Injury Line: Jim Meyers Food Brokers, Inc.
| Inspection Nr | 127364909 |
| Investigation Nr | 170070718 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Multiple |
| Source of Injury | Materials Handlg Eq. |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Materials Handlg Equip./Method |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Sales support occupations, n.e.c. |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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