Injury Line: Forester Moulding & Lumber, Inc.
| Inspection Nr | 112883418 | 
| Investigation Nr | 937292 | 
| Line Nr | 1 | 
| Age | |
| Sex |   | 
| Nature of Injury | Other | 
| Part of Body | Chest | 
| Source of Injury | Metal Products | 
| Event Type | Struck By | 
| Environmental Factor | Flying Object Action | 
| Human Factor | Equip. Inappropr For Operation | 
| Occupation | Patternmakers and model makers, wood | 
| Degree of Injury | Fatality | 
| Task Assigned | Task regularly assigned | 
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