January 10, 1996
CA · Metal/Non-Metal
laborer, blacksmith, bull gang, parts runner, roustabout, pick-up man, pitman
SLIP OR FALL OF PERSON
G W Z Management Company Inc · Fall to the walkway or working surface
EMPLOYEE SUPPOSEDLY SLIPPED & FELL ON BEHIND - CLAIMS(?) SHOULDER AND BACK INJURY - WE HAVE NOT BEEN NOTIFIED OF ANY INJURY - ARE FILING THIS REPORT AS NOTIFICATION TO MSHA OF POSIBLE INJURY - EMPLOYEE HAS NOT SHOWN FOR WORK SINCE ABOVE DATE