Injury Line: A. E. Staley Mfg. Co.
| Inspection Nr | 103296182 |
| Investigation Nr | 14379184 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Asphyxia |
| Part of Body | Lung |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Inhalation |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Specified mechanics and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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