@if(!empty($client_name))
| Participant |
@foreach($client_name as $code => $name)
{!!nl2br($name)!!}
@endforeach
|
@endif
@if(!empty($event_type))
| Event Type |
{!!nl2br($event_type)!!} |
@endif
@if(!empty($date))
| Date |
{!!nl2br($date)!!} |
@endif
@if(!empty($time))
| Start Time |
{!!nl2br($time)!!} |
@endif
@if(!empty($finish_time))
| Finish Time |
{!!nl2br($finish_time)!!} |
@endif
@if (!empty($region))
| Place / Location of Incident |
{!!nl2br($region)!!} |
@endif
@if(!empty($reported_by))
| Reported by |
{!!nl2br($reported_by)!!} |
@endif
@if(!empty($InsidentReportTypes))
| Incident Type |
| Incident Type |
Other |
NDIS |
@foreach($InsidentReportTypes as $rdata)
{!!nl2br($incident_type[$rdata['incident_type']]??"")!!}
|
{{ $rdata['other']??""}}
|
{!!nl2br($ndis_commission[$rdata['ndis']]??"")!!}
|
@endforeach
@endif
@if(!empty($personEvent))
| Person Involved in Event |
| Status |
Name |
Contact No |
Role/Designation |
Other Person |
Other Info |
@foreach($personEvent as $rdata)
|
{!!nl2br($rdata['status']??"")!!}
|
{!!nl2br($user_list[$rdata['staff_id']]??"")!!}
|
{!!nl2br($rdata['contact_no']??"")!!}
|
{!!nl2br($rdata['role']??"")!!}
|
{!!nl2br($rdata['other_person']??"")!!}
|
{!!nl2br($rdata['other_info']??"")!!}
|
@endforeach
@endif
@if(!empty($list_any_people) || !empty($contact_details) || !empty($list_any_object) || !empty($detail_description) || !empty($source_information))
| Detail Event |
| Details of witness (if any) |
List any people (client,personal,others) know to have been present at the incident,and provide their |
Contact details,if any |
|
{!!nl2br($list_any_people)!!} |
{!!nl2br($contact_details)!!} |
| Possible Evidence (if any) |
List any objects or other 'Physical Proof' that the alleged incident occurred |
(Inc.Detailed description of object,where it is and who has control/possession of it) |
|
{!!nl2br($list_any_object)!!} |
{!!nl2br($detail_description)!!} |
| Source of Information |
Note how you know about the incident (were you invloved?witness?Advised by someone-is so,whom?) |
|
{!!nl2br($source_information)!!} |
@endif
@if(!empty($SettingEvent))
| Settings Event (when behaviour most likely to occur) |
| Settings Event |
Description |
@foreach($SettingEvent as $rdata)
| {!!nl2br($setting_list1[$rdata['event_id']]??"")!!} |
{!!nl2br($rdata['description']??"")!!} |
@endforeach
|
@endif
@if(!empty($TriggerEvent))
| Triggers (That Commonly occur prior to behaviour) |
| Trigger Event |
Description |
@foreach($TriggerEvent as $rdata)
| {!!nl2br($trigger_list1[$rdata['trigger_id']]??"")!!} |
{!!nl2br($rdata['description']??"")!!} |
@endforeach
|
@endif
@if(!empty($brief_incident_description))
| Please provide a clear and factual account of the incident, including details of what happened, the date and time it occurred, and the location where it took place. Ensure the description is objective, accurate, and free from personal opinions, assumptions, interpretations, or emotional language. |
| {!!nl2br($brief_incident_description)!!} |
@endif
@if(!empty($StratergiesEvent))
| Strategies used to manage behaviour |
| Strategies |
Description |
@foreach($StratergiesEvent as $rdata)
| {!!nl2br($strategies_list1[$rdata['strategies_id']]??"")!!} |
{!!nl2br($rdata['description']??"")!!} |
@endforeach
|
@endif
@if (!empty($incident['reportable_incident']) || !empty($incident['ndis_commission_advised']) || !empty($incident['person_responsible_to_report_data']) || !empty($incident['incident_report_type']))
| Please do not fill the form below this line (office use only) |
| Reportable incident: |
{!!nl2br($incident['reportable_incident']??"")!!} |
@if (!empty($incident['reportable_incident']) && strtolower($incident['reportable_incident']) == "yes")
@if (!empty($incident['reportable_incident_id']))
| NDIS Commission advised (notified by the Commission Portal): |
{!!nl2br($incident['ndis_commission_advised']??"")!!} |
@endif
@if (!empty($incident['ndis_commission_advised']))
| Name of person responsible to report to NDIS Commission: |
{!!nl2br($incident['person_responsible_to_report_data']??"")!!} |
@endif
@if (!empty($incident['person_responsible_to_report_data']))
| Incident report type: |
{!!nl2br($incident['incident_report_type']??"")!!} |
@endif
@endif
|
@endif
@if(!empty($incident['support_provided_to_impacted_person']))
Support provided to the impacted person (Person with Disability or impacted person).
take action to ensure the safety and well-being of people involved in the incident Focus on the following factors (safe from harm, Contact Police if there is a risk of immediate harm, Contact the ambulance if someone is injured, Notify the relevant key personnel, and the NDIS Commission if required,
|
| {!!nl2br($incident['support_provided_to_impacted_person'])!!} |
@endif
@if(!empty($incident['consultation_and_input_from_person']))
Consultation and input from person (Person with Disability/ impacted person) to provide clarity on the incident and input into corrective action and processes
(An impacted person may decide not to participate in an interview or provide a witness statement
regarding the incident or alleged incident, and you should respect the impacted person’s decisions. "ref:Detailed Guidance: Expectations of workers providing services in incident management and reporting incidents: page: 19 )
|
| {!!nl2br($incident['consultation_and_input_from_person'])!!} |
@endif
@if(!empty($ManagementAckno))
| Management Acknowledgment |
| Date |
Action |
Description |
@foreach($ManagementAckno as $rdata)
| {!!nl2br($rdata['date']??"")!!} |
{!!nl2br($management_list1[$rdata['action_id']]??"")!!} |
{!!nl2br($rdata['description']??"")!!} |
@endforeach
|
@endif
@if(!empty($AdditionalCommentsAndFindings))
Additional comments and findings Contributing Factors (What was the sequence of events that led to the critical incident?)
Work backwards from the final event to identify the contributing factors of the incident. This process will assist in formulating recommendations for preventative action.
|
| Possible cause |
Description |
@foreach($AdditionalCommentsAndFindings as $rdata)
| {!!nl2br($possiblecause_list1[$rdata['possible_cause_id']]??"")!!} |
{!!nl2br($rdata['description']??"")!!} |
@endforeach
|
@endif
@if(!empty($any_external_agency) || !empty($mitigation_action) || !empty($other_relevant_information) || !empty($status))
| Any external agencies are called? |
Mitigation action for the future similar incidents |
Other relevant Information |
Status |
| {!!nl2br($any_external_agency)!!} |
{!!nl2br($mitigation_action)!!} |
{!!nl2br($other_relevant_information)!!} |
{!!nl2br($status)!!} |
@endif
@if(!empty($for_management_incident))
| For management/Compliance Officer- Incident closing comment |
{!!nl2br($for_management_incident)!!} |
@endif
@if(!empty($incident['incident_have_been_prevented']) || !empty($incident['how_well_was_the_incident_managed']) || !empty($incident['remedial_action']) || !empty($incident['who_needs_to_be_notified_incident']) || !empty($incident['recommendations_considered']))
| Recommendations |
Incident closing officer's comments |
@if(!empty($incident['incident_have_been_prevented']))
| 1. Could the incident have been prevented? |
{!!nl2br($incident['incident_have_been_prevented'])!!} |
@endif
@if(!empty($incident['how_well_was_the_incident_managed']))
| 2. How well was the incident managed? |
{!!nl2br($incident['how_well_was_the_incident_managed'])!!} |
@endif
@if(!empty($incident['remedial_action']))
| 3. Remedial action – prevention or elimination |
{!!nl2br($incident['remedial_action'])!!} |
@endif
@if(!empty($incident['who_needs_to_be_notified_incident']))
| 4. Who needs to be notified of the incident? |
{!!nl2br($incident['who_needs_to_be_notified_incident'])!!} |
@endif
@if(!empty($incident['recommendations_considered']))
| 5. Are recommendations considered to be acting fairly in administrative decision making |
{!!nl2br($incident['recommendations_considered'])!!} |
@endif
@endif
@if(!empty($correctiveActionPlans))
| Corrective Action Plan |
| Issue |
Action |
By whom |
By when |
Outcome |
@foreach($correctiveActionPlans as $rdata)
| {!!nl2br($rdata['issue']??"")!!} |
{!!nl2br($rdata['action']??"")!!} |
{!!nl2br($rdata['by_whom']??"")!!} |
{!!nl2br($rdata['by_when']??"")!!} |
{!!nl2br($rdata['outcome']??"")!!} |
@endforeach
|
@endif
@if(!empty($uploaded_file))
| Uploaded File |
|
@endif