Injury Line: Consolidated Freightways
| Inspection Nr | 120129176 |
| Investigation Nr | 170358634 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Chest |
| Source of Injury | Motor Vehicle(Indus) |
| Event Type | Struck By |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Equip. Inappropr For Operation |
| Occupation | Driver-sales workers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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