Injury Line: Maxwell'S International, Inc. Dba Benihana
| Inspection Nr | 1774088.015 |
| Investigation Nr | 169977.015 |
| Line Nr | 1 |
| Age | 39 |
| Sex | M |
| Nature of Injury |   |
| Part of Body |   |
| Source of Injury |   |
| Event Type | Other |
| Environmental Factor |   |
| Human Factor |   |
| Occupation | Cooks, except short order |
| Degree of Injury | Fatality |
| Task Assigned |   |
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