Injury Line: Hicksgas Gifford Inc, Dba Pekin Hicksgas
| Inspection Nr | 308568484 |
| Investigation Nr | 200271526 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Multiple |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Managers and administrators, n.e.c |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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