Injury Line: N.C. Department Of Transportation 11th Hwy Div.
| Inspection Nr | 2974335 |
| Investigation Nr | 1000744 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Amputation |
| Part of Body | Legs |
| Source of Injury | Motor Vehicle (Hwy) |
| Event Type | Caught In Or Between |
| Environmental Factor | Pinch Point Action |
| Human Factor | Other |
| Occupation | Motor transportation occuputions n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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