Injury Line: Midwest Tile & Concrete Products Inc
| Inspection Nr | 312090236 |
| Investigation Nr | 200996908 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Chest |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck Against |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Other |
| Occupation | Laborers, except construction |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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