Injury Line: Ellis Deshotel Contractors
| Inspection Nr | 303081277 |
| Investigation Nr | 200551406 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Bodysystem |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Shock |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Position Inapropriate For Task |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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