Injury Line: Oakmont Holdings Dba: Elegant Surface'S
| Inspection Nr | 120345319 |
| Investigation Nr | 201174968 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Other |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Miscellaneous hand working occupations |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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