Injury Line: Colonial Design, Inc.
| Inspection Nr | 304319379 |
| Investigation Nr | 201361979 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Lung |
| Source of Injury | Fume |
| Event Type | Inhalation |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Defective Equipment In Use |
| Occupation | Laborers, except construction |
| Degree of Injury | Hospitalized injury |
| Task Assigned | Task regularly assigned |
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