Injury Line: Carl Smith, Inc.
| Inspection Nr | 116234105 |
| Investigation Nr | 14482715 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Caught In Or Between |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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