Injury Line: Mark Jamroz Dba Markon Roofing & General Const.
| Inspection Nr | 103264875 |
| Investigation Nr | 14471403 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Bodysystem |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Struck Against |
| Environmental Factor | Other |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Roofers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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