Injury Line: Smith & Jones Interior Exterior Design
| Inspection Nr | 2315604 |
| Investigation Nr | 767038 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Head |
| Source of Injury | Bodily Motion |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Malfunc, Neuromuscular System |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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