Injury Line: Polivka International Company Inc.
Inspection Nr | 1405267.015 |
Investigation Nr | 116772.015 |
Line Nr | 2 |
Age | 47 |
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 | Task not regularly assigned |