Injury Line: J C Penney #9508-3
| Inspection Nr | 1916113 |
| Investigation Nr | 14399315 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Bruise/Contus/Abras |
| Part of Body | Chest |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Bite/Sting/Scratch |
| Environmental Factor | Squeeze Point Action |
| Human Factor | Malfunc In Securing/Warning Op |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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