Injury Line: Midwest Petroleum & Excavating, Inc.
| Inspection Nr | 309290609 |
| Investigation Nr | 200841641 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Multiple |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Caught In Or Between |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Plumbers, pipefitters and steamfitters |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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