Injury Line: Jerich Usa Inc Dba Jerich International
| Inspection Nr | 125874115 |
| Investigation Nr | 170814263 |
| Line Nr | 1 |
| Age | |
| Sex |   |
| Nature of Injury | Concussion |
| Part of Body | Head |
| Source of Injury | Boxes/Barrels, Etc. |
| Event Type | Struck By |
| Environmental Factor | Flying Object Action |
| Human Factor | Position Inapropriate For Task |
| Occupation | Helpers, mechanics and repairers |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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