Injury Line: Jeff Watts Plaster & Stucco, Co.
| Inspection Nr | 315636134 |
| Investigation Nr | 202567657 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Chest |
| Source of Injury | Bodily Motion |
| Event Type | Struck Against |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Plasterers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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