From:
WorkSafe online notifiable event submission
To:
Healthsafety Notification
Subject:
Notifiable Event Submission
Date:
Thursday, 11 November 2021 1:58:58 pm
Submission date
11/11/2021
1982
Submission time
1:58:44 PM
ACT
What date did the event happen?
11/11/2021
What time did the event happen?
01:35 PM
notificationType
INFORMATION
injury
What treatment did the injured person receive?
Admitted to hospital
OFFICIAL
Did the event involve any of the following?
THE
None of these
Notification method
web form UNDER
Notification Reference ID
ON-66a30790-ba13-46bd-9379-23da94021609
How did the event happen?
MBIE overflow Victim was cleaning the outside windows of the apartments and has fallen
RELEASED
20m. He is conscious but may have injured head and back. May not have clipped up
properly
What is the address where the event happened?
15 Holland Street, Te Aro, Wellington 6011, New Zealand
Describe where at the address the event happened.
s9(2)(a)
Has the scene been preserved?
Yes
1982
Has your business or organisation begun investigating the event?
I dont know
ACT
Has another government organisation been notified?
NZ Police
Your name
Warwick Mckee
INFORMATION
Your email address
[email address]
Your phone number
OFFICIAL
s9(2)(a)
Your job title or role
THE
Police
Legal name
GOLEMAN GROUP HOLDINGS LIMITED
UNDER
Who should we contact about this notification?
Warwick McKee
Email address for the contact person
RELEASED
[email address]
Physical address
20 Gasson Street, Sydenham, Christchurch
Direct dial phone number for the contact person
s9(2)(a)
NZBN
9429032459425
Industry
1982
Construction
Website
ACT
www.goleman.co.nz
Are there Health & Safety representatives at the workplace?
No
Postal address
INFORMATION
8 malvarn road, wellington
How many people were injured?
1
Victim 1
OFFICIAL
What is their name?
THE
s9(2)(a)
What is their gender?
Male
UNDER
What is their date of birth?
s9(2)(a)
What is the person’s relationship to your business or organisation?
RELEASED
Other
Body Part
How were they hurt?
Fall from height
Have you (or anyone else) called us already about this event?
No
1982
ACT
INFORMATION
OFFICIAL
THE
UNDER
RELEASED
