Injury Line: Kaiser Permanente
| Inspection Nr | 111992871 |
| Investigation Nr | 170185755 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Dermatitis |
| Part of Body | Hand(S) |
| Source of Injury | Boiler/Press Vessel |
| Event Type | Rubbed/Abraded |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Defective Equipment In Use |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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