Injury Line: Staid Pipeline Company Inc
| Inspection Nr | 105552756 |
| Investigation Nr | 14306146 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Air Pressure |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Plumbers, pipefitters and steamfitters |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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