Injury Line: Az Drywall Inc.
| Inspection Nr | 311033047 |
| Investigation Nr | 201282720 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Chest |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck Against |
| Environmental Factor | Chemical Action/Reaction Expos |
| Human Factor | Perception Malfunc,Task-Envir. |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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