Injury Line: William L Olson Inc
| Inspection Nr | 120042544 |
| Investigation Nr | 170900724 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Buildings/Structures |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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