Injury Line: Dee Shoring Co., Inc.
| Inspection Nr | 112362199 |
| Investigation Nr | 953125 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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