Injury Line: Interstate Treating, Inc.
| Inspection Nr | 303419030 |
| Investigation Nr | 200601730 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Puncture |
| Part of Body | Legs |
| Source of Injury | Water |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Construction trades, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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