Injury Line: F.W. Woolworth Co.
| Inspection Nr | 300613205 |
| Investigation Nr | 200850386 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Person |
| Event Type | Struck By |
| Environmental Factor | Other |
| Human Factor | Misjudgment, Haz. Situation |
| Occupation | Supervisors and proprietors, sales occupations |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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