Injury Line: Jerry G Williams & Sons Inc
| Inspection Nr | 307897827 |
| Investigation Nr | 200353118 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Bodysystem |
| Source of Injury | Dust/Particles/Chips |
| Event Type | Caught In Or Between |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Laborers, except construction |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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