Injury Line: Custom Spraying And Reglazing Co., Inc.
| Inspection Nr | 302940762 |
| Investigation Nr | 200851608 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Poisoning(Systemic) |
| Part of Body | Bodysystem |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Inhalation |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Insuff/Lack/Respiratory Proctect |
| Occupation | Misc. metal,plastic,stone&glass-working mach. op's |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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