5 de mayo de 1994
WV · Carbón
Engrasador, Engrasador, Aceitero, Lubricador, Aceitero de dragalina
RESBALÓN O CAÍDA DE PERSONA
Kennie-Wayne Inc · Caída sobre o contra objetos
HE WAS CARRYING 2 CANS OF OIL WHEN HE FELL & HIT HIS BACK ON RESCURER EE DID NOT REPORT THIS ACCIDENT TO ANYONE AT THE MINES HE CONTINUED TO WORK UNTIL 05-2 4-94 WHERE HE WAS LAYED OFF HE BROU GHT PAPER TO BE SIGNED ON 06-13-94