Reported by person type Wellington Water Staff Contractor Consultant Other

Injured person Type Wellington Water Employee Contractor Consultant Other

Event Classification Fatality Lost Time Injury Restricted Work Injury Medical Treatment First Aid No Treatment

Actual or Potential nature of injury or disease Amputation incl eye Burns Disease skin Disease circulatory system Disease musculoskeletal Disease respiratory system Foreign body Head injury Mental disorder Nerves or spinal chord Open wound Poisoning and toxic effect Sprain or strain Ego/Pride Bruising or crushing Damage to artificial aid Disease digestive system Disease infectious/parasitic Disease nervous system Dislocation Fracture of spine Internal injury of trunk Multiple injuries Occupational hearing loss Other fractures Puncture wound Superficial injury Skin irritation/dematitis

Body Part Injured Arms and Hands Internal Organs Neck Eye Head Legs and Feet Trunk Other

Time Lost Due to Injury (Days)

Time Lost Due to Injury (Hours)