Injury Line: S.D.J. Construction Company, Inc.
| Inspection Nr | 122025281 |
| Investigation Nr | 170340061 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Neck |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Carpenters |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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