Injury Line: Western Foundations & Shoring, Inc.
| Inspection Nr | 112012810 |
| Investigation Nr | 170190052 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Arm-Mult |
| Source of Injury | Hoisting Apparatus |
| Event Type | Struck By |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Distracting Actions By Others |
| Occupation | Helpers, extractive occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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