Injury Line: American Rock & Asphalt Inc
| Inspection Nr | 120189873 |
| Investigation Nr | 740571 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Chest |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Safety Devices Removed/Inoper. |
| Occupation | Truck drivers, heavy |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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