Injury Line: State Prison Fairfax Correctioal Unit 30
| Inspection Nr | 105756712 |
| Investigation Nr | 950683 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Chest |
| Source of Injury | Boat |
| Event Type | Caught In Or Between |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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