Injury Line: Ball Montez Electric Co., Inc.
| Inspection Nr | 2441681 |
| Investigation Nr | 14402671 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Electric Shock |
| Part of Body | Bodysystem |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Card-Vasc/Resp Fail. |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Electricians |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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