McQueen-Thomson and K&S Freighters Pty Ltd (Compensation) [2016] AATA 510 (20 July 2016)
Division
GENERAL DIVISION
File Number
2014/5365
Re
Andrew McQueen-Thomson
APPLICANT
And
K&S Freighters Pty Ltd
RESPONDENT
DECISION
Tribunal Dr Damien Cremean, Senior Member Date 20 July 2016 Place Melbourne The Tribunal sets aside the decision under review and in substitution decides that:
(a)The Applicant suffered incapacity as a result of an injury to the left shoulder, the subject of a claim for compensation dated 5 June 2014, which arose out of or in the course of employment, or to which employment with K&S Freighters Pty Ltd contributed to a significant degree. This gives rise to entitlement to compensation pursuant to the Safety Rehabilitation and Compensation Act 1988 (Cth) (the ‘Act’);
(b)The matter is further remitted to the Respondent to calculate the Applicant’s specific entitlements to compensation in respect of:
(i)The costs of all medical and related treatment expenses incurred in respect of the injury pursuant to section 16 of the Act; and
(ii)Weekly payments of compensation in respect of incapacity for work pursuant to section 19 of the Act.
(c)The Respondent is ordered to pay the Applicant’s costs and disbursements in respect of these proceedings pursuant to section 67 of the Act.
.....................................[sgd]...................................
Dr Damien Cremean, Senior Member
COMPENSATION – left shoulder injury – injury or injury (other than a disease) – disease – ailment or aggravation of an ailment – meaning of aggravation – meaning of significant – whether false and wilful statement – decision under review set aside.
Legislation
Safety Rehabilitation and Compensation Act 1988 (Cth) sections 4(1), 5A, 5B, 7(7), 14, 53, 67
Cases
Comcare v Reardon (2015) 148 ALD 356
Federal Broom Co Pty Ltd v Semlitch (1964) 110 CLR 626
Jones v Dunkel (1959) 101 CLR 298
Military Rehabilitation and Compensation Commission v May (2016) 90 ALJR 626
Re Muscat and Australian Postal Corporation [2016] AATA 13
Re Wilson and Comcare [1996] AATA 862
Sullivan v Civil Aviation Safety Authority (2014) 226 FCR 555
Tippett v Australian Postal Corporation (1998) 27 AAR 40
Wiegand v Comcare Australia [2002] FCA 1464REASONS FOR DECISION
Dr Damien Cremean, Senior Member
20 July 2016
This is an application for review of a decision (the ‘reviewable decision’) of the Respondent made on 9 September 2014.
The reviewable decision affirms a determination made on 30 July 2014 that the Respondent is not liable to pay compensation to the Applicant under section 14 of the Safety Rehabilitation and Compensation Act 1988 (Cth) (the ‘Act’) in respect of the Applicant’s left shoulder injury.
The matter was heard by the Tribunal between 8 February 2016 and 10 February 2016. At the hearing, the Applicant was represented by Mr Mark Carey of Counsel, instructed by Maurice Blackburn. The Respondent was represented by Mr Michael Snell of Counsel, instructed by Clarke Legal.
The Applicant, Mr McQueen-Thomson, gave sworn evidence. Medical evidence was called on his behalf. The Respondent called only medical evidence.
In what follows, I provide an outline of the Applicant’s…
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- Case
- [2016] AATA 510
- Decision Date
CaseChat Overview and Summary
The primary legal issue before the Senior Member was whether Mr McQueen-Thomson was disqualified from receiving compensation under section 7(7) of the Act. This section precludes compensation for a disease or aggravation of a disease if the employee made a wilful and false representation that they did not suffer, or had not previously suffered, from that disease for purposes connected with their employment or proposed employment. The Senior Member was required to determine if Mr McQueen-Thomson's actions, specifically his response to a question concerning his health, constituted such a wilful and false representation made for the relevant purposes.
The Senior Member found that the Applicant had suffered an injury to his left shoulder which resulted in incapacity for work, and that this was not in dispute. The critical determination was the application of section 7(7). The Senior Member was not satisfied that, in answering "No" to a particular question (question 13), Mr McQueen-Thomson was making a representation for purposes connected with his employment. Instead, the Senior Member concluded that his purpose in answering the question was connected with his injury or illness, rather than his employment. Consequently, the Senior Member was satisfied that the Applicant's injury was compensable under the Act.
The Senior Member set aside the decision under review and substituted a decision that the Applicant did suffer incapacity as a result of an injury to his left shoulder arising out of or in the course of employment, or to which employment contributed to a significant degree. The matter was remitted to the Respondent to calculate the Applicant's entitlements for medical expenses and weekly payments, and the Respondent was ordered to pay the Applicant's costs.
Orders
Orders of the court
Full text does not contain this section.
Background
Background to the litigation
Full text does not contain this section.
Evidence
Evidence Before The Court
Decision
Reasons for decision
Ratio Decidendi
Legal Principle Established
The Respondent contends that the Tribunal should make a decision affirming the reviewable decision. In particular, the Respondent submits that the Applicant is precluded from receiving compensation by section 7(7) of the Act.ConsiderationRelevant Legislation Pursuant to section 14 of the Act, the Respondent is liable to pay compensation in accordance with the Act in respect of any injury suffered by an employee if the injury results in death, incapacity for work, or impairment. Section 4(9) of the Act defines an incapacity for work as an incapacity for work suffered by an employee as a result of an injury. Sections 4(9)(a) and (b) define incapacity as an incapacity to engage in any work or to engage in work at the same level the employee was engaged in immediately before the injury occurred. An injury is defined in section 5A(1) of the Act as a disease suffered by an employee or an injury (other than a disease) suffered by an employee, that is a physical or mental injury arising out of or in the course of such employee’s employment. A disease is defined in section 5B(1) of the Act as an ailment suffered by an employee or an aggravation of such an ailment, that was contributed to, to a significant degree, by the employee’s employment. By section 4(1) of the Act aggravation of an ailment includes an acceleration or recurrence. An ailment is defined in section 4(1) of the Act as meaning any physical or mental ailment, disorder, defect or morbid condition (whether of sudden onset or gradual development). The term significant degree is defined in section 5B(3) of the Act as meaning a degree that is substantially more than material. Matters which may be taken into account in determining this question of degree are set out in section 5B(2) of the Act. They include, amongst others, the duration of an employee’s employment and the nature of, and particular tasks involved in, that employment. Section 5B(2) allows other matters to be taken into account, and places no limit on the scope of these. Section 7 of the Act includes further provisions in relation to diseases. Relevantly to this case, section 7(7) of the Act precludes compensation in certain circumstances, providing thatA disease suffered by an employee, or an aggravation of such a disease, shall not be taken to be an injury to the employee for the purposes of this Act if the employee has at any time, for purposes connected with his or her employment or proposed employment by the Commonwealth or a licensed corporation, made a wilful and false representation that he or she did not suffer, or had not previously suffered, from that disease. I should say at the outset that I am satisfied, on the balance of probabilities, that the Applicant has suffered an injury to his left shoulder and that this has resulted in his incapacity for work or impairment. As I see the matter, the question of the existence of an injury and subsequent incapacity was not in issue. It was not suggested that the Applicant was fabricating his evidence. Nor was it suggested that the Applicant was exaggerating or overstating the nature of his injury. Indeed, the Applicant was described as stoical by one witness.