Injury Line: The Pallet Factory Inc
| Inspection Nr | 119952901 |
| Investigation Nr | 201153178 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Puncture |
| Part of Body | Abdomen |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Miscellaneous woodworking machine operators |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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