Injury Line: Forrest Anderson Plumbing Service
| Inspection Nr | 2544120 |
| Investigation Nr | 14566533 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Dirt/Sand/Stone |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Plumber, pipefitter and steamfiter apprentices |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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