Injury Line: Acme Electric Company
| Inspection Nr | 317635001 |
| Investigation Nr | 200536464 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Hand(S) |
| Source of Injury | Buildings/Structures |
| Event Type | Shock |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Supervisors; electricians & power transm. install. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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