Injury Line: Cornerstone Tire, L.L.C.
| Inspection Nr | 1303127.015 |
| Investigation Nr | 104020.015 |
| Line Nr | 1 |
| Age | 49 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Struck Against |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Automobile mechanics |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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