| Consecutive Number | 116 |
|---|---|
| Day of Death | 7 |
| Month of Death | 11 |
| Year of Death | 1917 |
| Place of Death | Infirmary |
| Surname | Fairhurst |
| Forename | William Robert |
| Address | 525 Ormskirk Road |
| Township | Pemberton |
| Age | 57 |
| Occupation or place of work | Dataller |
| Name of Official | Dr Readman |
| Cause of Death | Fall off roof by sliding |
| Verdict of Case | Accidental Death |