Injury Line: Western Industial Maintenance, Inc.
| Inspection Nr | 112083340 |
| Investigation Nr | 170186720 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Chest |
| Source of Injury | Water |
| Event Type | Absorption |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Helpers, construction trades |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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