| Consecutive Number | 81 |
|---|---|
| Day of Death | 17 |
| Month of Death | 07 |
| Year of Death | 1917 |
| Place of Death | Infirmary |
| Surname | Johnson |
| Forename | Peter |
| Address | 28 Byrom Street |
| Township | Ashton-in-Makerfield |
| Age | 43 |
| Occupation or place of work | Collier |
| Name of Official | Dr Lathom |
| Cause of Death | Jerked against a prop with a wagon |
| Verdict of Case | Accidental Death |