SAMO | View Incident

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New Log Saved successfuly.

New Log Saved unsuccessfuly.

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@csrf

Incident Report

{{-- Insured & Broker Details --}}

Date of Incident

Time of Incident

Vehicle Registration

Site Name No Specail Characters.

Location of Incident No Specail Characters.

Province

City No Specail Characters.

Street No Specail Characters.

Between HH No Specail Characters.

GPS Co-ordinates

Lat

Long

Client Name No Specail Characters.

Party Involved+

@for($j=0;$j No Specail Characters.

@endfor

Reference Number No Specail Characters.

Injury Report+

@if(!empty($a))

@for($j=0;$j No Specail Characters.

No Specail Characters.

@endfor

@else

No Specail Characters.

No Specail Characters.

No Specail Characters.

No Specail Characters.

@endif

Damage Report+

@if(!empty($b))

@for($j=0;$j No Specail Characters.

No Specail Characters.

@endfor

@else

No Specail Characters.

No Specail Characters.

No Specail Characters.

No Specail Characters.

@endif

Detailed Description of Incident No Specail Characters.

Corrective action No Specail Characters.

Preventive action No Specail Characters.