Injury Line: State Wide C.A.T.V. Inc.
| Inspection Nr | 302349261 |
| Investigation Nr | 200350908 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Multiple |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Electronic repairers, communica. & indus. equip. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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