Injury Line: H.J. Russell/C.D. Moody Joint Venture
| Inspection Nr | 108963885 |
| Investigation Nr | 922153 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Multiple |
| Source of Injury | Other |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Insuff/Lack/Writn Wrk Prac Prog. |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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