Injury Line: Arizona State Forestry Division
| Inspection Nr | 317242683 |
| Investigation Nr | 202561775 |
| Line Nr | 15 |
| Age | |
| Sex |   |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Bodysystem |
| Source of Injury | Fire/Smoke |
| Event Type | Other |
| Environmental Factor | Weather, Earthquake, Etc. |
| Human Factor | Other |
| Occupation | Firefighting occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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