Injury Line: Ugstad Plumbing Inc
| Inspection Nr | 317158384 |
| Investigation Nr | 200515849 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Heating, air conditioning, and refrig. mechanics |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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