Injury Line: Erickson Air Crane Co
| Inspection Nr | 111447306 |
| Investigation Nr | 170245989 |
| Line Nr | 4 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Head |
| Source of Injury | Aircraft |
| Event Type | Struck By |
| Environmental Factor | Pinch Point Action |
| Human Factor | Other |
| Occupation | Occupation not reported |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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