Injury Line: Oliver Rubber Co.
| Inspection Nr | 111810495 |
| Investigation Nr | 170702419 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Chest |
| Source of Injury | Boat |
| Event Type | Struck By |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Defective Equipment In Use |
| Occupation | Occupation not reported |
| Degree of Injury | Non Hospitalized injury |
| Task Assigned | Task regularly assigned |
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