Injury Line: G. H. Coatings & Tile Co., Inc.
| Inspection Nr | 2821304 |
| Investigation Nr | 14297311 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Hoisting Apparatus |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Insulation Workers |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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