10 de enero de 1996
WV · Carbón
Empernador de techo, Empernador de roca, Empernador, Operador de soporte de techo móvil (MRS)
OTRO
Darbet Inc · NEC (no clasificado en otra parte)
EMPLOYEE HAD PINNED 1ST PLACE AND BACKED PINNER OUT TO EAT A SANDWICH AND WAS TALKING TO ANOTHER EMPLOYEE THEN FELL OVER DEAD. HE WAS BROUGHT OUTSIDE WITHIN MINUTES HE WAS PRONOUNCED DEAD ON A RRIVAL AT WELCH EM HOSPITAL AT 12:49 PM. DO TO WAITING ON MEDICAL EXAMINERS REPORT TO PROPERLY FILL OUT THIS FORM. WE RECEIVED REPORT ON 2-8-96,I AM SENDING A COPY OF MEDICAL REPORT.