Workers Rehabilitation and Compensation (Claims and Registration) Regulations 1987 (SA)

Case
No judgment structure available for this case.

(Reprint No. 1)

SOUTH AUSTRALIA

WORKERS REHABILITATION AND COMPENSATION (CLAIMS AND REGISTRATION) REGULATIONS, 1987

These regulations are reprinted pursuant to the Subordinate Legislation Act 1978 and incorporate all amendments in force as at 8 February 1995.

lt should be noted that the regulations were not revised (for obsolete references, etc.) prior to the

publication of this reprint.

(Reprint No. 1)

ii Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

SUMMARY OF PROVISIONS

Citation

reg. 1

Commencement

reg. 2

lnterp retation

(

reg. 3

Legislative definitions

reg. 4

Evidentiary provision

reg. 4a

Claims for Compensation

(

reg. 5

Registration

of Employers

reg. 6

Exempt Employers

reg. 7

Agencies of the Crown

reg. 7a

Registration

reg. 8

Terms and Conditions Applicable to Exempt Employers

reg. 9

RetunJS by Employers

reg. 10

Penalty for Late Payment of Levy

reg. 11

bJSuran.ce for Employers AgaiiJSt Liabilities apart from the Act

reg. 12

(

Interest payable under transitional provisions

\

reg. 13

Volunteers

reg. 14

Minimum levy

reg. 15

(

\

Expiation of certain offences

\

reg. 16

SCHEDULES

APPENDIX

LEGISLATIVE illSTORY

REGULATIONS UNDER THE WORKERS

REHABILITATION AND COMPENSATION ACT, 1986

WORKERS REHABILITATION AND COMPENSATION (CLAIMS AND REGISTRATION) REGULATIONS, 1987

being

No. 179 of 1987: Gaz. 6 August 1987, p. 3791

as varied by

No. 271 of 1987: Gaz. 12 November 1987, p. 15982

No. 216 of 1988: Gaz. 6 October 1988, p. 12493

No. 168 of 1989: Gaz. 31 August 1989, p. 7614

No. 68 of 1990: Gaz. 24 May 1990, p. 14385

No. 230 of 1990: Gaz. 29 November 1990, p. 1641

No. 263 of 1990: Gaz. 20 December 1990, p. 1915

No. 2 of 1991: Gaz. 17 January 1991, p. 191

No. 46 of 1991: Gaz. 24 April 1991, p. 1390

No. 85 of 1991: Gaz. 27 June 1991, p. 2064

No. 158 of 1991: Gaz. 11 July 1991, p. 249

No. 159 of 1991: Gaz. 11 July 1991, p. 250

No. 232 of 1991: Gaz. 14 November 1991, p. 1292

No. 32 of 1992: Gaz. 26 March 1992, p. 930'

No. 125 of 1992: Gaz. 25 June 1992, p. 19787

No. 126 of 1992: Gaz. 25 June 1992, p. 1980'

No. 162 of 1992: Gaz. 16 July 1992, p. 625

No. 193 of 1992: Gaz. I October 1992, p. 12649

No. 146 of 1993: Gaz. 24 June 1993, p. 211210

No. 177 of 1993: Gaz. 22 July 1993, p. 64511

No. 253 of 1993: Gaz. 4 November 1993, p. 219512

No. 31 of 1994: Gaz. 26 May 1994, p. 130113

No. 106 of 1994: Gaz. 30 June 1994, p. 195514

No. 112 of 1994: Gaz. 7 July 1994, p. 3715

No. 116 of 1994: Gaz. 14 July 1994, p. 10216

NOTE:

Asterisks indicate repeal or deletion of text.

For the legislative history of the Act see Appendix.

Entries appearing in the

Appendix in bold type indicate rhe amendments inc01porated since the last reprint.

(ReprinJ No. 1)

2    Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

Came into operation at 4 p.m. on 30 September 1987: reg. 2.

2 Came into operation (except regs. 4 and 5) 12 November 1987: reg. 2(1); regs. 4 and5 came into operation 23 November 1987: reg. 2(2).

3 Came into operation 17 October 1988: reg. 2.

4 Came into operation 18 September 1989: reg. 2.

5 Came into operation 1 June 1990: reg. 2 .

Came into operation 1 April 1992: reg. 2.

7

Came into operation 1 July 1992: reg. 2.

(

8 Came into operation 1 July 1992: reg. 2.

9 Came into operation 1 October 1992: reg. 2.

10 Came into operation 1 July 1993: reg. 2.

II Came into operation 1 July 1993: reg. 2.

12 Came into operation 4 November 1993: reg. 2.

13 Came into operation 26 September 1994: reg. 2.

14 Came into operation 1 July 1994: reg. 2.

15  

16 Came into operation 7 July 1994: reg. 2.

Came into operation 14 July 1994: reg. 2.

(

(

(

(Reprint No. 1)

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

3

Citation

1. These regulations may be cited as the Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987.

Commencement

2. These regulations will come into operation at 4 p.m. on 30 September, 1987.

Interpretation

3. In these regulations-

"the Act" means the Workers Rehabilitation and Compensation Act, 1986;

"award" means-

(a)

an award or order of the Industrial Commission;

(b)

an award of a conciliation committee;

or

(c)

an award or order of the Austral ian Industrial Relations Commission;

"building work" has the same meaning as in Builders Licensing Act, 1986;

"cleaning work" means the work of cleaning any building or a part of a building (including

the windows of the building and the surrounds of the building);

"commercial motor vehicle" means a motor vehicle constructed or adapted solely or mainly for the carriage of goods or materials (including money) by road, including a prime mover, truck, panel van, utility and station wagon, but not including a motor cycle;

"industrial agreement" means-

(a)

an industrial agreement within the meaning of the Industrial Conciliation and Arbitration Act, 1972;

or

(b)

a certified agreement within the meaning of the Industrial Relations Act 1988 of the Commonwealth;

"outworker" means an outworker as defined in the Industrial Conciliation and Arbitration

Act, 1972;

"prime bank rate", for a particular financial year, means the rate (expressed as a percentage per annum) fixed by the State Bank of South Australia at the commencement of that financial year as its indicator lending rate;

"wall or floor tiling" means any work performed within the wall and floor tiling trade, as

prescribed under the Builders Licensing Act 1986.

(Reprint No. 1)

4     Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

Legislative definitions

4. (l) For the purposes of the definition of "contract of service" in section 3(1) of the Act (but subject to this regulation), the following classes of work under a contract, arrangement or understanding are prescribed classes of work:

(a)

building work, other than wall or floor tiling;

(

(b)

cleaning work;

(c)

driving a motor vehicle used for the purposes of transporting goods or materials (whether or not the vehicle is registered in the driver's name) where the driver is paid under the Local Government Employees Award or the Adelaide City Corporation Award;

(

(ca)

driving a taxi-cab or similar motor vehicle used for the purpose of transporting members

\

of the public where the driver does not hold or lease a licence issued in relation to the

vehicle;

(cb) driving or riding for fee or reward a vehicle, other than a commercial motor vehicle, for the purpose of transporting by road goods or materials (including money) where the driver or rider does not simultaneously own or operate more than one vehicle for work purposes;

(d)

performing as a singer, dancer, musician, ventriloquist, acrobat, juggler, comedian or other entertainer at a hotel, discotheque, restaurant, dance hall, club, reception house or other similar venue, but excluding work as an actor, model or mannequin, or as any other type of entertainer, in performing as part of a circus, concert recital, opera, operetta, mime, play or other similar performance,

where-

(e)

the work is performed by one person to the contract, arrangement or understanding (the worker) in the course of or for the purposes of a trade or business carried on by another person to the contract, arrangement or understanding (the employer);

(f)

the work is performed personally by the worker (whether or not the worker supplies any tools, plant or equipment);

(g)

the worker does not employ any other person to carry out any part of the work;

(

(h)

(i)

in the case of building work-

the value of any materials supplied, or reasonably expected to be

supplied, by the worker does not exceed-

4 per cent of the total amount payable, or reasonably expected to be

payable, under or pursuant to the contract, arrangement or

understanding;

(

or

$50,

whichever is the greater;

(Reprint No. 1)

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

5

and

the value of any one tool, or any single item of plant or equipment, owned or leased by the worker for work purposes (whether or not it is used in the performance of the particular work) does not exceed-

in 1991-$10 000;

in a subsequent year-an amount (calculated to the nearest multiple of

$100) that bears to $10 000 the same proportion as the Consumer Price Index for the September quarter of the immediately preceding year bears to the Consumer Price Index for the September quarter, 1990;

(ia)

in the case of cleaning work (other than window cleaning)-the value of any materials supplied, or reasonably expected to be supplied, by the worker does not exceed-

if the term of the contract, arrangement or understanding is not more than

one month-$50;

if the term of the contract, arrangement or understanding is more than one

month-an average of $50 per month;

(ib)

in the case of window cleaning-the value of any materials supplied, or

reasonably expected to be supplied, by the worker does not exceed-

if the term of the contract, arrangement or understanding is not more than

one month-$25;

if the term of the contract, arrangement or understanding is more than one

month-an average of $25 per month;

(ii)         in any other case-the value of any materials supplied, or reasonably expected to

be supplied, by the worker does not exceed $50;

and

(i) in the case of work referred toin paragraph (cb)-the goods or materials are not owned (and have not been previously owned) by the driver or rider (as the case may be), or by the employer.

(laa) For the purposes of subregulation (I )(h)(i)-

(a)

the value of any tool, plant or equipment owned or leased by a worker is the price that, at the time that the worker enters into the relevant contract, arrangement or understanding, the worker would reasonably be expected to pay if the worker were to purchase an equivalent, unused, tool or item of plant or equipment;

and

(b)

a vehicle will not be taken to be used for work purposes if its sole or principal use is to transport the worker, and any tools, plant or equipment, to any work site.

(Reprint No. 1)

6     Workers Rehabilitation and Compensation {Claims and Registration) Regulations, 1987 (1a) Where-

(a)

a licensed gas fitter is engaged by the South Australian Gas Company to perform building work;

and

(

(b)

the licensed gas fitter supplies materials for the purposes of that work,

that work is not included in the classes of work prescribed by subregulation (1).

(1b) Subject to subregulation (lba), the work of a minister, priest or other member of a religious order is a prescribed class of work for the purposes of the definition of • contract of service" in section 3(1) of the Act.

(

(1ba) Pursuant to section 3(7) of the Act, the following persons are excluded from the application of the Act:

\

(a)

a minister ministering within The Anglican Church of Australia in South Australia;

(b)

a priest or other member of a religious order ministering within the Catholic Church of South Australia;

(c)

a pastor ministering within the Lutheran Church of Australia South Australia District Inc.;

or

(d)

an ordained minister, deaconess or lay pastor of The Uniting Church in Australia ministering in South Australia in an approved placement under the "Classification of Ministers" of that Church.

(lc) Where-

(a)

a person performs work as an outworker;

and

(b)

any aspect of that work is governed by an award or industrial agreement that is

expressed to apply to outworkers (or a specified class or classes of outworkers),

1

\.

that work is prescribed work for the purposes of the definition of • contract of service" in

section 3(1) of the Act.

(1d) The work of a Review Officer appointed under the Act is prescribed work for the purposes of the definition of "contract of service" in section 3(1) of the Act (and, for the purposes of the application of the Act to such a Review Officer as a worker, the Crown will be taken to be his or her employer).

(

(2) For the purposes of the definition of "local government corporation" in section 3(1) of the Act, all controlling authorities constituted under the Local Government Act, 1934, are prescribed as being within this definition.

(Reprint No. 1)

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

7

(2a) For the purposes of the definition of "prescribed allowance" in section 3(1) of the Act, any contribution to a superannuation scheme paid or payable by an employer on behalf of or for the benefit of a worker is prescribed as being within this definition.

(3) For the purposes of section 3(6) of the Act, a prescribed circumstance is where a person

(the principal) contracts with another person (the contractor) who is not registered as an employer

under the Act.

(4) Pursuant to section 3(7) of the Act, but subject to subregulation (5), a worker who is employed by an employer to participate as a contestant in a sporting or athletic activity (and to engage in training or preparation with a view to such participation, and other associated activities) is, in relation to that employment, excluded from the application of the Act.

(5) Subregulation (4) does not apply to-

(a)

a person authorized or permitted under the Racing Act 1976 to ride or drive in a race as defined in that Act;

or

(b)

a boxer or wrestler employed or engaged for a fee to take part in a boxing or wrestling match.

(6) A person ("the driver") who is employed or engaged by another ("the principal") to transport goods or materials (including money) by motor vehicle in the course of or for the purposes of a trade or business carried on by the principal is excluded from the application of this Act if-

(a)

the motor vehicle is a commercial motor vehicle;

(b)

the motor vehicle is owned, leased or hired by the driver;

(c)

the motor vehicle is not owned by, leased from or hired out by, or otherwise supplied

by (directly or indirectly)-

(i)

the principal;

or

(ii) a third person whois related to the principal;

and

(d)

the goods or materials are not owned (and have not been previously owned) by the driver or by the principal.

(7) For the purposes of subregulation (6), a principal and another person will be taken to be

related if-

(a)

they are employer and employee;

or

(b)

the other person is accustomed or under an obligation (whether formal or informal) to control the use of the relevant motor vehicle in accordance with the directions or determinations of the principal.

(Reprint No. 1)

8    Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

(8) Pursuant to section 3(7) of the Act, a person to whom the Seafarers Rehabilitation and

Compensation Act 1992 of the Commonwealth applies is excluded from the application of the Act.

Evidentiary provision

4a. Pursuant to section 31(2) of the Act, the operation of section 31(1) of the Act is extended to the following disability and type of work:

(

Description of Disability

Type of work

Mesothelioma. .. .. .. .. .. .. .. .. .. .

Any work involving exposure to inhalation of

asbestos fibres

Claims for Compensation

5. (1) For the purposes of section 52(1)(c) of the Act, the form of a certificate by a

recognized medical expert that must support a claim for compensation is the form set out in the

first schedule completed in accordance with the instructions contained in that schedule.

(

(2) For the purposes of section 52(5)(b) of the Act, the statement required to be forwarded to

the Corporation with a copy of a claim for compensation must be in the form set out in the second

schedule-

(a)

completed in accordance with the instructions contained in that schedule;

and

(b)

containing the information required by that schedule.

Registration

of Employers

6. (1) Where-

(a)

a person (the employer) employs one or more persons (the workers) under a contract of service or contracts of service;

(b)

the workers are not employed for the purposes of a trade or business carried on by the employer;

and

(c)

the total remuneration payable by the employer to the workers does not exceed-

(i)

in 1991-$6 600;

(ii)

in a subsequent year-an amount (calculated to the nearest multiple of $100) that

bears to $6 600 the same proportion as the Consumer Price Index for the September quarter of the immediately preceding year bears to the Consumer Price Index for the September quarter, 1990,

(

the employer is not, in respect of those workers, required to be registered under section 59 of the Act (and the remuneration paid to those workers need not be included in any return furnished to the Corporation under section 69 of the Act).

(Reprint No. I)

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 9 (2) The employers who are not required to be registered under section 59 of the Act by virtue of subregulation (!) are, in respect of the workers referred to in subregulation (!), a prescribed class of employers exempt from the operation of section 46(3) of the Act.

Exempt Employers

7. For the purposes of section 60(2) of the Act, the prescribed number of workers to be employed by an individual employer or a group of employers making an application for registration as an exempt employer or group of exempt employers is 200.

Agencies of the Crown

7a. (1) Pursuant to section 61(4) of the Act, the bodies listed in the sixth schedule are prescribed for the purposes of the definition of "agency or instrumentality of the Crown" under section 61 of the Act.

(2) Forwood Products Pty Ltd is prescribed for the purposes of the definition of "agency or instrumentality of the Crown" under section 61 of the Act.

(3) Subregu1ation (2) will cease to have effect on 31 March 1995.

(4) Bank of South Australia Limited is prescribed for the purposes of the definition of "agency or instrumentality of the Crown" under section 61 of the Act.

(5) Subregulation (4) will cease to have effect on 30 June 1996.

Registration

8. For the purposes of section 62 of the Act-

(a)

an application for registration as an employer, exempt employer or group of exempt employers;

(b)

an application to amend any registration details;

or

(c)

an application to provide additional location details to the Corporation,

must be in a form set out in the third schedule-

(d)

completed in accordance with the instructions contained in that schedule;

and

(e)

containing, or accompanied by, the information required by that schedule.

Terms and Conditions Applicable to Exempt Employers

9. The registration of an employer as an exempt employer (or as one of a group of exempt employers) is subject to the terms and conditions prescribed in the fourth schedule.

(Reprint No. 1)

10 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

Returns by employers

10. (I) For the purposes of section 69(1) of the Act, where a return is the first" return furnished to the Corporation after the end of a financial year, the employer must, in relation to each class of industry in which the employer employs workers, includes the following information-

(

(a)

the aggregate remuneration paid to the employer's workers in that industry during that financial year;

(b)

an estimate of the aggregate remuneration that the employer expects to pay to the employer's workers in that industry during the ensuing financial year.

* * * * * * * * * *

(2) For the purposes of section 69(3) of the Act, if the Corporation requires that a person with accounting qualifications verify the information contained in a return, that person must be-

(

(a)

a registered company auditor;

(b)

a member of The Institute of Chartered Accountants in Australia;

or

(c)

a member of the Australian Society of Accountants.

Penalty for Late Payment of Levy

11. For the purposes of section 71(1) of the Act, the rate of penalty interest on an amount in

arrears is 20% per annum.

Insurance for Employers Against Liabilities apart from the Act

12. For the purposes of section 105 of the Act, the terms and conditions to the insurance provided under that section to employers by the Corporation are set out in the fifth schedule.

Interest payable under transitional provisions

13. (1) For the purposes of clause 2(4) of the first schedule to the Act, the rate of interest will be the prime bank rate for the financial year in which the employer receives notification of a

payment under that clause.

(

(2) For the purposes of clause 2(11) of the first schedule to the Act, the rate of interest will be tbe prime bank rate for the financial year in which the amount in respect of which interest is payable is paid to the Corporation.

Volunteers

(

14. (1) In this regulation-

\

"volunteer fire-tighter" means-

(a)

a member of the C.F.S.;

(b)

a fire control officer under the Country Fires Act, 1989;

(Reprint No. 1)

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 11

or

(c)

a person who, at the request or with the approval of a person who is apparently in command pursuant to the Country Fires Act, 1989, at the scene of a fire or other emergency, assist in fire-fighting or dealing with the emergency,

who receives no remuneration in respect of his or her service in that capacity.

(2) For the purposes of section 103a of the Act-

(a)

volunteer tire-fighters are prescribed as a class of persons under that section;

and

(b)

the following activities are prescribed as a class of work:

(i)

any activity directed towards-

preventing, controlling or extinguishing a fire;

dealing with any other emergency that requires the C.F.S. to act to

protect life or property;

(ii) attendingin response to a call for assistance by the C.F.S.;

(iii) attending a C.F.S. meeting, competition, training exercise or other organized activity;

(iv)        carrying out any other function or duty under the Country Fires Act, 1989.

Minimum levy

15. Pursuant to section 66(13) of the Act, the prescribed minimum levy is $50.

Expiation of certain offences

16. (1) Pursuant to section 122a of the Act, the following amounts are fixed as expiation fees

in respect of offences against the following sections:

SECTION

EXPIATION FEE

Section 59-Failing to register as an employer

(a) $300 indexed;

within the time allowed under that section

or

(b)

5% of the aggregate remuneration paid to the employer's workers during the period for which the employer is in breach of the section,

whichever is the greater.

Section 69(5) in respect of the offence of failing

$100 indexed

to furnish an Annual Declaration within the

time required under section 69

(Reprint No. 1)

12 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

(2) For the purposes of this regulation, a fee under subregulation (1) that is expressed to be indexed will be adjusted on an annual basis so that the fee payable in respect of an offence committed on or after 1 January 1992 will be an amount (calculated to the nearest multiple of $10) that bears to the relevant fee prescribed by subregulation (1) the same proportion as the Consumer Price Index for the September quarter of the immediately preceding year bears to the Consumer Price Index for the September quarter, 1990.

(3) In this regulation-

(

"Annual Declaration" means a return containing the information required by regulation 10

that must be furnished by an employer to the Corporation after the end of each financial year;

"remuneration" has the same meaning as under Division IV of Part V of the Act (but does not include remuneration paid to any worker in respect of whom an employer is not required to be registered under section 59 of the Act).

(

/

\

(

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 13

FIRST SCHEDULE

Workers Compensation

WorkCover·s copy

Medical

Certificate

123456789

I M

...........

1 Worker's full name

2 Wori<Cover Number

3 Employer's name

4 Date of lnj~ (approx. if not known)

5 Date of 111Cl1111ination

6 Inmy op1"nion 1he worker wasfiS Sullering 11om

whicl11he worker claims

was caused by (and whicl1

appears to be consiStent)

7 is 1he cisability an exacerbation,

aggravation, deterioration or recur-

Date of prSYious disability

rence of a prSYious disability?

vesO ... I

I

I

I

9

Date of next review (rt applicable)

11 Commenls

12 Trnecla>nstilation(e.g. 1oam>l~.-__

I Feetorm~l.,s'--_...JI

AMAIBnNo.l

13 Certlflcatlon-l CSf1ify thai I examined

(Complete, or stamp each copy)

lhe abovenamed worlcer on the dale shown.

Name of doctor

Doctor's signature

Oualifiealions

2·55

9207

I ~==s

Date

Provider number (optional)

(Reprint No. 1)

SCHEDULES

14 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

SECOND SCHEDULE

POSTAL ADDRESS: G.P.O. BOX 2668. ADELAIDE 5001

~

15 FRANKLIN STREET. ADELAIDE

TELEPHONE: (08) 233 2222

WORKCOVD

Country Enquiries Toll Free (008)

18 8000

TELEX: AA82418 FAX: 212 31176

(

WORKERS

REHABILITATION & COMPENSATION CORPORATION OF S.A.

EMPLOYER REPORT FORM

\

EMPLOYER DETAILS

INJURY DETAILS

Name of Employer (name as per Registration)

When did the injury occur?-

0

Vehicle accident white working?

While working?D

Travelling to or from place 0

I

During a break? 0

of employment'?

Name at Location where worker employed (as per registration)

Place where injury occurred (refer notes on front page)

(

Employer Reg. No.

Relevant Location No.

Date of Injury

Time

Date notice given

Time

I I

II

II

II

I

Employer Ref. No. (if app.)

Telephone No.

Names of witnesses (if any)

I I I I I I I I I I I I

Relevant Location address

How did the injury occur and what was the worker doing at the time? (e.g. slipped while walking down stairs.)

I

Post Code

I

Postal Address (if different from above)

I

Post Code

I

Describe the worker's injury or condition (e.g.

laceration. dermatitis.)

Person to contact regarding this claim

Position of contact person

Which pans of the body were affected? (e.g.

upper arm. ankle.)

WORKER'S EMPLOYMENT PARTICULARS

Full name of injured worker

Date worker

Has Worker

ceased work

Time

resumed work?

I I

I Yes 0

No 0

Sex

Date of Birth

If Yes

Date resumed work

Time resumed work

I I

Full or part·time

Pennanent or casual

I

I I

/ am/pm

I I

I

Occupation (eg. cook. builder's labourer)

OTHER DETAILS

GIVE DETAILS OF OTHER

CIRCUMSTANCES WHICH WOULD ASSIST

Main tasks (refer to notes on front page)

WORKCOVER TO ASSESS THE CLAIM

(e.g. Do you query the validity of the claim? If so. why?)

(

In my opinion

Normal hours per week

Days worked per week

I L

Rostered days off

Date started with you

I I

I

If worker is not an employee. explain relationship

-

(Reprint No. 1)

ScHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 15

COMPENSATION PAYMENT CALCULATION

(Refer to notes on front page)

Average weekly earnings

$ ................................

LESS Prescribed allowances (if any)

..................................

PLEASE NOTE:

Notional weekly earnings

$

-

State/Federal Award 0

Apprentice 0

(1) The Top Copy of the completed form

It is expected that employers will make weekly

compensation payments to the worker in accordance with

should be forwarded to the

advice from WorkCover and will then be reimbursed by

WorkCover Claims Agency within 5

WorkCover. In special circumstances WorkCover will make

weekly compensation payments direct to the worker. If you

business days after the receipt of a

request that alternative, state reason:

compensation claim from the

WORKER, together with the pink

copy of the claim form.

The penalty for failure to comply with

this requirement is a fine of $1000.

If making payments direct to the worker DO NOT complete

Please ensure the employer

taxation detail.

declaration section has been

TAXATION DETAIL

completed.

Has the worker completed a Taxation "Dependents

Declaration"? Yes/No

I

I

(2) The Second Copy of the completed

If yes. what is the total concessional rebate claimed?

form may be retained by the

Does the worker receive a Zone Allowance?

I

employer for record purposes.

Yes/No I

lu yes which Zone? A or B I

I

Has the worker claimed a Medicare rate variation? Yes/No

(3) Any Compensation Claim presented

by a worker must be supported by a

I

WorkCover Medical Certificate issued

by a recognised medical expert,

"FIRST WEEK" PAYMENTS

Have you previously made any weekly compensation

(generally a legally qualified medical

payments to the worker concerned during the current

practitioner).

calendar year? Yes/No

The Medical Certificate must be

I

I

forwarded with the Employer Report

If yes. please give details of the amount and datels

and Worker Compensation Claim

Forms.

(4) For any assistance or additional

information please contact the Claims

EMPLOYER DECLARATION

Enquiries Officer on (08) 233 2222.

Country calls (toll-free) (008) 18 8000.

'·I

the undersigned, declare that the details abOve are true

and correct in every particular.

Signature of Employer

Date

(or authorised person)

I I

I

50-187~29--1

6/fP

(Reprint No. I)

SCHEDULES

16 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

THIRD SCHEDULE

PART I

~

WorkCover

EMPLOYER REGISTRATION

Corpomtion

Use this form to Rgislor as a new employer with both WodCover

Seud the compleled form to WodCover Corporatioo.

(

and the Occupalional Health. Safe<y and Welfare Commission.

The address is shown at the end of this form.

If

there is more thao one location wllere people are emplayed,

you will also baveto fill -an

'Additional Loc:ati011 Delails'

Please answer in BLOCK LETTERS. using a pen.

fonn for each exua localion.

If you bave an existing regismuion and you want to Rgislor a

It is important to give all the delails asked for. otherwise we may

new location where you "'''Ploy people, you should use the

bave to eontact you larer. This could delay your togistratioo.

form 'Additional Loc:ation Details'.

To change the members of a partner.;hlp, change other delails of

If you need inore space to answer questions.

an existing regismuion. or c:ancel your regismuion or a location.

you should use the form 'Employer Regismuion Amendment'.

atlliOh a sheer giving the requitod delails.

(

All the above fonns are available at any Post Office

If you need help to fill in this form. ring (08) 233 2Z22;

in Soulh Austtalia-

country callers ring 008 188 000.

1. FaD aam<(s) of tbe emplayer The employer is usually a sole-ttader, a partnerShip. an

associatesbip, a company.a ...-.or an associnlioo.

For a partnerShip or associareship,list the run names of all

the panners or associates.

The emplayer's name is not necessarily the same as the lr.lding name. For example, in the case of Joba Peler Smith lr.lding as ABC Relail. ABC Relail is the lr.lding name. bot John Pettr Smith is the employer.

2. lftbeemployerisacompaay:

I

• List tbe run ........ oftbe directors

-

If

l1lOJe spac:e is required. auacb a separate list. 1--------------------j

• Give tbe Australiao Compuy Number

:========l:;----_______.1

3.   TradiDgiWIH!

This is also known as an opm.ting or business name.

4. S.A. CorporateAll'alrs Busiaess Number

for Ibis tradiDg uame

I

l

5. Mailiug details

Give the name and address to which you

want your WorkCover conespondence sent.

(

'

6. Coutactpersuu

Give de1ails of the pers011 we should

Name

IM ........ .

talk to if we bave any questions

Position I title ~--------------------1

about your REGISTRATION or

Telephone

~(~STD~ __

L,_

______

Ex;::=lmiSl='on::._ __

____j

your LEVY PAYMENTS.

Fu nuotber (STD

I

7.

Address where tbe employer's busiaess records

(

ean be eltllllliMd

This must be a street address. an accowltant's

name and address, or a fann location

Postcode

(not a post office box number).

Telephone

(STD

)

Extension

Funumber

(STD

)

I

Coatinued ou tbe aext page

Employer Registration Pagel

(Reprint No. 1)

ScHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 17

8. Is the employer appointed as a Trustee to operate the business?

No 0

Yes D Name of trust '------------------------__J

9..

Tic:k one boX to show

Is the company owned by a holding company?

the type of employer:

-

Sole-trader (one person) D

No 0 Goto10

"

Ofi"K't use

Partnership or associateship

Yes

0 Give details

i

I

(more than one person or D

• Name of holding company

organisation)

"'

-

-

I

Public company D

"

• Australian Company Number I

1-

Private company

D

.. _

• Contact person

• Position

•Telephone

(STD

)

• Extension

I

• Fax number

(STD

)

(e.g. Pty Lid. Ptoprietary)

Association. charitable 0

or other organisation

Type of organisation

Co-operative o~

Incorporated association Ocw.

Unincorporated association Om

Other 0

Describe

'---------·=-·~Jt!:j

10.

Are any of the people, companies or

WorkCover

trustees mentioned in Questions I and 2

Employer Number

PRESENTI.. Y registered as an employer with Work.Cover?

No 0

Yes D Give details

11.

Have any of the people. companies or

WorkCover

trustees meotioned in Questions I and l

PREVIOUSLY been registered as an

employer with Work.Cover?

No 0

Yes D Give details

12..

At how many locations are workers employed?

Each centre where an employer controls

or directs workers is a location.

Now go to the next page and give details of the MAIN

Temporary sites away from a base are not

D

LOCATION from where the business is operated.

regarded as locations.

You must also give details for each ADDmONAL

LOCATION. using 'Additional Location Details' forms

(available from any Post Office in South Australia).

Employer Registration Page 2

(Reprint No. 1)

SCHEDULES

18 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

MAIN LOCATION DETAILS

(For additionalloc:ations. use 'Additional Loc:ation Delails' forms.)

1. Add,....of main localloa

Please give the full address (not a poat office box).

For fanns, include the road name, or if no road name,

(

the Sections and Hundreds.

'

For workers working on various sites or locations.

only a base loc:ation is IOCj1lited.

2. TradingllliJIIe used by tbe employer at Ibis localloa

3. S.A.Corporate All'alrs Business Number

for Ibis trading llliJIIe

(

4. Contact penon

Give details of the person we

should talk to if we have any

~:~:: ~~-STD_·-·----------------------------Ex-~-m-i-on------~

Fax number '-'-(>=STD=------'-------.......l

5.

Wby are you registering Ibis localionlbusiness ? (Please tick one box only)

r-

From whom was it pu.rdaased or takeJMtver? .

questions about THIS LOCATION.

-

• Business/employer name

Pun:hascd existing 0

loc:atioDJbosine

L

"'

I

I

TakeoverOt:

"'

r--

• Their WorkCover Employer Number(s)

I

II

I

MergerOuoo

-

• Loc:ation Number(s)

Set up your own new o

I

II

j

business/location

Give details

6.

Has Ibis locaoon been granted exempUon from payment of tbe Ocenpalional Healtb Safety and Welfare R.gislraliou Fee by tbe SA llepartmeDI

of Labour?

Please attach a copy of the written

confumati.on of exemption

7. What istbe business or industry carried out alibis lo<atiou?

c

8.

Describe tbe dllrereDt types of work carried out at Ibis If you need more space. attach a sheet.

(

9. Wbatis tbe ONE MAIN TYPE of goods produced or ..me. provided by your business at Ibis io<aUon?

Continued on tbe next page

Employer Registration Page 3

(Reprint No. I)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 19

10. Give details of the NUMBER of workerswho wUl be or .,.. employed In eacb occupation at this location

Include working director.;

Do not include people listed as the employer (i e partnerS or sole-tradets)

..

Full-time (35 brs or more a week)

Part-time (less 1han 35 brs a week)

Includes permanent.

Includes permanent.

casual and seasonal

casual and seasonal

Occupation

Male

Female

Male

Female

Totals

11.

Do yoo employ any workers who mainly (or

Yes o-. Please note: Workers who mainly work

wUl mainly) work ootside or South Australia?

outside South Austtalia may not be covered byWorkCover(SA). You shooldcoosider providing workers compensation cover for

them widt the relevant organisation where

they work.

12.

Wben didlwlll you start employing at this location?

LI _

_,I __

'-.I _

_.J

13.

Estimate the total gross wagt!S, heoerrts and other payments which wUl be paid to workers at this

location:

This includes employer's superanouation

contributions, leave payments, and other

To June this financial year~~$=========~

allowances and benefits.

For a fulll2 monlhs L$'----------_.J

14. Declaration

Before signing this declaration. please make sure

l declare that the information I have given on this

that you have answered all the relevant questions.

form and any attached sheets is complete and correct.

Please note thai it is an offence to provide

Signature

of employer.

false or misleading infonnalion.

public officer or authorised person

Please remember to attach any

"Additional Location Details" forms.

If theR: are any attached sheets, please

make swe they are signed and dated.

Full name of the person who signed this declaration

If you are not sure that you have answered any particular question properly. please ring for

Position I tide

advice (08) 233 =: COWltty employers ring

008188000.

lS. Man your registration form to:

WORK

COVER

GPOBOX2668

ADELAIDE SA 5001

Employer Number

Date fonn received

SAWJCcode

Office use only

I

I

I

Employer Registration Page 4

(Reprint No. 1)

SCHEDULES

20 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

~

WorkCover

1~ -.1

1)

Corporation

EMPLOYER REGISTRATION AMENDMENT

• Change of details, or

(

Moving business from a currently registered location to a new location, or

• Cancellation of location(s), or

• Cancellation of entire registration

Use this form to tell WorkCover Corporation about any of the above.

(

If you have purthased or established an additional location which you have not previously registen:d. you should use the form 'Additional Location Details'.

Amendments will only be accepted if the declaration at the end of this form is signed by the

employer. a public officer or an authorised person.

Send the completed fonn to WorkCover Corporation.

The address is shown at the end of this

form.

Please answer in BLOCK LETI'ERS.

If you need more space to answer questions. auac:h a sheet giving the required details.

If you need help 1o fill in this fonn. ring (08) 233 2222; countty eallers ring 008 188 000

1.   Registered employer IUIIJ1e

(as shown on your Work.Cover Certificate)

2. Employer number

3. Ifyou wish to CHANGE DETAILS of

your registration, such as:

• Type of business

• Employer name and/or type of employer

• Business/trading name

• Mailing details

(

• Contact person

• Holding company

Complete Parts A and C

• Business records address

Moving business from a currently

registered location to a new location

• Number of workers

• Revised estimate of totai gross wages

•Directors

(

• Business or company number

\

If you wish to CANCEL location(s) or

Complete Parts B and C

cancel your entire registration

171910)

Continued on the nex.t page

Employer Registration Amendment Page 1

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 21

Part A -

Change of details

.

4.

What is the DATE OF EFFECT for the

Now complete only those questions (5to 14)

I

I

clumge(s) you wish to tell us about?

in Pan A for which your details have changed.

5. Change of type of busmess

If you have changed your main type of

An officer from Work.Cover will be in

business at any location. tick this box;

D

contact to discuss the new type of business.

6. Change of employer name. type of employer. d1rector or company number

For companies only: PLEASE ATTACH a Copy of the AusttaJian Securities Commission or Corporate Affairs cenificate to cenify the change of name.

.. If you have also changed your trading name, remember to complete Question 7 also.

Please tick

Currently

Now to be

boxes as

registered with

registered with

appropriate

WorkCover as

WorkCover as

-

Sole Trader

D

Public company

New employer name (in full)

Private company (e.g.

D

Pty Ltd, Proprietary)

D

Association, cbaritable

-

or other organisation:

Co-operative 0

os 0

Incorporated assoc. D

06 0

Unincorporated assoc. 0

rn 0

Incoming panners/directors (fuJI names)

Other

D~

-

Partnership

D

Outgoing partners/directors (full names)

Directors

Australian Compaoy Number

[]------- New number

7. New busmess trad1ng name

Location No.:=======::!.__

1

___ ·----------,

New business/lrading name 1------------------------j

New State Corporate Affairs Business Number ._ ______

__,I

8. New ma1hng details

Give the new name and address to which you

want your WorkCover correspondence sent

Postcode

1719103

Employer Registration Amendment Page 2

(Reprint No. 1)

SCHEDULES

22 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

9. New contnc!person

Po&::::~ f~-STD-···_····-·-------------------------Ex--~--i-oo--------~

F.unwn~ L.<~STD~----~~------------~

(

'

Is this the new contact person for any questions

we may have about your registration /levy

No D

payments?

YesD

• Is this the new contact person for any questions

No D

Yes D

Location No.

we may have about a location?

10. New holdrngcompany

N~~============,-r=====T==========;

Austtalian Company Nurn~

I otr

...... I

(

11. Newbusmess records address

1bis must be a sueet address. an

accountant's name and address.

or a fann locatjon (not a post

Postcode

office box number).

Telepbone

11-<:::STD=-------'-----------------,-Ex--te_nst_· on

_______

-.-J

Fax number

(STD

12. Movrngbusmess from a currently reg1stered locatiOn to a new location

Location

number

I ~=====--------------~

New location address~

I---------------------------P-ost_code

_______

--l

13. Changeto number of workers

Location nwn~ '--------------'

Full-time

Total number of worlten presently employed ~ Male

~ Female I

~

14.

Rev1sed est1mate of total gross wages

(

Revised estimate of total gross wages. benefits and other payments which will be paid to your workers for the c:um:nt fmancial year. This includes

employer's superannuation conttibutions. leave

payments and other allowances and benefits.

s

(

15.    If you wish to cancel a location go to Part .B. Otherwise go straight to Part C.

1719103

Continued on the next page

Employer Registration Amendment Page 3

(Reprint No. 1)

ScHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 23

Part 8 -

Cancellation of location(s) or registration

16.

Do you wish to:

Cancel your entire registration D On what date did the business I I I

cease employmg workers?

L_ --'---'-___J

Maintain your existing registration D

Location numbers of those

Date employment

.... -

- ~- ......,

~r=-=·::on::::•.;_YOU=W:c:i•::::h:.:to:::==c=•l:_,.:ceased==:~t~th~i·.:r~ti~o!!..,n

17.

Wby do you wish to

caDcel

your registrationlloca

tion(s)?

....

e Who was it sold to?

Employer bankrupt

Name!

I

or liquidated

0

Employer deceased

0

Ad~~~

Location duplicated

0

Postcode

I

Business sold

D-

Telephone I

(STD

)

Extension

I

Do you stiU conduct any business

in which you employ workers?

NoD YesO

Other OPtease give details

I

18. What is your future forwarding address?

PostcOOe

Telephone ~("-STD=----''---------,-=Exc:tens=ic;;on'------'

Fax number '-'-("'-STD=-----''-----------'

Part C - Declaration

19.

I dee,.. tlultllu: illforrnDIUm I luJ•• given

in this form is comp~k

41111 comcL

Signature of employer. public

Date

officer or authorised person

1

1

Full name of the person who ;,:==============!-'====='===i

signed this declaration f---------------------1

Position/tide '--------------------_....J

20.

Please mail your completed form to:

WORK COVER GPOBOX2668

ADELAIDE SA 5001

171910}

Employer Registration Amendment Page 4

(Reprint No. 1)

SCHEDULES

24 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

~

WorkCover

ADDITIONAL LOCATION DETAILS

Co!pOration

This fonn is for an employer to add a location to an

If you have moved business from a currently registered

existing registration where the location has just been

location to a new location. or closed a business or location.

purchased or established.

use the fonn 'Employer Registration Amendment' instead.

(

1. Workcover Employer Number

2. Address or new location

Please give the full address (not a pnst office hox).

For fanns. include the road name, or if no road name.

the Sections and Hundreds.

For workers working on various sites or locations,

Posu:ode

only a base location is required.

(

3. Tradingname used by the employer at this location

4. S.A. Corporate Affairs Business Number

for this trading name

I

I

5. Contact person

Name

Give details of the person we

should talk to if we have any

Position I title

questions about THIS LOCATION.

Telephone

Extension

Fax number

I;

6.

Why are you registering this location/bUS!

'oess?

(Please tick one hox only)

From whom was it purchased or taken-over?

-

Purchased existing 0

-

• Business/employer name

location/business

L

"'

I

Takeover DL

• Their WorkCover Employer Number(s)

"'

r--

I

II

Merger DLMG

-

• Location Number(s)

Set up your own new o

I

II

I

business/location

Other D= Give details I

7. Hasthis location been granted exemption from

payment orthe Occupational Health Safety and

Yes []-. • Date exemption I

Welfare Registration Fee by tbe SA Department

granted

L. --'---'----'

1

1

(

of Labour?

• Please anach a copy of lhe written

confumation of exemption

8..

Wbat is the business or industry carried out at this

location?

9. Describethe different types of work carried out at this location

(

If you need more space. attach a sheet.

'

10. Wbat is the ONE MAIN TYPE or goods produced or service provided by your businessat this location?

Continued on the next page

Additional Locations Page 1

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 25

11. Give detailsoftbe NUMBER or workers who will be or are employed iD each ocxupatioo at Ibis location

Include worldng c!i=tors.

Do not include people listed as the employer (i.e. panners or sole-ttadern)

Full-time (35 Ius or more a week)

Part·tlme (less d1an 35 Ius a week)

Occupation

Includes pennanen~

Includes pennanen~

casual and seasonal

casual and seasonal

Male

Female

Male

Female

Totals

12. Doyou employ any workers who mainly (or

Yes[}+- Please note: Workers who malnly work

will mainly) work ootside of Soutb Auslnllia?

NoD

outside South Austtalia may not be covered

by WorkCover (SA). You should consider

providing workers compensation cover for

them with the relevant organisation where

they work.

13.

When did/will you s1art employing at Ibis location?

Ll_--'1 __

:_1 _

__,

14.

Estimate tbe total gross wages, benefits and other paymeats which will be paid to workers at Ibis

location:

contributions. leave payments, and other

This includes employer"s superannuation

To June this financial year~~$=========~

For a full12 months

LS::_ ________ __,

allowances and benefits.

15.  Declaration

Before signing this declaration, please make sure

I declare that the information I have given on this

that you have answered all the relevant questions.

form and any attached sheets is complete and correct.

Please note that it is an offence to provide

Signature of employer.

false or misleading information.

pub1ic officer or authorised person

Please ~ber

to attach any

Date

'Additional Location Details" fonns.

If

there an: any anached sheets. please

L-----------------~~L--~~--~~--~

make sure they are signed and dated.

Full name of the person who signed this declaration

H you are not sure that you have answen:d any panicular questioo properly. please ring for

Position I title

008188000.

advice (08) 233 =; country employers ring

16. Mail your registration form to:

WORK

COVER

GPOBOX2668

ADELAIDE SA 5001

Employer Number

Date form received

SAWICcode

Office use only

I

I

Additional Locations Page 2

(Reprim No. 1)

SCHEDULES

26 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

PARTll

ADDmONAL INFORMATION THAT MUST ACCOMPANY AN APPLICATION

FOR REGISTRATION AS AN EXEMPT EMPLOYER OR GROUP OF

EXEMPT EMPLOYERS

Financial information

1. The applicant must provide-

(

(a)

a copy of the audited financial statements of the applicant for the last five financial years immediately preceding the application;

(b)

a statement, prepared by an actuary, of the liabilities that an employer would be undertaking over the first 12 months if the applicant were registered as an exempt employer;

(c)

details of the bank guanmtee and the contract of insurance that the applicant would obtain for the

(

purposes of the fourth schedule if the applicant were registered as an exempt employer.

Claims administration

2. The applicant must provide a detailed plan of the arrangements that the applicant would implement to administer claims under the Act, which must include details of-

(a)

the job specifications of the officers who would be responsible for administering the claims;

(b)

the lines of accountability and control that would apply to those officers;

(c)

the policies that would be adopted for the rehabilitation of disabled workers;

and

(d)

the arrangements that would be implemented for the making of claims under the Act,

and a copy of any form that the applicant would require a claimant to complete must accompany the plan.

Claims record

3. The applicant must, in relation to the period of five financial years immediately preceding the application, provide details of-

(a)

the disabilities arising from employment that the applicant's workers have suffered over that

period, identifying those disabilities according to-

(i)

nature and severity;

and

(ii)

cause;

(b)

the rehabilitation programmes that the applicant bas provided over that period for disabled workers;

and

(

(c)

the success that tbe applicant bas achieved over that period in returning workers who have suffered disabilities to work.

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 27

Safety policies

4. The applicant must provide-

(a)

a copy of any safety policy that has been adopted by the applicant;

(b)

details of any progrannnes that tbe applicant has implemented, or proposes to implement, to train workers in safe working procedures;

(c)

details of the facilities and arrangements that the applicant has for providing first aid to workers;

(d)

details of any safety committees that have been established by the applicant, and a copy of any minutes kept from meetings held by those committees over the period of six months immediately preceding the application.

Details of registered associations

5. The applicant must provide the name of any registered association of which any worker employed by the applicant is a member.

(Reprint No. 1)

SCHEDULES

28 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

FOURTH SCHEDULE

EXEMPT EMPWYERS

TERMS AND CONDITIONS OF REGISTRATION

1. The employer must ensure that forms for making a claim under the Act, in a form approved by the Corporation, are reasonably available to the employer's workers.

(

2. The employer must ensure that all claims under the Act are promptly and efficiently investigated and

determined.

3. The employer must ensure that any benefit to which a worker is entitled under the Act is-

(a)

provided. promptly;

and

(

(b)

periodically reviewed in accordance with the Act.

4. (1) The employer must ensure that a prompt assessment is made of whether a rehabilitation progrannne would be of assistance to a worker who bas suffered a compensable disability and, if required, ensure that an appropriate rehabilitation programme is provided for the worker.

(2) If the Corporation considers that an appropriate rehabilitation programme is not being provided to a worker who bas suffered a compensable disability, the employer must-

(a)

allow the Corporation to establish a rehabilitation programme for the worker;

and

(b)

reasonably co-operate with any rehabilitation adviser in the implementation of that programme.

5. The employer must ensure, so far as is reasonably practicable, that up to date programmes that are designed to prevent or reduce the incidence of compensable disabilities are established and maintained at places where the employer's workers work.

6. The employer must, as soon as practicable after the receipt of a claim under the Act-

(a)

estimate the employer's expected liability on the claim;

and

(b)

make an assessment of any possible right of recovery against another person in respect of the

claim.

(

7. Where the employer receives a claim for compensation ansmg from the death of a worker or a compensable disability that bas resulted in an incapacity for work of five or more working days, the employer must, within ten business days after receipt of the claim, furnish the Corporation with a statement in a form approved by the Corporation containing the following information-

(a)

the file number assigned to the claim;

(b)

the name of the worker and, if the worker bas died, the name of the claimant;

(

(c)

the date of birth of the worker;

(d)

the date that the disability was suffered (or is claimed to have been suffered);

(e)

the nature of the disability;

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 29

(f)

the apparent canse of the disability;

(g)

details of any work undertaken by the worker since suffering the disability;

(h)

details of any rehabilitation provided to the worker;

aud

(i) insofar as may be reasonable, the employer's initial estimateof the employer's liability on the claim.

8. The employer must, within seven days after the end of each month, furnish the Corporation with a statement in a form approved by the Corporation containing the following information-

(a)

the number of claims received during the month, aud the number of claims reopened during the month, for compensation arising from any compensable disability that has resulted in an incapacity for work of less than five working days;

(b)

in relation to claims finalized during the month for compensation arising from any compensable disability that resulted in an incapacity for work of less than five working days-

(i)

the total amount of compensation for income maintenance paid on those claims;

(ii)

the total amount of compensation for medical services paid on those claims;

(ill)

the total amount of compensation for property damage paid on those claims;

(iv)

the total amount spent on rehabilitation;

(v)

the total amount of any lump sums for non-economic loss paid on those claims;

(vi)

details of any payment made under a liability at common Jaw;

(vii)

the total of any legal or investigative costs incurred;

aud

(viii)

the total of any amounts recovered from other persons;

(c)

in relation to each claim finalized during the month for compensation arising from the death of a worker or a compensable disability that resulted in an incapacity for work of five or more working days (identil'ying each claim by file number, name, the date of birth of the worker, the date that the

disability was suffered aud the nature of the disability)-

(i)

the total amount of compensation for income maintenance paid by the employer;

(ii)

the total amount of compensation for medical services paid by the employer;

(iii)

the total amount of compensation for property damage paid by tbe employer;

(iv)

the total amount spent on rehabilitation by the employer;

(v)

the amount of any Jump sum for non-economic Joss paid by the employer;

(vi)

details of any amount paid by the employer under Division VI of Part IV of the Act (compensation payable on death);

(vii)

details of any payment made under a liability at common law in respect of the disability;

(viii)

details of any legal or investigative costs;

(Reprint No. 1)

SCHEDULES

30 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

(ix)         details of any other payments (other than wages, salary or prescribed allowances) mede to the worker;

(x) detailsof any amount recovered from another person in respect of the claim;

(xi) the total time lost from work in respectof the disability;

and

(

(xii) detailsof any work being undertaken by the worker;

and

(d)

in relation to each claim reopened during the month for compensation arising from the death of the worker or a compensable disability that has resulted in an incapacity for work of five or more working days (identuy each claim by file number, name, the date of birth of the worker, the date that the disability was suffered and the nature of the disability)-

(

(i) detailsof the circumstances surrounding the reopening of the claim;

and

(ii)

insofar as may be reasonable, the employer's estimate of the employer's additional liability on the claim.

9. (1) The employer must, within one month after the end of each six monthly period, furnish the Corporation with a statement in a form approved by the Corporation containing, in relation to each claim that is current at the end of that period and that arises from the death of a worker or a compensable disability that has resulted in an incapacity for work of five or more working days (identifying each claim by file number, name, the date of birth of the worker, the date that the disability was suffered and the nature of the disability), the following information (as at the end of that period)-

(a)

the total amount of compensation for income maintenance paid by the employer;

(b)

the total amount of compensation for medical services paid by the employer;

(c)

the total amount of compensation for property damage paid by the employer;

(d)

the total amount spent on rehabilitation by the employer;

(e)

the amount of any lump sum for non-economic loss paid by the employer;

(/)

details of any amount paid by the employer under Division VI of Part N of the Act (compensation

payable on death);

(

(g)

details of any payment mede uoder a liability at common law in respect of the disability;

(h)

the amount of any legal or investigative costs incurred on the claim;

(l)

details of any other payments (other than wages, salary or prescribed allowances) mede by the employer to the worker;

(j)

details of any amount recovered from another person in respect of the claim;

(

(k)

details of any work being uodertaken by the worker;

and

(l)

insofar as may be reasonable, the employer's estimate of the employer's remaining liability on the claim (making due allowance for inflation).

(Reprint No. 1)

ScHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 31

(2) A statement furnished to the Corporation under subclause (1) must be accompanied by an estimate of the employer's liability for claims that the employer has not received but are likely to be made in respect of compensable disabilities that have arisen from the employer's employment.

(3) For the purposes of this clause, a six monthly period is-

(a)

a period of six months commencing on the first day of January and ending on the thirtieth day of

June;

and

(b)

a period of six months commencing on the first day of July and ending on the thirty-first day of December.

10. (I) The employer must, within three months after the end of each financial year of the employer, deliver to the Corporation-

(a)

an audited copy of the employer's financial statements for that fmancial year;

and

(b)

an actuarial report on the outstanding liabilities of the employer under the Act, as at the end of that financial year.

(2) For the purposes of this clause, the financial years of an employer are successive periods, not exceeding 12 months, determined by the employer to be the employer's financial years or, in the absence of such a determination, each period of 12 months ending on the thirtieth day of June.

11. (1) The employer must at all reasonable times allow an authorized officer to examine--

(a)

the accounting and other records of the employer;

and

(b)

any system or facility used by the employer in connection with acting as an exempt employer under the Act.

(2) The employer must provide such assistance as may be reasonably required to facilitate an examination referred to in subclause (1).

(3) The employer must, at the request of a person carrying out an examination referred to in

subclause (1), provide any explanations, information or assistance that the person may reasonably require for

the purposes of the examination.

( 4) The employer must comply with any written notice served on the employer by an authorized officer requiring the employer to exercise or perform a puwer or function of the employer under the Act in accordance with the Act.

12. (1) The employer must ensure that there is in force at all times a guarantee given by a financial institotion to or in favour of the Corporation which-

(a)

guarantees the payment of an amount to the Corporation in the event that the employer becomes insolvent or ceases to be an exempt employer;

and

(b)

complies with subclause (3).

(Reprint No. 1)

SCHEDULES

32 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

(2) The amount guaranteed by a guarantee entered into for the purposes of subclause (1)-

(a}

must be an amount, determined by the Corporation on an actuarial basis, that represents up to the

sum of-

(i)

the value of the current and contingent liabilities of the employer under the Act at the time

of the determination (whether or not claims have been made with respect to those

disabilities);

(

and

(ii)           the value of the contingent liabilities of the employer as an exempt employer under the Act in respect of compensable disabilities attributable to traumas that are expected to arise from employment by the employer over the ensuring period of 12 months;

and

(

(b)

must be reviewed annually.

(3) A guarantee complies with this subclause if-

(a)

the guarantee is given by a financial institution which has a credit rating at least equal to a standard set by the Corporation for the purposes of this provision and which is specifically approved by the Corporation as a financial institution which can give guarantees under this clause;

and

(b)

the guarantee is in a form, and for a term, approved by the Corporation.

(4) A financial institution cannot give a guarantee under subclause (1) if the fmancial institution and the employer are related corporations.

(5) In this clause-

"fmancial institution • means-

(a)

a bank within the meaning of the Banking Act 1959 of the Commonwealth or a bank constituted under a law of the State or of the Commonwealth;

or

(b)

a person whose sole or principal business is the provision of fmancial services;

"related corporations" has the same meaning as in section 60(9) of the Act.

13. The employer must ensure that there is in force at all times a contract of insurance, in a form approved by the Corporation, for an unlimited amount, in excess of an amount approved by the Corporation, against any liability of the employer that may arise under the Act as a result of the occurrence of one event or series of events during the period of the contract.

(

14. In relation to an employer that is a company incorporated under the Companies (South Australia)

Code-

(a)

the employer must immediately give the Corporation written notice of the commencement of any

(

procedure to liquidate or wind up the employer;

and

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regnlations, 1987 33

(b)

the employer must, within five business days, give the Corporation written notice of-

(i)

the commencement of steps to merge or take over the employer or the undertaking of the employer;

(ii)

a change in the board of directors of the employer that substantially changes the

management of the employer;

(iii) a relocationof the undertaking of the employer;

(iv)         the purchase or sale of any asset that materially changes the fmancial position of the employer, the composition of its workforce or the nature of the work undertaken by its

workers;

or

(v)

any other action that significantly affects the employer's ability to meet its liabilities under the Act.

15. The employer must ensure that all documentation that relates to a claim against the employer under the Act is retained for at least six years after the claim is fmalized.

!Sa. The employer must seek to ensure that in the provision of rehabilitation and compensation under the Act, racial, ethnic and linguistic diversity in the employer's workforce is taken into account and that those of the employer's workers who may have grounds for seeking rehabilitation or compensation under the Act are not disadvantaged by their racial, ethnic or linguistic origins or backgrounds.

16. This schednle applies to-

(a)

exempt employers who are registered under section 60 of the Act;

and

(b)

exempt employers who are deemed to be registered under the Act by virtue of the first schedule to the Act.

(Reprint No. 1)

SCHEDULES

34 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

FIFTH SCHEDULE

SECTION lOS-INSURANCE OF EMPLOYERS

TERMS AND.CONDITIONS

1. In this schedule-

"a claim" means a claim against an employer in respect of which the employer is insured by virtue of

(

section 105 of the Act.

2. If the employer becomes aware of the occurrence of a compensable disability that is likely to give rise

to a claim against the employer, the employer must, within five business days, forward to the Corporation

written notice of the disability.

3. If a claim i~ made against the employer, the employer must inunediately forward the claim to the

Corporation.

4. The employer must provide any assistance that the Corporation reasonably requires to assist the

(

Corporation-

(a)

in investigating, determining, defending or settling a claim;

(b)

in preparing, conducting, defending or settling any proceedings in respect of a claim.

5. The employer must sign any authority or other document required by the Corporation for the purpose

of-

(a)

investigating, determining, defending or settling a claim;

(b)

preparing, conducting, defending or settling any proceedings in respect of a claim, (and if the employer fails to sign the authority or other document, the Corporation may do so on the employer's behalf).

6. The employer must not incur any expense, enter into any litigation, make any settlement or admit any

liability in respect of a claim without the written authority of the Corporation.

7. The Corporation may, for any purpose related to any liability or potential liability pursuant to section 105 of the Act-

(a)

take over and control any proceedings in respect of a claim on behalf of the employer;

(b)

conduct and defend any proceedings, and, if appropriate, admit liability, in the name of, and on

I

(c)

settle any claim or proceedings against the employer;

(d)

issue and conduct proceedings in the name of the employer against any other person who may also be liable in respect of the compensable disability.

behalf of, the employer;

8. To the extent that the Corporation acts on behalf of the employer in any proceedings, the employer is indemnified by the Corporation against all costs and expenses of or incidental to the proceedings.

9. If at the time of the occurrence of the compensable disability other insurance also covers the liability in respect of which the Corporation provides insurance porsuant to section 105 of the Act, the Corporation is only liable to pay a pro rata share of any amount recoverable from the employer in respect of the disability (and may, if it is appropriate, exercise a right of contribution against any other insurer).

(

(Reprint No. 1)

ScHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 35

SIXTH SCHEDULE

SECTION 61-AGENCIES AND INSTRUMENTALITIES OF THE CROWN

Aboriginal Health Council of S.A.

Adelaide Convention Centre.

Adelaide Medical Centre for Women and Children.

Adelaide Rape Crisis Centre.

Adelaide Women's Community Health Centre.

Alfreda Rehabilitation.

Andamooka Outpost Hospital.

Angaston District Hospital Inc.

Barmera District Hospital Inc.

Bishop Kirkby Memorial Hospital.

Blyth District Hospital Inc.

Bookmakers Licensing Board.

Booleroo Centre District Hospital Inc.

Bordertown Memorial Hospital Inc.

Burra Burra Hospital Inc.

Ceduna-Koombba Aboriginal Health Service.

Central Eyre Peninsula Hospital.

Child & Adolescent Mental Health Services (Northern and Southern Regions).

Child, Adolescent & Family Health Service.

Clare District Hospital Inc.

Cleve District Hospital Inc.

Clovelly Park Community Health Centre.

Coober Pedy Hospital Inc.

Cowell District Hospital Inc.

Crystal Brook District Hospital Inc.

Cummins and District Memorial Hospital Inc.

Dale Street Women's Community Health Centre.

Drug & Alcohol Services Council.

Eastern Community Health Centre.

Elizabeth Women's Community Health Centre.

Elliston Hospital Inc.

Eudunda Hospital Inc.

Flinders Medical Centre.

Forensic Psychiatry.

Gladstone and District Community Health and Welfare Centre.

Great Northern War Memorial Hospital Inc.

Gumeracha District Soldiers' Memorial Hospital Inc.

Health Development Foundation.

Hutchinson Hospital.

Independent Living Centre.

Intellectual Disability Services Council.

Julia Farr Centre.

Kangaroo Island General Hospital Inc.

Kapunda Hospital Inc.

Karoonda & District Soldiers' Memorial Hospital Inc.

Keith Community Health and Welfare Centre.

Kirnba District Hospital Inc.

Kingston Soldiers' Memorial Hospital Inc.

Lameroo District Hospital Inc.

Laura & District Hospital Inc.

Leigh Creek Hospital Inc.

Lock Community Health & Welfare Centre.

Lower Murray District Hospital Inc.

Loxton Hospital Complex Inc.

Lyell McEwin Health Service.

Maitland Hospital Inc.

(Reprint No. 1)

SCHEDULES

36 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

Management Assessment Panel.

Mannum District Hospital.

Manufacturing Advisory Council.

Marree Hospital.

Meningie & Districts Memorial Hospital Inc.

Mental Health Review Tribunal.

Millicent & District Hospital Inc.

Minda Inc.

Minlaton District Hospital.

(

Madbury Hospital.

Mount Gambier Hospital Inc.

Mount Pleasant District Hospital Inc.

Mt Barker District Soldiers' Memorial Hospital Inc.

Mt Gambier Community Health Service.

Murat Bay District Hospital Inc.

Naracoorte Hospital & Health Service Inc.

Noarlnoga Health Services Incorporated.

Northcote Centre.

(

Northern Yorke Peninsula Regional Health Service Inc.

Orroroo and District Hospital Inc.

Parks Community Health Service.

Penola War Memorial Hospital Inc.

Peterborough Soldiers' Memorial Hospital Inc.

Pika Wiya Health Service.

Pinnaroo Soldiers' Memorial Hospital Inc.

Police Complaints Authority.

Port Lincoln Health and Hospital Services Incorporated.

Port Augusta Hospital.

Port Pirie Regional Health Service Inc.

Port Adelaide Community Health Service.

Port Broughton District Hospital.

Preguancy Advisory Centre.

Public Health Service Division.

Quorn & District Memorial Hospital Inc. Renmark & Paringa District Hospital Inc. Riverland Regional Health Service.

Riverton District Soldiers' Memorial Hospital Inc.

Royal Society for the Blind.

Royal District Nursing Society of SA Inc.

Royal Adelaide Hospital.

S.A. Mental Health Service.

S.A. Dental Service.

Salisbury Community Health Service.

Sexual Offenders Treatment & Assessment Program.

Snowtown Memorial Hospital Inc.

South Australian Community Health Research Unit.

(

South Coast District Hospital Inc.

Southern Yorke Peninsula Hospital Inc.

Southern Women's Health & Community Centre

Southern Domiciliary Care & Rehabilitation Service.

Southern Districts War Memorial Hospital Inc.

St Joho Council of S.A.

St Margaret's Hospital Inc.

Streaky Bay Hospital Inc.

Strathalbyn & District Soldiers' Memorial Hospital and Health Services.

(

Tanunda War Memorial Hospital.

Tarcoola District Hospital.

Tea Tree Gully Community Health Service.

The Balaklava Soldiers' Memorial District Hospital Inc.

The Guardianship Board.

The Jamestown Hospital Inc.

(Reprint No. 1)

SCHEDULES

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 37

The Murray Bridge Soldiers' Memorial Hospital me.

The North West Nurse Educatiou Centre.

The Queen Elizabeth Hospital.

The Second Story.

The Whyalla Hospital & Health Service fuc.

Tumby Bay Hospital fuc.

Waikerie Hospital and Health Services fuc.

Western Domiciliary Care & Rehabilitation Service.

(Reprint No. 1)

APPENDIX

38 Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987

APPENDIX

LEGISLATIVE IDSTORY

Transitional Provisions

(Transitional provision from the Workers Rehabilitation and Compensation

(Claims and Registration) Regulations 1987, reg. 5

(

5. Notwithstanding regulation 4, a certificate in the form prescribed by the first schedule to the

principal regulations before the commencement of regulation 4 may continue to be used for the purposes of

the Workers Rehabilitation and Compensation Act, 1986, after the commencement of regulation 4.

Transitional provision from the Workers Rehabilitation and Compensation

(Claims and Registration) Regulations 1992, reg. 4

4. Notwithstanding regulation 3, a certificate in the form prescribed by the first schedule to the

principal regulations before the commencement of these regulations may continue to be used for the purposes

of the Workers Rehabilitation and Compensation Act 1986 after the commencement of these regulations.

(

Legislative History

Regulation 3:

definition of "award" inserted by 68, 1990, reg. 3(a)

definition of "building work" substituted by 2, 1991, reg. 2

definition of "cleaning work" inserted by 216, 1988, reg. 3

definition of "commercial motor vehicle" inserted by 32, 1992, reg. 3

definition of "industrial agreement" inserted by 68, 1990, reg. 3(b)

definition of "outworker" inserted by 68, 1990, reg. 3(b)

definition of "prime bank rate" inserted by 216, 1988, reg. 3

definition of "wall or floor tiling" inserted by 126, 1992, reg. 3

Regulation 4(1):

varied by 271, 1987, reg. 3(a); 216, 1988, reg. 4(a)-(c); 2, 1991, reg. 3(a); 46, 1991, reg. 2(a); 32, 1992, reg. 4(a)-(c); 126, 1992, reg. 4

Regulation 4(1aa):

inserted by 2, 1991, reg. 3(b); varied by 46, 1991, reg. 2(b)

Regulation 4(1a):

inserted by 271, 1987, reg. 3(b)

Regulation 4(1b):

inserted by 216, 1988, reg. 4(d); varied by 263, 1990, reg. 2(a)

Regulation 4(1ba):

inserted by 263, 1990, reg. 2(b); substituted by 125, 1992, reg. 3

Regulation 4(1c):

inserted by 68, 1990, reg. 4

Regulation 4(1d):

inserted by 146, 1993, reg. 3

Regulation 4(2a):

inserted by 230, 1990, reg. 2

Regulation 4(4) and (5):

inserted by 158, 1991, reg. 2

Regulation 4(6) and (7):

inserted by 32, 1992, reg. 4(d)

Regulation 4(8):

inserted by 31, 1994, reg. 3

Regulation 4a:

inserted by 232, 1991, reg. 2

(

Regulation 6(1):

varied by 2, 1991, reg. 4

\

Regulation 6(2):

inserted by 216, 1988, reg. 5

Regulation 7a:

inserted by 162, 1992, reg. 2; redesignated as reg. 7a(1) by

177, 1993, reg. 3

Regulation 7a(2):

inserted by 177, 1993, reg. 3

Regulation 7a(3):

inserted by 177, 1993, reg. 3; varied by 112, 1994, reg. 3

Regulation 7a(4) and (5):

inserted by 106, 1994, reg. 3

Regulation 8:

substituted by 85, 1991, reg. 2

Regulation 10(1)(c) and (d):

revoked by 116, 1994, reg. 3

(

Regulation 13:

inserted by 216, 1988, reg. 6

\

Regulation 14:

inserted by 168, 1989, reg. 3

Regulation 15 and 16:

inserted by 159, 1991, reg. 2

First schedule:

substituted by 271, 1987, reg. 4; 193, 1992, reg. 3

Third schedule

Part I:

substituted by 85, 1991, reg. 3

(Reprint No. 1)

APPENDIX

Workers Rehabilitation and Compensation (Claims and Registration) Regulations, 1987 39

Fourth schedule

Clause 12(1):

substituted by 253, 1993, reg. 3(a)

Clause 12(3) - (5):

inserted by 253, 1993, reg. 3(b)

Clause !Sa:

inserted by 68, 1990, reg. 5

Sixth schedule:

inserted by 162, 1992, reg. 3

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