Injury Line: Jack Giambalvo Motor Company
| Inspection Nr | 305843161 |
| Investigation Nr | 200570893 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Bodysystem |
| Source of Injury | Fire/Smoke |
| Event Type | Struck By |
| Environmental Factor | Flammable Liq/Solid Exposure |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Automobile mechanics |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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