Injury Line: U.S. Army 404th Army Field Support Brigade
| Inspection Nr | 1570091.015 |
| Investigation Nr | 142213.015 |
| Line Nr | 1 |
| Age | 53 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Fall(From Elevation) |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Bookkeepers, accounting and auditing clerks |
| Degree of Injury | Hospitalized injury |
| Task Assigned |   |
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