Injury Line: Valley Truck & Tractor Co
| Inspection Nr | 314574260 |
| Investigation Nr | 170786255 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Lung |
| Source of Injury | Other |
| Event Type | Inhalation |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Laborers, except construction |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task not regularly assigned |
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