Injury Line: Shaw & Sons Amusements
| Inspection Nr | 119605129 |
| Investigation Nr | 170833610 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Multiple |
| Source of Injury | Wind/Lightning, Etc. |
| Event Type | Caught In Or Between |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Recreation workers |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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