Injury Line: Ajax Paving Industries, Inc. Of Florida
| Inspection Nr | 304957020 |
| Investigation Nr | 202317350 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Bodysystem |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Distracting Actions By Others |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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