Injury Line: Ajd Pizza Management, Llc Dba Domino'S Pizza #1085
Inspection Nr | 1672405.015 |
Investigation Nr | 156612.015 |
Line Nr | 1 |
Age | 62 |
Sex | M |
Nature of Injury |   |
Part of Body |   |
Source of Injury |   |
Event Type | Struck By |
Environmental Factor |   |
Human Factor |   |
Occupation | Occupation Not Listed |
Degree of Injury | Fatality |
Task Assigned |   |