Injury Line: Fireworks Spectacular, Inc.
| Inspection Nr | 308639822 |
| Investigation Nr | 201343803 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Burn(Chemical) |
| Part of Body | Bodysystem |
| Source of Injury | Fire/Smoke |
| Event Type | Struck Against |
| Environmental Factor | Flying Object Action |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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