Injury Line: K-Van & Son Inc.
| Inspection Nr | 2814028 |
| Investigation Nr | 14297584 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Helpers, mechanics and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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