| Consecutive Number | 129 |
|---|---|
| Day of Death | 12 |
| Month of Death | 12 |
| Year of Death | 1917 |
| Place of Death | Pemberton Colliery |
| Surname | Banks |
| Forename | John |
| Address | 47 Albert Street |
| Township | |
| Age | 67 |
| Occupation or place of work | Dataller |
| Name of Official | Nil |
| Cause of Death | Fall off roof |
| Verdict of Case | Accidental death |