Injury Line: Jerry Van Bavel Dba Capitol Tavern
Inspection Nr | 115173486 |
Investigation Nr | 170006589 |
Line Nr | 2 |
Age | |
Sex |   |
Nature of Injury | Asphyxia |
Part of Body | Lung |
Source of Injury | Chem Liquids/Vapors |
Event Type | Inhalation |
Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
Human Factor | Misjudgment, Haz. Situation |
Occupation | Occupation not reported |
Degree of Injury | Fatality |
Task Assigned | Task not regularly assigned |