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Injury Line: Custom Exteriors By Anderson, Inc.

Inspection Nr 312133762
Investigation Nr 201751757
Line Nr 5
Nature of Injury Other
Part of Body Head
Source of Injury Dirt/Sand/Stone
Event Type Fall(From Elevation)
Environmental Factor Work-Surface/Facil-Layout Cond
Human Factor Misjudgment, Haz. Situation
Occupation Roofers
Degree of Injury Fatality
Task Assigned Task regularly assigned

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