: Instruments Specialists Company
| Inspection Nr | 112117924 |
| Investigation Nr | 170153829 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Head |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Struck Against |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Electricians |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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