Injury Line: Potter Material Service Inc
| Inspection Nr | 14747166 |
| Investigation Nr | 731018 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Finger(S) |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Defective Equipment In Use |
| Occupation | Supervisors, mechanics and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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