Injury Line: Pacific Warehouse Company
| Inspection Nr | 305473670 |
| Investigation Nr | 201035227 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Elbow(S) |
| Source of Injury | Other |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Other |
| Human Factor | Other |
| Occupation | Miscellaneous plant and system operators |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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