TITLE: {{ $data->title ?? 'N/A' }} |
DOCUMENT NUMBER: {{ $data->document_number ?? 'N/A' }} |
|
AUTHORISED BY: {{ $data->main_details_first_name ?? 'N/A' }} {{ $data->main_details_last_name ?? '' }} |
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->emp_personal_forman_detail_f_name ?? 'N/A' }} {{ $data->emp_personal_forman_detail_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_numbers ?? 'N/A' }} |
|
REPORT COMPILED BY: {{ $data->reported_by_first_name ?? 'N/A' }} {{ $data->reported_by_last_name ?? 'N/A' }} |
ROLE: {{ $data->reported_bys_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->reported_by_first_name ?? 'N/A' }} {{ $data->reported_by_last_name ?? '' }} |
REPORT TO COMPANY NAME: {{ $data->incident_report_to_company_name ?? 'N/A' }} |
@if ($data->roles_reported_to_last_name_reported_to && !is_numeric($data->roles_reported_to_last_name_reported_to))
REPORT TO POSITION: {{ $data->roles_reported_to_last_name_reported_to ?? 'N/A' }} @elseREPORT TO POSITION: {{ $data->roles_reported_to_first_name ?? 'N/A' }} {{ $data->reported_tos_title ?? 'N/A' }} @endif |
REPORT TO CONTACT NUMBER: {{ $data->incident_report_to_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->reported_by_first_name ?? 'N/A' }} {{$data->reported_by_last_name ?? ''}} |
|
INCIDENT REPORT BY COMPANY NAME: {{ $data->incident_report_bys_company_name ?? 'N/A' }} |
||
INCIDENT REPORT BY CONTACT NUMBER: {{ $data->incident_report_bys_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 $data_classification) @if($data_classification->incident_injury_classifications_title) @endif @endforeach @else @endif |
Notifiable Incident Classification
@if ($data->incident_notified_tos_ohs_regulator == 1) @elseif($data->incident_notified_tos_ohs_regulator == 2) @elseif($data->incident_notified_tos_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->incident_notified_tos_reference_number ?? 'N/A' }} |
CONTACT NAME: {{ $data->incident_notified_tos_contact_name ?? 'N/A' }} |
DATE: {{ $data->incident_notified_tos_date ?? 'N/A' }} |
TIME: {{ $data->incident_notified_tos_time ?? 'N/A' }} |
Was there more than one person injured / Involved?
@if ($data->involved_persons) @else @endif |
Injured / Involved Persons Details
Number #{{$key + 1}} |
||
EMPLOYEE: {{ $incident_involved['injured_employee_first_name'] }} {{ $incident_involved['injured_employee_last_name'] }} | ||
Age: {{ $incident_involved['age'] }} | DOB: {{ $incident_involved['dob'] }} | |
OCCUPATION: {{ $incident_involved['occupation'] }} | LANGUAGE: {{ $incident_involved['language'] }} | |
GENDER: @if ($incident_involved['gender'] == 0) Male @elseif ($incident_involved['gender'] == 1) Female @else N/A @endif | ||
Experience In Task (when Incident Occurred) | ||
MONTHS: {{ $incident_involved['experience_months'] }} | YEARS: {{ $incident_involved['experience_years'] }} | |
REFERENCE NUMBER: {{ $incident_involved['incident_notified_tos_reference_number'] }} | ||
TYPE OF EMPLOYMENT | ||
@if ($incident_involved['employee_types_title'])
|
||
TYPE OF EMPLOYEE | ||
@if ($incident_involved['employee_type'])
|
||
SUPERVISOR: {{ $incident_involved['supervisor_first_name'] ?? '' }} {{ $incident_involved['supervisor_last_name'] ?? '' }} | ||
Training Provided to Injured / Involved Person | ||
{{ trim($title) }} | ||
Note: {{ $notes }} | ||
SUPERVISOR (OF INJURED / INVOLVED WORKER): {{ $incident_involved['incident_notified_tos_time']}} |
||
Training Provided to Injured / Involved Person: |
||
@if ($injury->option)
|
Is Employer Of The Worker : {{ $data->incident_employer_details_is_employer_worker??'' }} |
Nature of Injury: {{ $data->incident_notified_tos_reference_number ?? 'N/A' }} |
BODILY LOCATION: {{ $data->incident_notified_tos_date ?? 'N/A' }} |
NATURE OF DISEASE: {{ $data->incident_employee_injury_types_options ?? 'N/A' }} |
BREAKDOWN OF INJURY / AGENCY OF INJURY: {{ $data->incident_notified_tos_time ?? 'N/A' }} |
MECHANISM OF INJURY / DISEASE: {{ $data->incident_notified_tos_time ?? 'N/A' }} |
INCIDENT EMPLOYEE INJURY TYPES EMPLOYER NAME: {{ $data->incident_employer_details_employer_name ?? 'N/A' }} |
Shift / Part of Shift
{{ $qa->question }}: {{ $qa->answer ?? 'N/A' }} |
Incident Involving Plant / Property.
@if ($data->plant_name == 0) @elseif ($data->plant_name == 1) @elseif ($data->plant_name == 2) @else @endif | |
EQUIPMENT TYPE OR PROPERTY DESCRIPTION: {{ $data->incident_report_employee_equipment_type ?? 'N/A' }} |
|
DAMAGE / LOSS: {{ $data->incident_report_employee_damage ?? 'N/A' }} |
APPROX COST / VALUE: {{ $data->incident_report_employee_cost ?? 'N/A' }} |
Is a corrective action(s) required for this incident?
@if ($data->is_correct_action_required) @else @endif |
Incident Response (Describe the immediate response to the incident / Injury)
{{ $data->incident_response }} |
|
REFER RETURN TO WORK / REHABILITATION PROCEDURE |
|
@if ($data->is_injury_management) @else @endif | |
NAME OF MANAGEMENT REPRESENTATIVE: {{ $data->incident_injury_managements_representative_name }} |
NAME OF INJURED WORKERS SUPERVISOR: {{ $data->incident_injury_managements_injured_names }} |
DATE: {{ $data->incident_injury_managements_date ?? ' N/A' }} |
TIME: {{ $data->incident_injury_managements_time ?? 'N/A' }} |
Outcome of Treatment and Work Status
@if ($data->incident_injury_managements_is_first_aid) @else {{-- --}} @endif | @if ($data->incident_injury_managements_is_referred) @else {{-- --}} @endif |
@if ($data->incident_injury_managements_is_doctor) @else {{-- --}} @endif | @if ($data->incident_injury_managements_is_clinic) @else {{-- --}} @endif |
@if ($data->incident_injury_managements_is_admit) @else {{-- --}} @endif |
Doctor Details
NAME OF DOCTOR: {{ $data->incident_injury_managements_doctor_name ?? 'N/A' }} |
CONTACT NO: {{ $data->incident_injury_managements_doctor_number ?? 'N/A' }} |
ADDRESS OF DOCTOR: {{ $data->incident_injury_managements_doctor_address ?? 'N/A' }} |
Hospital Details
NAME OF HOSPITAL: {{ $data->incident_injury_managements_hospital_name ?? 'N/A' }} |
CONTACT NO: {{ $data->incident_injury_managements_hospital_number ?? 'N/A' }} |
ADDRESS OF HOSPITAL: {{ $data->incident_injury_managements_hospital_address ?? 'N/A' }} |
Is this a recurrence of a previous injury
@if ($data->incident_injury_managements_is_recurrence_injury) @else @endif | |
DATE: {{ $data->incident_injury_managements_previous_injury_date ?? 'N/A' }} |
PREVIOUS INCIDENT INVESTIGATION REPORT NUMBER: {{ $data->incident_injury_managements_previous_report_number }} |
PART C – Close Out (Must be completed for all Injuries / Incidents)
Completion of this section, including necessary signatures, denotes closure of this incident report.
Final Classifications
@if ($data->is_final_injury_classification) @else @endif |
OTHER DETAIL: {{ $data->final_incident_details_incident_details }} |
Final Incident Classification.
@if ($data->is_final_incident_classification) @else @endif |
OTHER DETAIL: {{ $data->final_incident_details_incident_details }} |
Complete for LTI or RWI (Lost Time Injury / Restricted Work Injury)
@if ($data->lti_or_rwi) @else @endif |
Is rehabilitation likely?
@if ($data->final_incident_details_is_rehabilitation == 1) @elseif ($data->final_incident_details_is_rehabilitation == 0) @else @endif |
Return to Full duties on Date (if known)
DATE OF RTW (IF KNOW): {{ $data->final_incident_details_return_to_duty_date ?? 'N/A' }} |
NO OF LOST DAYS (IF KNOW): {{ $data->final_incident_details_rtw_date ?? 'N/A' }} |
NO OF LOST DAYS (IF KNOW): {{ $data->final_incident_details_total_lost_days ?? 'N/A' }} |
Has the Workers Comp body been notified?
@if ($data->final_incident_details_is_worker_notified == 1) @elseif ($data->final_incident_details_is_worker_notified == 0) @else @endif |
BY WHOM?: {{ $data->emp_personal_forman_notified_by_whom_f_name ?? 'N/A' }}{{' ' . $data->emp_personal_forman_notified_by_whom_l_name ?? '' }} |
DATE: {{ $data->final_incident_details_date ?? 'N/A' }} |
TIME: {{ $data->final_incident_details_time ?? 'N/A' }} |
OTHER DETAILS: {{ $data->final_incident_details_details ?? 'N/A' }} |
Sign Off for All Incidents
NAME: {{ $signoff->emp_personal_details_first_name ?? 'N/A' }} {{' ' . $signoff->emp_personal_details_last_name ?? '' }} |
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->incident_risk_category_details_incident_risk_category_id == 1) @elseif($data->incident_risk_category_details_incident_risk_category_id == 2) @elseif($data->incident_risk_category_details_incident_risk_category_id == 3) @elseif($data->incident_risk_category_details_incident_risk_category_id == 4) @elseif($data->incident_risk_category_details_incident_risk_category_id == 5) @elseif($data->incident_risk_category_details_incident_risk_category_id == 6) @elseif($data->incident_risk_category_details_incident_risk_category_id == 7) @elseif($data->incident_risk_category_details_incident_risk_category_id == 8) @elseif($data->incident_risk_category_details_incident_risk_category_id == 9) @elseif($data->incident_risk_category_details_incident_risk_category_id == 10) @elseif($data->incident_risk_category_details_incident_risk_category_id == 11) @elseif($data->incident_risk_category_details_incident_risk_category_id == 12) @elseif($data->incident_risk_category_details_incident_risk_category_id == 13) @elseif($data->incident_risk_category_details_incident_risk_category_id == 14) @elseif($data->incident_risk_category_details_incident_risk_category_id == 15) @endif |
OTHER DETAILS: {{ $data->incident_risk_category_details_details ?? 'N/A' }} |
ATTACH ALL WITNESS STATEMENT / DOCUMENTS TO THIS INCIDENT REPORT
Witness Name | Witness Statement Number | Date Taken | Time Taken |
---|---|---|---|
{{ $data->incident_witness_name ?? 'N/A' }} | {{ $data->incident_witness_statement_number ?? 'N/A' }} | {{ $data->incident_witness_date ?? 'N/A' }} | {{ $data->incident_witness_time ?? 'N/A' }} |