Injury Line: Jersey Bandag Inc.
| Inspection Nr | 303393284 |
| Investigation Nr | 201771490 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Cut/Laceration |
| Part of Body | Chest |
| Source of Injury | Air Pressure |
| Event Type | Shock |
| Environmental Factor | Overpressure/Underpressure |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Helpers, mechanics and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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