Worksafe Notification
Injury
Review
1. Initial questions
Edit
Before we get started
Are you authorised to report this event?
Yes
Was the event work-related or in a place of work?
Yes
Did the event involve any of the following?
None of these
Have you (or anyone else) called us already about this event?
Yes
What treatment did the injured person receive?
Admitted to hospital
2. Victim & Injury details
Edit
How many people were injured?
1
Victim details
What is the person’s relationship to your business or organisation?
Other
What is their gender?
Male
Injury details
Where was the person hurt?
I don't know:
What were they injured by?
Indoor or outdoor environment
How were they hurt?
Other
3. Event Details
Edit
What date did the event happen?
23/06/2020
What time did the event happen?
8:48 PM
What is the address where the event happened?
73 Bentley Avenue, Glenfield, Auckland 0629, New Zealand
Describe where at the address the event happened.
In the swimming pool at the Auckland Council recreation centre.
How did the event happen?
The young man was practicing holding his breath under water in the swimming
pool. It is thought he became unconscious underwater then floated to the surface
where he was spotted by the pool lifeguard.
What were the conditions at the time of the event?
The swimming pool is an inside facility not exposed to the elements. The centre is
well lit. It was supervised by experienced life guard who was on duty at the time of
the incident.
Has the scene been preserved?
No
Has your business or organisation begun investigating the event?
Yes
Has another government organisation been notified?
No other agency notified
4. Business or Organisation (PCBU) Details
Legal name
Auckland Council
NZBN
9429000034753
Physical address
135 Albert Street, Auckland
Postal address
Private Bag 92300, Victoria Street West, Auckland
Website
http://www.aucklandcouncil.govt.nz
Industry
Arts, Recreation and Other Services
Are there Health & Safety representatives at the workplace?
Yes
Have any of them received the NZQA training?
Yes
Who should we contact about this notification?
John Lee
Email address for the contact person
[email address]
Direct dial phone number for the contact person
021-425-679
5. Contact details
Edit
Your name
John Lee
Your email address
[email address]
Your phone number
021-425-679
Your job title or role
HSW Risk & Assurance Manager
Back Continue
Last updated 6 October 2017 at 12:09
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Document Outline
- Worksafe Notification re Glenfield Incident.pdf