Injury Line: Central Jersey Concrete Pipe Company, Inc.
| Inspection Nr | 301320743 |
| Investigation Nr | 201770518 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Bodysystem |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Inhalation |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Freight, stock and material handlers, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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