A notice of claim must include the following—
(a) the date, time and place of the event;
(b) the claimant’s description of the facts of the circumstances surrounding the worker’s injury;
(c) the names and addresses of all witnesses to the injury, and their relationship, if any, to the worker;
(d) the name and address of any person on behalf of the claimant’s employer to whom the claimant reported the injury and the details of their employment;
(e) the full particulars of the negligence alleged against the claimant’s employer and any other party on which the claim is based;
(f) if a party other than the claimant’s employer is involved—(i) the liability expressed as a percentage that the claimant holds the other party responsible; and(ii) details of the notice of claim given to the party.