Injury Line: Holland Bros. Construction Co., Inc.
| Inspection Nr | 104205471 |
| Investigation Nr | 673764 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Pinch Point Action |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Paving, surfacing and tamping equipment operators |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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