Injury Line: Dover Elevator Company
| Inspection Nr | 2985604 |
| Investigation Nr | 170121255 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Multiple |
| Source of Injury | Hoisting Apparatus |
| Event Type | Struck By |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Lockout/Tagout Proced Malfunc |
| Occupation | Elevator installers and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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