Injury Line: Pease & Curren Reliable Recovery, Inc.
| Inspection Nr | 102380649 |
| Investigation Nr | 766378 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Multiple |
| Source of Injury | Metal Products |
| Event Type | Shock |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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