Injury Line: C.D. Davenport, Inc
| Inspection Nr | 313204604 |
| Investigation Nr | 200691004 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Head |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | No Personal Protective Eq Used |
| Occupation | Supervisors, material moving equipment operators |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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