Injury Line: Tri-City Auto Repair, Inc.
| Inspection Nr | 303993331 |
| Investigation Nr | 201352119 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Chest |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Automobile body and related repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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