Injury Line: Countryside Welding And Crane Service, Inc.
| Inspection Nr | 301929584 |
| Investigation Nr | 200070381 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Back |
| Source of Injury | Buildings/Structures |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Position Inapropriate For Task |
| Occupation | Carpenters |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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