Injury Line: Superior Iron Works, Inc.
| Inspection Nr | 104519764 |
| Investigation Nr | 689919 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Dislocation |
| Part of Body | Shoulder |
| Source of Injury | Bodily Motion |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Insuff/Lack/Engineerng Controls |
| Occupation | Structural metal workers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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