Injury Line: Commonwealth Edison Co.
| Inspection Nr | 122195043 |
| Investigation Nr | 122195043 |
| Line Nr | 3 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Bodysystem |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Mater-Handlg Proced. Inappropr |
| Occupation | Laborers, except construction |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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