Injury Line: Mgm Iv, L.L.P.
| Inspection Nr | 316888924 |
| Investigation Nr | 202561585 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Chest |
| Source of Injury | Metal Products |
| Event Type | Struck By |
| Environmental Factor | Overhead Moving/Falling Obj Ac |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Construction laborers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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