Injury Line: H. B. Fuller
| Inspection Nr | 112064639 |
| Investigation Nr | 170190649 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Lung |
| Source of Injury | Water |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Position Inapropriate For Task |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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