TITLE: {{ $data->title ?? 'N/A' }} |
DOCUMENT NUMBER: {{ $data->document_number ?? 'N/A' }} |
|
AUTHORIZED BY: {{ $data->authorisedBy->first_name ?? 'N/A' }} {{ $data->authorisedBy->last_name ?? 'last name N/A' }} |
ISSUE DATE: {{ $data->issue_date ?? 'N/A' }} |
|
REVISION DATE: {{ $data->revision_date ?? 'N/A' }} |
REVISION NUMBER: {{ $data->revision_number ?? 'N/A' }} |
|
Site: {{ $data->site->title ?? 'N/A' }} |
@if ($supervisors && $supervisors->count() > 0)
Supervisors: @foreach ($supervisors as $supervisor) {{ $supervisor->emp_personal_supervisor_detail_f_name }} {{ $supervisor->emp_personal_supervisor_detail_last_name }} @if (!$loop->last), @endif @endforeach |
@else
Supervisors: N/A |
@endif
Forman: {{ $data->forman->first_name ?? 'N/A' }} {{ $data->forman->last_name ?? '' }} |
PART A – Incident Details (Must be completed for all Injuries / Incidents)
PROJECT INCIDENT INVESTIGATION NUMBER: {{ $data->investigation_number ?? 'N/A' }} |
OFFICE NUMBER: {{ $data->office_number ?? 'N/A' }} |
|
PROJECT NAME: {{ $data->project->title ?? 'N/A' }} |
PROJECT NUMBER: {{ $data->project->id ?? 'N/A' }} |
|
REPORT COMPILED BY: {{ $data->reportedToDetails->first_name ?? 'N/A' }} {{ $data->reportedToDetails->last_name ?? 'N/A' }} |
ROLE: {{ $data->reportedBys->first()->positionDetail->title ?? 'N/A' }} |
|
END DATE: {{ $data->date ?? 'N/A' }} |
DATE OF INCIDENT: {{ $data->incident_date ?? 'N/A' }} |
|
INCIDENT REPORT TO: {{ $data->roles_reported_to_first_name ?? 'N/A' }} {{ $data->roles_reported_to_last_name ?? 'N/A' }} | --}}
INCIDENT REPORT TO: {{ $data->reportedTos->first()->reportedToEmployee->first_name ?? 'N/A' }} {{ $data->reportedTos->first()->reportedToEmployee->last_name ?? 'N/A' }} |
REPORT TO COMPANY NAME: {{ $data->reportedTos->first()->company_name ?? 'N/A'}} |
@if ($data->reportedTos->first()->reportedToEmployee->last_name && !is_numeric($data->reportedTos->first()->reportedToEmployee->last_name))
REPORT TO POSITION: {{ $data->reportedTos->first()->reportedToEmployee->last_name ?? 'N/A' }} @elseREPORT TO POSITION: {{ $data->reportedTos->first()->reportedToEmployee->first_name ?? 'N/A' }} {{ $data->reportedTos->fisrt()->positionDetail->title ?? 'N/A' }} @endif |
REPORT TO CONTACT NUMBER: {{ $data->reportedTos->first()->contact_number ?? 'N/A' }} |
|
TIME OF INCIDENT: {{ $data->incident_time ?? 'N/A' }} |
DATE INCIDENT REPORTED: {{ $data->date_incident_reported ?? 'N/A' }} |
|
TIME INCIDENT REPORTED : {{ $data->time_incident_reported ?? 'N/A' }} |
INCIDENT REPORT BY: {{ $data->reportedBys->first()->reportedByEmployee->first_name ?? 'N/A' }} {{ $data->reportedBys->first()->reportedByEmployee->last_name ?? 'N/A' }} |
|
INCIDENT REPORT BY COMPANY NAME: {{ $data->reportedBys->first()->company_name ?? 'N/A' }} |
||
INCIDENT REPORT BY ROLE: {{ $data->reportedTos->first()->positionDetail->title ?? 'N/A' }} |
INCIDENT REPORT BY CONTACT NUMBER: {{ $data->reportedBys->first()->contact_number ?? 'N/A' }} |
Title: | {{ $data->title ?? 'N/A' }} | Document Number: | {{ $data->document_number ?? 'N/A' }} |
Revision Number: | {{ $data->revision_number ?? 'N/A' }} | Revision Date: | {{ $data->revision_date ?? 'N/A' }} |
Initial injury classification
@if ($dataClassifications->isNotEmpty()) @foreach($dataClassifications as $data_classification) @endforeach @else @endif |
Notifiable Incident Classification
@if ($data->notifiedTos->first()->ohs_regulator == 1) @elseif($data->notifiedTos->first()->ohs_regulator == 2) @elseif($data->notifiedTos->first()->ohs_regulator == 3) @else @endif |
OHS Regulator (Refer To Section 35 Of The WHS Act For A Definition Of Notifiable Incident)
@endif | |
REFERENCE NUMBER: {{ $data->notifiedTos->first()->reference_number ?? 'N/A' }} |
CONTACT NAME: {{ $data->notifiedTos->first()->contact_name ?? 'N/A' }} |
DATE: {{ $data->notifiedTos->first()->date ?? 'N/A' }} |
TIME: {{ $data->notifiedTos->first()->time ?? 'N/A' }} |
Was there more than one person injured / Involved?
@if ($data->involvedPersons) @else @endif |
Injured / Involved Persons Details
EMPLOYEE: {{ $data->reportedTos->first()->reportedToEmployee->first_name ?? 'N/A' }} |
SURENAME: {{ $data->involvedPersons->first()->surname ?? 'N/A' }} |
AGE: {{ $data->involvedPersons->first()->age ?? 'N/A' }} |
DATE OF BIRTH: {{ $data->involvedPersons->first()->dob ?? 'N/A' }} |
OCCUPATION: {{ $data->involvedPersons->first()->occupation ?? 'N/A' }} |
EMPLOYEE'S PREFERRED LANGUAGE: {{ $data->involvedPersons->first()->language ?? 'N/A' }} |
GENDER: @if ($data->involvedPersons->first()->gender == 1) Male @elseif ($data->involvedPersons->first()->gender == 2) Female @else N/A @endif |
SUPERVISOR (OF INJURED / INVOLVED WORKER): {{ $data->incident_time ?? 'N/A' }} |
Experience In Task (when Incident Occurred) |
|
MONTHS: {{ $data->involvedPersons->first()->experience_months ?? 'N/A' }} |
YEARS: {{ $data->involvedPersons->first()->experience_years ?? 'N/A' }} |
Contact Number: {{ $data->involvedPersons->first()->contact_number ??'N/A' }} |
Is Employer Of The Worker : {{ $data->employerDetails->is_employer_worker ?? 'N/A' }} |
Type of employment
Type of employee
Training Provided to Injured / Involved Person
NAME OF INJURY: {{ $data->notifiedTos->first()->reference_number ?? 'N/A' }} |
BODILY LOCATION: {{ $data->notifiedTos->first()->date ?? 'N/A' }} |
NATURE OF DISEASE: {{ $data->injuryTypes->first()->option ?? 'N/A' }} |
BREAKDOWN OF INJURY / AGENCY OF INJURY: {{ $data->notifiedTos->first()->time ?? 'N/A' }} |
MECHANISM OF INJURY / DISEASE: {{ $data->notifiedTos->first()->time ?? 'N/A' }} |
INCIDENT EMPLOYEE INJURY TYPES EMPLOYER NAME: {{ $data->employerDetails->employer_name ?? 'N/A' }} |
Shift / Part of Shift
{{ $qa->question }}: {{ $qa->answer->answer ?? 'N/A' }} {{-- Access single answer --}} |
Incident Involving Plant / Property.
@if ($data->is_plant_involved) @elseif ($data->plant_name) @elseif ($data->is_correct_action_required) @else @endif | |
EQUIPMENT TYPE OR PROPERTY DESCRIPTION: {{ $data->incidenteportMetas->first()->equipment_type ?? 'N/A' }} |
|
DAMAGE / LOSS: {{ $data->incidenteportMetas->first()->damage ?? 'N/A' }} |
APPROX COST / VALUE: {{ $data->incidenteportMetas->first()->cost ?? 'N/A' }} |
Is a corrective action(s) required for this incident?
@if ($data->is_correct_action_required) @else @endif |
Incident Response (Describe the immediate response to the incident / Injury)
{{ $data->incident_response ?? 'N/A' }} |
|
REFER RETURN TO WORK / REHABILITATION PROCEDURE |
|
@if ($data->is_injury_management) @else @endif | |
NAME OF MANAGEMENT REPRESENTATIVE: {{ $data->injuryManagements->first()->representative_name }} |
NAME OF INJURED WORKERS SUPERVISOR: {{ $data->injuryManagements->first()->injured_names }} |
DATE: {{ $data->injuryManagements->first()->date ?? ' N/A' }} |
TIME: {{ $data->injuryManagements->first()->time ?? 'N/A' }} |
Outcome of Treatment and Work Status
@if ($data->injuryManagements->first()->is_first_aid) @else @endif | @if ($data->injuryManagements->first()->is_referred) @else @endif |
@if ($data->injuryManagements->first()->is_doctor) @else @endif | @if ($data->injuryManagements->first()->is_clinic) @else @endif |
@if ($data->injuryManagements->first()->is_admit) @else @endif |
Doctor Details
NAME OF DOCTOR: {{ $data->injuryManagements->first()->doctor_name ?? 'N/A' }} |
CONTACT NO: {{ $data->injuryManagements->first()->doctor_number ?? 'N/A' }} |
ADDRESS OF DOCTOR: {{ $data->injuryManagements->first()->doctor_address ?? 'N/A' }} |
Hospital Details
NAME OF HOSPITAL: {{ $data->injuryManagements->first()->hospital_name ?? 'N/A' }} |
CONTACT NO: {{ $data->injuryManagements->first()->hospital_number ?? 'N/A' }} |
ADDRESS OF HOSPITAL: {{ $data->injuryManagements->first()->hospital_address ?? 'N/A' }} |
Is this a recurrence of a previous injury
@if ($data->injuryManagements->first()->is_recurrence_injury) @else @endif | |
DATE: {{ $data->injuryManagements->first()->previous_injury_date ?? 'N/A' }} |
PREVIOUS INCIDENT INVESTIGATION REPORT NUMBER: {{ $data->injuryManagements->first()->previous_report_number }} |
PART C – Close Out (Must be completed for all Injuries / Incidents)
Completion of this section, including necessary signatures, denotes closure of this incident report.
Final Classifications
@if ($data->is_final_injury_classification) @else @endif |
OTHER DETAIL: {{ $data->finalClassifications->first()->final_incident_details }} |
Final Incident Classification.
@if ($data->is_final_incident_classification) @else @endif |
OTHER DETAIL: {{ $data->finalClassifications->first()->final_incident_details }} |
Complete for LTI or RWI (Lost Time Injury / Restricted Work Injury)
@if ($data->lti_or_rwi) @else @endif |
Is rehabilitation likely?
@if ($data->finalClassifications->first()->is_rehabilitation == 1) @elseif ($data->finalClassifications->first()->is_rehabilitation == 0) @else @endif |
Return to Full duties on Date (if known)
DATE OF RTW (IF KNOW): {{ $data->finalClassifications->first()->return_to_duty_date ?? 'N/A' }} |
NO OF LOST DAYS (IF KNOW): {{ $data->finalClassifications->first()->rtw_date ?? 'N/A' }} |
NO OF LOST DAYS (IF KNOW): {{ $data->finalClassifications->first()->total_lost_days ?? 'N/A' }} |
Has the Workers Comp body been notified?
@if ($data->finalClassifications->first()->is_worker_notified == 1) @elseif ($data->finalClassifications->first()->is_worker_notified == 0) @else @endif |
BY WHOM?: {{ $data->finalClassifications->first()->notified_by_whom ?? 'N/A' }} |
DATE: {{ $data->finalClassifications->first()->date ?? 'N/A' }} |
TIME: {{ $data->finalClassifications->first()->time ?? 'N/A' }} |
OTHER DETAILS: {{ $data->finalClassifications->first()->details ?? 'N/A' }} |
Sign Off for All Incidents
NAME: {{ $signoff['emp_personal_details_first_name'] ?? 'N/A' }} {{ $signoff['emp_personal_details_last_name'] ?? 'N/A' }} |
SIGNATURE:
@php
$imagePath = $signoff['inc_signoffs_signature'];
@endphp
@if (!empty($imagePath))
|
DATE: {{ $signoff['inc_signoffs_date'] ?? 'N/A' }} |
TIME: {{ $signoff['inc_signoffs_time'] ?? 'N/A' }} |
Safety Manager
NAME: {{ $signoff['emp_personal_details_first_name'] ?? 'N/A' }} {{ $signoff['emp_personal_details_last_name'] ?? 'N/A' }} |
SIGNATURE: {{ $signoff['inc_signoffs_signature'] ?? 'N/A' }} |
DATE: {{ $signoff['inc_signoffs_date'] ?? 'N/A' }} |
TIME: {{ $signoff['inc_signoffs_time'] ?? 'N/A' }} |
Director
NAME: {{ $signoff['emp_personal_details_first_name'] ?? 'N/A' }} {{ $signoff['emp_personal_details_last_name'] ?? 'N/A' }} |
SIGNATURE: {{ $signoff['inc_signoffs_signature'] ?? 'N/A' }} |
DATE: {{ $signoff['inc_signoffs_date'] ?? 'N/A' }} |
TIME: {{ $signoff['inc_signoffs_time'] ?? 'N/A' }} |
PART D – Additional Information to Incident Investigation Report
High Risk Category (the most significant risk category, if any, that relates to the incident) (Refer to 291 Meaning of “high risk construction work”)
@if ($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 1) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 2) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 3) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 4) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 5) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 6) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 7) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 8) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 9) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 10) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 11) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 12) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 13) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 14) @elseif($data->incidentRiskCategoryDetails->first()->incident_risk_category_id == 15) @endif |
OTHER DETAILS: {{ $data->incidentRiskCategoryDetails->first()->details ?? 'N/A' }} |
ATTACH ALL WITNESS STATEMENT / DOCUMENTS TO THIS INCIDENT REPORT
Witness Name | Witness Statement Number | Date Taken | Time Taken |
---|---|---|---|
{{ $data->incidentWitnesses->first()->name ?? 'N/A' }} | {{ $data->incidentWitnesses->first()->statement_number ?? 'N/A' }} | {{ $data->incidentWitnesses->first()->date ?? 'N/A' }} | {{ $data->incidentWitnesses->first()->time ?? 'N/A' }} |