Injury Line: Ray De Mello Construction
| Inspection Nr | 111837837 |
| Investigation Nr | 170170286 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Upper Arm |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Position Inapropriate For Task |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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