Injury Line: Cooper/T. Smith Stevedoring Co., Inc.
| Inspection Nr | 300316486 | 
| Investigation Nr | 200420040 | 
| Line Nr | 1 | 
| Age | |
| Sex |   | 
| Nature of Injury | Other | 
| Part of Body | Multiple | 
| Source of Injury | Boxes/Barrels, Etc. | 
| Event Type | Struck By | 
| Environmental Factor | Materials Handlg Equip./Method | 
| Human Factor | Other | 
| Occupation | Longshore equipment operators | 
| Degree of Injury | Fatality | 
| Task Assigned | Task regularly assigned | 
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