Injury Line: Maricopa Blueprint Co.
| Inspection Nr | 2583961 |
| Investigation Nr | 14264154 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Back |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Motor transportation occuputions n.e.c. |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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