Injury Line: Erny'S Fertilizer Service
| Inspection Nr | 14694996 |
| Investigation Nr | 672113 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Other |
| Part of Body | Back |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Struck By |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Industrial truck and tractor equipment operators |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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