Injury Line: Sprint/United Telephone-Southeast
| Inspection Nr | 120553151 |
| Investigation Nr | 978239 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Defective Equipment In Use |
| Occupation | Sales occupations, other business services |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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