Injury Line: Warren E. Gomes Excavating, Inc.
| Inspection Nr | 309364883 |
| Investigation Nr | 201178662 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Head |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Illumination |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Truck drivers, heavy |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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