Injury Line: Exxon Company, U. S. A.
| Inspection Nr | 105447676 |
| Investigation Nr | 675447 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Head |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Other |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Industrial truck and tractor equipment operators |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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