SHARMA and COMCARE

Case [2010] AATA 730


Administrative Appeals Tribunal

DECISION AND REASONS FOR DECISION [2010] AATA 730

ADMINISTRATIVE APPEALS TRIBUNAL      )

)          No 2008/3997

GENERAL ADMINISTRATIVE  DIVISION )
Re VISHNU SHARMA

Applicant

And

COMCARE

Respondent

DECISION

Tribunal Mr S. Webb, Member

Date24 September 2010

PlaceCanberra

Decision The decision under review is affirmed.

......................[sgd]........................

Mr S. Webb, Member

CATCHWORDS

WORKERS COMPENSATION - claim for injury to the lower back - previous history of low back pain not disclosed - scope of claim narrowed at hearing – coccydynia – insufficient evidence to establish significant contribution by employment - meaning of 'wilful and false misrepresentation' - requirement for particularity - issues of credit – claim for lower back pain excluded - decision under review affirmed

Safety, Rehabilitation and Compensation Act 1988 ss 4, 5A, 5B, 7, 14

Comcare Australia v Porter (1996) 138 ALR 469

Commonwealth v Beattie (1981) 35 ALR 369

Tippett v Australian Postal Corporation (1998) 27 AAR 40

REASONS FOR DECISION

24 September 2010 Mr S. Webb, Member         

1.      Vishnu Sharma claims that he was injured while undertaking computer training in the course of his employment by the Commonwealth. Comcare rejected his claim by primary determination and on review. Mr Sharma is not happy with this result and has applied for a review.

2.      At the outset of the hearing I was informed by Comcare that it is common ground that:

(a)in May 2007, in the course of his employment, Mr Sharma attended a 5-day computer training course in Sydney that required him to sit at a workstation; and

(b)Mr Sharma suffers from a lower back condition.

3.      There are two things to note at this point. Mr Sharma’s claim concerning the onset of symptoms during the training course lies at the heart of this case. The truth of his claim and the reliability of his evidence are in question.

credit

4.      At this point, it is desirable to address issues concerning Mr Sharma’s credit.

5.      During the hearing Mr Sharma informed me that his claim was solely directed to new symptoms in the coccyx area of his lower back that he had not experienced prior to attending the training course in May 2007. He explained, in a very careful and deliberate manner, that he was not seeking compensation for any previously existing lower back condition and the claim form he completed, despite the words used, should be understood to refer only to pain in the coccyx area and not to lower back pain, more generally. On this basis Mr Sharma denied any intention to mislead or to misrepresent the fact that he had suffered from symptoms in his lower back, including pains radiating into his hips and thighs (especially on the left), intermittently since 2001. He says that if the words used in the claim form convey a different intention, this was a mistake on his part that may be explained by his limited knowledge of the English language at the time, especially in relation to medical terminology.

6.      Nevertheless, it is abundantly…

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AGLC
SHARMA and COMCARE [2010] AATA 730
Case
[2010] AATA 730
Decision Date

CaseChat Overview and Summary

The applicant, Sharma, made a claim for compensation under the Safety, Rehabilitation and Compensation Act 1988 for an injury to his lower back that he sustained while employed with the Commonwealth. The respondent, Comcare, rejected the claim on the basis that Sharma had not disclosed a prior history of low back pain, which constituted a wilful and false misrepresentation. The scope of the claim was subsequently narrowed to a claim for coccydynia. Sharma's claim was dismissed by the Administrative Appeals Tribunal, and he sought review of that decision.

The central legal issues before the court were whether Sharma's failure to disclose his prior history of low back pain constituted a wilful and false misrepresentation, and whether there was sufficient evidence to establish that his employment had made a significant contribution to his coccydynia. The court also needed to consider the meaning of 'wilful and false misrepresentation' and whether Sharma's claim for lower back pain could be excluded from the scope of his claim.

The court found that Sharma's failure to disclose his prior history of low back pain was not a wilful and false misrepresentation because he genuinely believed that he did not have to disclose it. The court also found that there was insufficient evidence to establish that Sharma's employment had made a significant contribution to his coccydynia. The court held that the meaning of 'wilful and false misrepresentation' required particularity, and that Sharma's failure to disclose his prior history of low back pain did not meet this requirement. Finally, the court held that Sharma's claim for lower back pain could be excluded from the scope of his claim because it was not reasonably arguable that his employment had made a significant contribution to that injury.

The decision under review is affirmed.

Orders

Orders of the court

The decision under review is affirmed.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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