Injury Line: Industrial Services Inc
| Inspection Nr | 2495729 |
| Investigation Nr | 571737 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Multiple |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors; electricians & power transm. install. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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