Injury Line: J J Auto Air, Inc. Dba: Dependable Auto Repair
| Inspection Nr | 313858516 |
| Investigation Nr | 202483996 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Motorcycle |
| Event Type | Struck Against |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Automobile mechanics |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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