Injury Line: Treasure Chest Advertising Co., Inc.
| Inspection Nr | 125863365 |
| Investigation Nr | 170813976 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Lower Arm |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Other |
| Occupation | Industrial truck and tractor equipment operators |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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