Injury Line: Gagner Restoration, Inc.
| Inspection Nr | 306019787 |
| Investigation Nr | 200052165 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Multiple |
| Source of Injury | Buildings/Structures |
| Event Type | Shock |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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