This is an HTML version of an attachment to the Official Information request 'Please supply a copy of all incident reports relating to Goleman Group Holdings'.
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