Injury Line: G S Roofing Products Co
| Inspection Nr | 120127550 |
| Investigation Nr | 170358121 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Foot/Ankle |
| Source of Injury | Cleaning Compound |
| Event Type | Absorption |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Mixing and blending machine operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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