Injury Line: Silver Streak, Inc.
| Inspection Nr | 107659294 |
| Investigation Nr | 170119762 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Hand(S) |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Defective Equipment In Use |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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