Injury Line: Lifetime Tile And Marble Inc.
| Inspection Nr | 104668405 |
| Investigation Nr | 884601 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Othbodysys |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Tile setters, hard and soft |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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