Injury Line: Central Concrete & Supply Corporation
| Inspection Nr | 309659043 |
| Investigation Nr | 201772936 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Lung |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Ingestion |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Laborers, except construction |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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