Injury Line: U.S. Department Of Agriculture, Forest Service, Eastern Region (9), Shawnee National Forest, Mississippi Bluffs Ranger District
| Inspection Nr | 1770333.015 | 
| Investigation Nr | 169462.015 | 
| Line Nr | 1 | 
| Age | 30 | 
| Sex | M | 
| Nature of Injury |   | 
| Part of Body |   | 
| Source of Injury |   | 
| Event Type | Bite/Sting/Scratch | 
| Environmental Factor |   | 
| Human Factor |   | 
| Occupation | Administrators & officials, public administration | 
| Degree of Injury | Fatality | 
| Task Assigned |   | 
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