Injury Line: L. B. J. Plastering Co.
| Inspection Nr | 109669416 |
| Investigation Nr | 820720 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Othbodysys |
| Source of Injury | Noise |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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