Injury Line: 50 States Engineering Corps.
| Inspection Nr | 1238200.015 |
| Investigation Nr | 96173.015 |
| Line Nr | 1 |
| Age | 62 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Fall(From Elevation) |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Surveying and mapping technicians |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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