Injury Line: Brandenburg Industrial Service Company
| Inspection Nr | 107930612 |
| Investigation Nr | 904243 |
| Line Nr | 2 |
| 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 | Insuff/Lack/Engineerng Controls |
| Occupation | Structural metal workers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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