Injury Line: T & K Masonry Inc.
| Inspection Nr | 103270179 |
| Investigation Nr | 14213375 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(Same Level) |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Other |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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