Injury Line: Cottonwood Inn Motel Corporation
| Inspection Nr | 315628461 |
| Investigation Nr | 200604890 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Bodysystem |
| Source of Injury | Buildings/Structures |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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