Injury Line: International Catalyst Inc
| Inspection Nr | 126081819 |
| Investigation Nr | 201055027 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Head |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Technicians, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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