Injury Line: Republic Elevator
| Inspection Nr | 109894733 |
| Investigation Nr | 200850931 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Multiple |
| Source of Injury | Machine |
| Event Type | Caught In Or Between |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Position Inapropriate For Task |
| Occupation | Elevator installers and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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