Injury Line: Concavage Marine Construction Co.
| Inspection Nr | 123158628 |
| Investigation Nr | 201522174 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Boat |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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