Injury Line: Permian Servicing Company
| Inspection Nr | 108502394 |
| Investigation Nr | 14301832 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Abdomen |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck By |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Drillers, oil well |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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