Injury Line: Ball Ball & Brosamer Inc
| Inspection Nr | 14607220 |
| Investigation Nr | 14565949 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Back |
| Source of Injury | Gases |
| Event Type | Other |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Truck drivers, heavy |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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