Injury Line: 96693 - Ballman Roofing - Coating Llc Dba Ballman Exterior
| Inspection Nr | 1289404.015 |
| Investigation Nr | 102592.015 |
| Line Nr | 2 |
| Age | 42 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Shock |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned |   |
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