Injury Line: The Federal Group Inc. Dba Clarion Hotel
| Inspection Nr | 313372278 |
| Investigation Nr | 200632206 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Chest |
| Source of Injury | Heat (Envir/Mech) |
| Event Type | Struck By |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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