Injury Line: Marva Properties, L.L.C.
| Inspection Nr | 305572729 |
| Investigation Nr | 202343786 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Legs |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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