Injury Line: D.K. Mold & Tool T/A Agk Machine & Tool Co.
| Inspection Nr | 106981921 |
| Investigation Nr | 14306419 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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