{{ $department->emoji ?? '📋' }}

{{ $department->name }} Safety Attestation

Complete your personal information and accept the attestation. Year: {{ date('Y') }}

@csrf

👤 Personal Information

@error('full_name')

{{ $message }}

@enderror
@error('payroll_id')

{{ $message }}

@enderror
@error('phone_no')

{{ $message }}

@enderror

⚠️ Safety Attestation

@if ($template)

Departmental Hazards & Risks Register

@if (is_array($template->hazards_risks) && count($template->hazards_risks) > 0)
@foreach ($template->hazards_risks as $hazard) @endforeach
Nature of Hazards Hazards Source Risk Level Risk Control
{{ $hazard['nature'] ?? '' }} {{ $hazard['source'] ?? '' }} @php $riskLevel = $hazard['risk_level'] ?? 'Low'; @endphp {{ $riskLevel }} {{ $hazard['control'] ?? '' }}
@else

ℹ️ Note: No specific hazards have been registered for this department yet. Please read the attestation statement below carefully before proceeding.

@endif

Employee Safety Attestation

{{ $template->attestation_statement }}

@error('accept_attestation')

{{ $message }}

@enderror
@error('employee_signature')

{{ $message }}

@enderror
@error('employee_signed_date')

{{ $message }}

@enderror
@else

⚠️ No Attestation Template Available

The admin has not yet uploaded the attestation template for this department. Please try again later.

@endif
Cancel

✓ Important Information

  • • Fill out all required fields marked with *
  • • Read the hazards register and attestation statement carefully
  • • Check the acceptance checkbox to acknowledge you understand the hazards
  • • Your signature (typed name) and date are required
  • • Your attestation will be submitted to the {{ $department->name }} department for review
  • • Your Head of Department (HOD) will review and sign off on your attestation
  • • Keep a copy of this submission for your records