Injury Line: American Incapsallation & Installation, Inc.
| Inspection Nr | 100869312 |
| Investigation Nr | 14480768 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Othbodysys |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Card-Vasc/Resp Fail. |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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