Injury Line: Ca Forestry & Fire Protection San Mateo/Santa Cruz
| Inspection Nr | 311155295 | 
| Investigation Nr | 202526836 | 
| Line Nr | 1 | 
| Age | |
| Sex |   | 
| Nature of Injury | Cut/Laceration | 
| Part of Body | Head | 
| Source of Injury | Motor Vehicle(Indus) | 
| Event Type | Struck Against | 
| Environmental Factor | Work-Surface/Facil-Layout Cond | 
| Human Factor | Other | 
| Occupation | Firefighting occupations | 
| Degree of Injury | Fatality | 
| Task Assigned | Task regularly assigned | 
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