Injury Line: Southern States Cooperative, Inc.
| Inspection Nr | 3011616 |
| Investigation Nr | 14251029 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Hernia |
| Part of Body | Liver |
| Source of Injury | Working Surface |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Work-Surface/Facil-Layout Cond |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Helpers, extractive occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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