De Alwis v Simon Blackwood (Workers' Compensation Regulator) [2015] QIRC 158
QUEENSLAND INDUSTRIAL RELATIONS COMMISSION
CITATION: DeAlwis v Simon Blackwood (Workers'
Compensation Regulator) and Harvey [2015]
QIRC 158
PARTIES: DeAlwis, Duwadisawage Sricassimal
(Appellant)
v
Simon Blackwood (Workers' Compensation
Regulator)
(Respondent)
CASE NO: WC/2014/345
PROCEEDING: Appeal against a decision of Simon Blackwood
(Workers' Compensation Regulator)
DELIVERED ON: 26 August 2015
HEARING DATES: 1 and 2 June 2015
HEARD AT: Brisbane
MEMBER: Industrial Commissioner Thompson
ORDERS: 1. Application for compensation not valid or
enforceable.
2. Appellant to pay the Regulator's costs
incidental to and associated with the
hearing of the jurisdictional matter.
CATCHWORDS: WORKERS' COMPENSATION - APPEAL
AGAINST DECISION - Validity and
enforceability of the application for compensation
in accordance with s 131 of the Act - Time for
applying - Standard of proof - Witness evidence -
Application for compensation not valid or
enforceable - Appellant to pay the Regulator's
costs incidental to and associated with the hearing
of the jurisdictional matter.
CASES: Workers' Compensation and Rehabilitation Act
2003, s 32, s 131, s 141, s 550
Simon Blackwood (Workers' Compensation
Regulator) v Toward [2015] ICQ 8
Groos v WorkCover Queensland (2000) 165
QGIG 106
Melbourne and Metropolitan Tramways Board v
Witton (1963) VR 417
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APPEARANCES: Mr D. DeAlwis, Appellant.
Mr P. Major, Counsel directly instructed by
Simon Blackwood (Workers' Compensation
Regulator), the Respondent.
Decision
[1] On 30 April 2015 Duwadisawage Sricassimal (Siri) DeAlwis (DeAlwis) lodged a
Notice of Appeal with the Industrial Registrar pursuant to s 550 of the Workers'
Compensation and Rehabilitation Act 2003 (the Act) against a decision of Simon
Blackwood (Workers' Compensation Regulator) (the Regulator) released on
27 October 2014.
[2] The decision of the Regulator confirmed the decision of WorkCover Queensland
(WorkCover) to reject an application by DeAlwis for compensation in accordance
with s 32 of the Act.
[3] The Regulator raised a preliminary issue of whether the claim for compensation
lodged by DeAlwis had been lodged within the allowed time and therefore valid and
enforceable.
[4] The purpose of this hearing was to make a determination in respect of the preliminary
point.
Appellant
[5] On 10 March 2015 DeAlwis filed with the Industrial Registrar a Statement of Stressors
[Exhibit 2] listing stressors said to be causative of his psychiatric/psychological injury.
The list identified that in the period from December 2008 until January 2009 the action
of management had the effect of "punishing me [DeAlwis] for my criticism finally
abandoned the system after five years as explained at item 15 below". The list
identified other management actions that were alleged to be unreasonable as occurring
in:
February 2009;
September 2009;
September 2010;
3 November 2011;
8 December 2008 to 20 September 2009/13;
17 February 2012;
2010 to 2013;
15 March 2013;
2013;
21 September 2013 to 19 February 2014;
20 February 2014;
20 March 2014; and
20 April 2014.
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[6] A workers' compensation medical certificate was tendered in proceedings [Exhibit 1]
having been issued by Dr Craig Morris on 16 April 2014 which stated the following:
"Worker's stated date of injury: 16 April 2009; and
Worker's stated cause of injury: States that management had taken away
high end work and in place replaced this with work that is below his grade.
He feels that some has a basis of race. He feels that performance checks
have been targeted at him unfairly. They have most recently threatened
to remove his flexi leave without good reason."
[7] The application for compensation was lodged on 17 April 2014.
[8] The Appellant called the following witnesses:
DeAlwis; and
Dr Rodney Morris.
DeAlwis
[9] DeAlwis is currently unemployed after his services were discontinued on medical
grounds relating to this issue. The present injury was said to have occurred on
20 February 2014 at a meeting with a Mr Ballard whilst he was employed with the
Department of Housing and Public Works. The meeting had lasted about one hour
during which he had been "crying and shouting and doing various things". DeAlwis
sought medical treatment from Dr Craig Morris on 27 February 2014 but remained at
work despite being diagnosed as "seriously ill". He had received counselling through
an Employment Assistance Program (EAP) prior to the attendance with the doctor on
27 February 2014. He had also been prescribed medication for depression. There
were further meetings involving DeAlwis with regards to his Achievement and
Development Plan (ADP) some months later where he again broke down but could
not recall if he went back to his doctor at that time.
[10] DeAlwis attended a medical appointment with Dr Rodney Morris on 18 March 2013
where he was diagnosed with stress for domestic reasons not relevant to the current
claim. On 16 April 2014 Dr Craig Morris identified (in DeAlwis' medical records)
him as suffering anxiety and depression and issued a workers' compensation medical
certificate with a claim being made for workers' compensation the following day over
the phone.
[11] DeAlwis had previous issues with his employer including an event on
20 September 2013 where he was becoming "a bit frustrated working in the public
service" but Dr Craig Morris had "never assessed me as being, you know, good for
workers' compensation". Previously Dr Craig Morris had specifically told him:
"…you won't have a case in Workers' Compensation. Even - even after the 20th
incident he still said it's very difficult, Siri, because there's a clause called
reasonable management action. And he had recorded elsewhere in - in - on my
previous meetings he can't see any unreasonable management action. So he
never assessed me as eligible for compensation." [Transcript p. 1-20].
[12] DeAlwis did believe there was a connection between issues in 2010 and the event of
27 February 2014 and his psychiatric/psychological condition prior was not based on
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work issues but were "actually a domestic issue". What happened on
20 February 2014 was "very different" in relation to his condition.
[13] Under cross-examination DeAlwis confirmed he had:
commenced employment with the Department of Housing and Public
Works in 2008;
lodged a workers' compensation medical certificate on 16 April 2014; and
made an application for workers' compensation on 17 April 2014.
[Transcript p. 1-21].
[14] DeAlwis confirmed at the consultation with Dr Craig Morris on 16 April 2014 he had
"maybe" told the doctor that his stressors has been going on for five years [Transcript
p. 1-23]. DeAlwis was questioned regarding his Statement of Stressors and conceded
all the stressors contained within that document were work-related stressors but his
real injury only took place after he was being insulted [Transcript p. 1-25]. All the
stressors contributed to his psychiatric/psychological injury [Transcript p. 1-26].
DeAlwis' further evidence was to confirm the 13 stressors contained in his Statement
of Stressors contributed to his psychiatric/psychological injury [Transcript p. 1-32].
[15] DeAlwis confirmed his WorkCover claim for psychological and psychiatric injury
identified the date of injury as "16/04/2014 - but the cause for it has been going on for
five years". DeAlwis confirmed also that in the WorkCover claim form with regards
to treatment details he stated he first sought treatment on "16/04/2014 though there
had been previous consultations" [Transcript p. 1-33].
[16] DeAlwis confirmed his first consultation was 28 January 2010 [Transcript p. 1-33].
Under the heading "Further Information" he confirmed he had recorded the following
in terms of symptoms he was experiencing:
"Feeling of self-pity. I had a lucrative career in the private sector and was a
workaholic in Perth. I moved to Queensland and accepted this lower level
public sector job in order to give more of my time to my wife who looked after
me for 48 years. She had never gone out of home for a job. I feel sorry for my
wife who saw me as a great achiever until I joined the HPW five and a half years
ago. Ever since then she has seen me a broken man and find it hard to hide the
fact that I am on stress leave. So, I am damned if I go to work and damned if I
stay at home." [Transcript p. 1-33]
[17] DeAlwis acknowledged that his stress levels and his depression would go up and down
from when he was first diagnosed on 28 January 2010 [Transcript p. 1-35]. DeAlwis
had the opportunity to compare a Summary of Medical Records from the Banyo Clinic
and his own records which he agreed except for an entry on 6 March 2014 they were
accurate which included the entry for 28 January 2010 with respect to a psychological
injury [Transcript p. 1-39].
[18] At the consultation on 28 January 2010 DeAlwis accepted that:
Dr Craig Morris had diagnosed an adjustment disorder with depressed
mood;
he had mentioned his first stressor in 2008; and
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a mental health plan was formulated but not taken up by him [Transcript
p. 1-40].
[19] On 5 March 2010 his attendance with Dr Craig Morris was related to work problems
which had led to arguments at home [Transcript p. 1-41]. On 20 November 2010 he
consulted with Dr Rodney Morris due to work-related stress [Transcript p. 1-42]. A
consultation with Dr Craig Morris on 21 December 2010 recorded a diagnosis of an
adjustment disorder relating to work stressors [Transcript p. 1-43]. DeAlwis was
questioned regarding a number of other occasions up to 2014 where he had sought
medical treatment for stress-related conditions that were work-related [Transcript p.
1-44]. DeAlwis had also acknowledged a number of domestic situations raised with
medical practitioners at the same time of work-related stressors [Transcript p. 1-47].
[20] DeAlwis acknowledged agreeing that all the instances prior to September 2013
occurred but after 20 September 2013 he went home cured only to be shattered on
20 February 2014 at the meeting [Transcript p. 1-52]. The issues prior to
20 September 2013 were described as "very minor issues" [Transcript p. 1-53].
[21] By way of re-examination (as the Appellant was self-represented) DeAlwis gave
evidence that the 20 February 2014 incident was a "very different issue" as he was
humiliated, insulted and degraded. While symptoms did exist prior to September 2013
he managed them because he was "really tough".
Dr Rodney Morris
[22] Dr Rodney Morris, a qualified General Practitioner, gave evidence that dating back to
January 2010 he had occasionally treated DeAlwis for work-related stress matters
acknowledging there was a treatment on 18 March 2013. Dr Rodney Morris gave
evidence that whilst most of the treatments for DeAlwis were undertaken by
Dr Craig Morris he offered an opinion that DeAlwis had a "sickness that comes and
goes and stressors at work are a significant part". Dr Rodney Morris described a
psychological injury as being "less clear and they happen over a period of time". He
went on to state that "a lot of people get stressed at work and manage to cope. It all
depends on the level of stress that is involved".
[23] Under cross-examination Dr Rodney Morris acknowledged that DeAlwis' medical
records show most of the stressors relied upon for a diagnosis of an adjustment
disorder were work-related stressors [Transcript p. 2-13]. On 23 October 2010
DeAlwis was treated for endogenous depression which was described as ongoing
depression. On 20 November 2010 DeAlwis exacerbated his depression with
work-related stressors as the cause [Transcript p. 2-14]. It was Dr Rodney Morris'
opinion that from 2010 onwards there had been continuing work-related stressors
recorded on DeAlwis' medical record summary [Transcript p. 2-16]. DeAlwis
according to the evidence had managed to cope with his condition from 2010 onwards
and if he had been diagnosed earlier he would have had a workers' compensation
medical certificate sooner [Transcript p. 2-18]. Dr Rodney Morris was unsure what
had caused DeAlwis' progressive illness but it was certainly work at the end that broke
him down [Transcript p. 2-19].
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Regulator
[24] The witness for the Regulator was Dr Craig Morris.
Dr Craig Morris
[25] Dr Craig Morris, a General Practitioner, issued DeAlwis with a workers' compensation
medical certificate on 16 April 2014 diagnosing a psychological injury which showed
the injury starting on 16 April 2009. Dr Craig Morris believed that it was difficult to
give a definite date when the injury started but it was sometime around 2009/2010.
The stressors relied upon from 2009 were continuing including the present, were
work-related stressors.
[26] Dr Craig Morris confirmed he diagnosed DeAlwis with a psychological type injury on
28 January 2010 in the form of an adjustment disorder with depressed mood. At the
time he suggested a mental health plan and the stressors recorded were the stressors
given at the time. The major contributor was said to be work. On 5 March 2010 he
acknowledged there was probably some evidence of ongoing work stress. The
condition of endogenous depression could according to Dr Craig Morris be diagnosed
as an adjustment disorder. At a consultation with DeAlwis on 21 December 2010 he
agreed he had recorded work-related issues as being the reason for his diagnosis of an
adjustment disorder.
[27] Dr Craig Morris recalled he had an interaction with DeAlwis' workplace regarding his
stress and he had been asked by DeAlwis to correspond with the employer. The
predominant factor to DeAlwis' depression had been work-related conditions ongoing.
[28] On 27 February 2014 Dr Craig Morris recorded the history provided by DeAlwis on
that day but could not recall mention of a meeting on 20 February 2014 and had not
entered it in his notes. The history recorded was:
"most qualified accountant
is now in low level job
Downgraded so not to be a workaholic
Feels he can't live 'without the job' - Fears retirement
visited Malaysia to see a dying friend
Makes suggestions that are ignored
Feels he is given difficult work and removed from the current 'cream' work
Angry and can't sleep - cries heavily
Feels confident about work
poor sleep".
[29] On 4 March 2014 DeAlwis again consulted with him and he continued to diagnose an
adjustment disorder recording in the medical notes:
"Still issues with work
They seem upset with performance
He seems obsessed about
He feels harassed".
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Again there was no mention of the meeting on 20 February 2014 in the notes.
Dr Craig Morris would have thought with it being work-related he would have
mentioned it. On or around 4 March 2014 Dr Craig Morris was asked to comment
whether DeAlwis could work effectively within a team or whether he was impaired
by his condition.
[30] According to Dr Craig Morris there had obviously been bad interaction between
management and DeAlwis causing depression and had continued persistently for
years. DeAlwis' condition first assessed on 28 January 2010 continued due to the
interactions. The work stressors were said to be the major significant contributor to
his injury.
[31] Under cross-examining Dr Craig Morris gave evidence that most of his consultations
with DeAlwis had actually dealt with work-related issues and on occasion his home
life [Transcript p. 2-37]. Medication was prescribed for DeAlwis to deal with his
condition and it was hard for him to say what percentage was work or home
[Transcript p. 2-38]. Up until 16 April 2014 Dr Craig Morris had not considered
DeAlwis would be able to claim compensation [Transcript p. 2-38]. Dr Craig Morris
reaffirmed that he had no recall of the meeting of 20 February 2014 being mentioned
at the 27 February 2014 consultation [Transcript p. 2-40]. Dr Craig Morris offered
evidence that the current injury could be a fresh injury or an aggravation of an existing
injury [Transcript p. 2-42].
Submissions
Regulator
[32] The issue to be determined by the Commission was whether the Appellant had lodged
his claim for compensation within the allowed time and therefore whether his claim
for compensation was valid and enforceable.
[33] The relevant sections of the Act were identified as follows:
"131 Time for applying
(1) An application for compensation is valid and enforceable only if the
application is lodged by the claimant within 6 months after the entitlement
to compensation arises.
(2) If an application is lodged more than 20 business days after the entitlement
to compensation arises, the extent of the insurer’s liability to pay
compensation is limited to a period starting no earlier than 20 business
days before the day on which the valid application is lodged.
(3) Subsection (2) does not apply if death is, or results from, the injury.
(4) An insurer must waive subsection (1) for a particular application if it is
satisfied that special circumstances of a medical nature, decided by a
medical assessment tribunal, exist.
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(5) An insurer may waive subsection (1) or (2) for a particular application if
the insurer is satisfied that a claimant’s failure to lodge the application
was due to -
(a) mistake; or
(b) the claimant’s absence from the State; or
(c) a reasonable cause."
"141 Time from which compensation payable
(1) The entitlement to compensation for an injury arises on the day the worker
is assessed by -
(a) a doctor; or
(b) if the injury is a minor injury - a nurse practitioner acting in
accordance with the workers’ compensation certificate protocol; or
(c) if the injury is an oral injury and the worker attends a dentist - the
dentist.
(2) However, any entitlement to weekly payment of compensation starts on -
(a) if a doctor, nurse practitioner or dentist assesses the injury as
resulting in total or partial incapacity for work on the day the worker
stops work because of the injury - the day after the worker stops
work because of the injury; or
(b) if a doctor, nurse practitioner or dentist assesses the injury as
resulting in total or partial incapacity for work on a day later than
the day the worker stops work because of the injury - the day the
doctor, nurse practitioner or dentist assesses the injury.
(3) Subsections (1) and (2) are not intended to limit any availability for
compensation for the day of injury provided for under part 8.
(4) Subsection (2) is subject to section 131(2)."
[34] In the matter of Simon Blackwood (Workers' Compensation Regulator) v Toward1
President Martin determined the meaning of "assess an injury by a doctor" the term
used in the Act to trigger the period allowed in which to commence a claim under the
Act:
"[43] I now turn to the meaning of the word 'assess' in s 141(1). The word is
more commonly associated with matters concerning, among other things,
the determination of the value of property or the fixing of an amount of
taxation which is owed. The Macquarie Dictionary (5th Edition) gives
another meaning: "to measure or evaluate" and that is the meaning which
should be given to "assess" in the context of the Act.
[44] In order for a doctor to 'assess' an injury as an 'injury' within the meaning
of the Act there must be evidence of some evaluation, that is to say, some
conclusion or expression of opinion that the injury arose out of the
employment. It has not been established that the doctors directed
themselves to that issue until the time of the making of the claim. Each
of them was concerned with the treatment of Mr Toward. They knew that
1 Simon Blackwood (Workers' Compensation Regulator) v Toward [2015] ICQ 8
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he had suffered injuries at various times but they did not direct their minds
to the question of which physical injury, if any, arose out of employment."
[35] DeAlwis had lodged a claim on 17 April 2014 for workers' compensation with the first
workers' compensation medical certificate (dated 16 April 2009) issued by
Dr Craig Morris which stated he had a psychological injury suffered on 16 April 2009
some five years previous.
[36] A Statement of Stressors produced by DeAlwis and lodged with the Commission on
10 March 2015 identified 13 stressors and it was conceded by DeAlwis that his
psychological injury was due to work-related stressors that "waxed and waned" or
"went up and down" from even before 28 January 2010. The "Psychological and
psychiatric injury" claim form signed on 30 April 2014 by DeAlwis showed that the
symptoms started "Roughly five years ago" and that the "Symptoms were
aggravating" when he broke down and cried on 15 April 2014.
[37] The medical records of DeAlwis recorded the following:
28 January 2010 - first reference to work issues - diagnosed Adjustment
Disorder with Depressed Mood - GP suggested Mental Health Plan;
5 March 2010 - reports poor sleep as he has many worries - likely DeAlwis
will change job;
4 September 2010 - diagnosed Endogenous Depression - not clear whether
related to work or relationship with wife;
2 October 2010 - angry with frustration;
20 November 2010 - stressed by under-work - job not interesting - feels
victimised by his bosses;
21 December 2010 - bored with the public sector - somewhat stressed -
diagnosed Adjustment Disorder - prescription of Axit 15 ceased;
25 January 2011 - Department of Housing and Public Works request a
report on his ability to work;
3 February 2011 - reports victimised at work - diagnosis Adjustment
Disorder with Depressed Mood - prescribed Lexam;
17 March 2012 - feeling harassed at work - dispute with management;
18 March 2013 - stressed at work - diagnosed stress but not prescribed
anti-depressants;
27 February 2014 - in low level job - downgraded - removed from
"cream" work - diagnosed Adjustment, Depression - prescribed Axit 30;
4 March 2014 - feeling harassed at work - diagnosed Adjustment -
depressed and obsessive traits - referred to a Psychologist on a GP Mental
Health Care Plan;
31 March 2014 - issue with being short with a person at work - work taken
away - fears aimed at having him removed from work; and
16 April 2014 - excluded from flexi-time at work - cries at work - not
given work - told underperforming - diagnosed Anxiety/Depression -
issued a workers' compensation medical certificate.
[38] It was submitted that the medical history, Statement of Stressors and the Psychological
and psychiatric injury claim form clearly show DeAlwis first suffered a psychological
injury at least five years prior to 16 April 2014 before being diagnosed as an
"adjustment disorder with depressed mood" due to work-related stressors on
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28 January 2010. DeAlwis had reluctantly agreed in his evidence that his ongoing
depression would go up and down even prior to 28 January 2010.
[39] On the evidence of the medical practitioners it was submitted:
Dr Rodney Morris - When taken to DeAlwis' medical history gave
evidence that his underlying mental illness had waxed and waned. He
agreed that work-related stressors were a major significant contributing
factor to the injury. He agreed that DeAlwis' sickness was a continuation
from the first entry on 28 January 2010 although different injuries, in other
words, different stressors causing the injury.
Dr Craig Morris - Diagnosed DeAlwis with a psychological injury on
28 January 2010 with all stressors work-related. The doctor agreed
DeAlwis continued to be injured with his depression waxing and waning
from 28 January 2010 until 16 April 2014.
[40] In the matter of Groos v WorkCover Queensland2 President Hall made the following
comment on whether an applicant for compensation had suffered an injury within the
meaning of the Act:
"The question whether an applicant for compensation has suffered an 'injury'
within the meaning of the Workers' Compensation Act 1990 is a question of
mixed fact and law on which medical evidence is often helpful, but necessarily
not decisive."
[41] In conclusion it was submitted DeAlwis was first assessed by a doctor to have a
psychological injury on 28 January 2010. DeAlwis in his Psychological and
psychiatric injury claim form considered the symptoms "Roughly five years ago" and
the symptoms aggravated on 15 April 2014.
[42] In response to an explanation given by Vice President Linnane on 20 May 2015 about
the preliminary point to be argued DeAlwis had revised his evidence and placed
Stressor 10 as a stand-alone stressor yet there is no record of him having informed
Dr Craig Morris of the meeting on 20 February 2014 to which Stressor 10 relates.
[43] On the medical history, evidence of both medical practitioners and the evidence of
DeAlwis, the Commission could not be satisfied the claim for compensation had been
lodged within the six months after the entitlement arose.
[44] DeAlwis had failed to satisfy the Commission that he complied with s 131(1) of the
Act and therefore his application was out of time, invalid and unenforceable. To wave
compliance with s 131(1) of the Act DeAlwis needed to satisfy the Commission that
in respect of s 131(5) of the Act that his failure to lodge an application within time
was due to a mistake, or that he was outside the State or reasonable cause. There is
no evidence to support he was outside the State.
[45] The submission cited the matter of Melbourne and Metropolitan Tramways Board v
Witton3 of Herring C in relation to the phrase "mistake or reasonable cause".
2 Groos v WorkCover Queensland (2000) 165 QGIG 106
3 Melbourne and Metropolitan Tramways Board v Witton (1963) VR 417
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[46] DeAlwis had failed to satisfy that the provisions of s 131(5) of the Act applied and
therefore it should be found that his application for compensation was out of time and
it is invalid and unenforceable.
Appellant
[47] DeAlwis identified a lack of knowledge with regards to case law and the meaning of
such law however his case was that the two doctors had finally seen there were
different episodes regarding his stress-related conditions when he was cured and a
month later a different stressor causes an injury.
[48] The Statement of Stressors prepared by DeAlwis to justify his case for a psychological
injury had the purpose of giving a long history on unreasonable management action
but that did not mean that every episode of unreasonable management action related
to the same injury. The injury subject of the application was said to have occurred on
16 April 2014 because on 20 September 2013 all his issues were resolved and his
worries were over.
[49] On 20 February 2014 the meeting that was held led to him breaking down, crying and
shouting and was a manifestation of his sickness. What occurred that day was
recorded at the medical consultation on 16 April 2014 and was a different episode.
The previous episodes identified were relevant only to highlight the environment of
reasonable management action. He had been cured of all other injuries and this was a
new injury.
[50] DeAlwis argued he was entitled to workers' compensation relating to a psychological
injury but was unsure when the entitlement commenced because to date no one had
accepted any liability. On 28 September 2013 in terms of his psychological problems
all was behind him and none of the past had any relevance in the current case.
Conclusion
[51] The matter to be determined in this case was a discrete point being whether or not
DeAlwis in lodging an application for workers' compensation on 17 April 2014 did so
pursuant to s 131(1) of the Act:
"An application for compensation is valid and enforceable only if the
application is lodged by the claimant within 6 months after the entitlement to
compensation arises."
[52] If an application has been lodged outside the six month period identified in s 131(1)
of the Act it is possible to waive s 131(1) or (2) pursuant to the circumstances
identified in s 131(5) of the Act:
"An insurer may waive subsection (1) or (2) for a particular application if the
insurer is satisfied that a claimant’s failure to lodge the application was due to -
(a) mistake; or
(b) the claimant’s absence from the State; or
(c) a reasonable cause."
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[53] The time from which an entitlement to compensation arises for an injury is identified
at s 141(1):
"The entitlement to compensation for an injury arises on the day the worker is
assessed by -
(a) a doctor; or
(b) if the injury is a minor injury - a nurse practitioner acting in accordance
with the workers’ compensation certificate protocol; or
(c) if the injury is an oral injury and the worker attends a dentist - the dentist."
Factual Material before the Proceedings
[54] The factual material before the proceedings is as follows:
On 16 April 2014 a workers' compensation medical certificate was issued
by Dr Craig Morris which stated:
date of injury - 16 April 2009; and
stated cause of injury being work-related.
An application for workers' compensation was lodged by DeAlwis on
17 April 2014.
On 30 April 2014 DeAlwis lodged a "Psychological and psychiatric
injury" claim form in which he:
identified symptoms starting "Roughly five years ago"; and
an "attack" at a "staff meeting" on 20 February 2014 as being one
of the most significant contributing factors to his injury.
A Statement of Stressors was lodged with the Commission on
10 March 2015 that identified work-related stressors said to be causative
of his psychological/psychiatric condition. The stressors covered a period
of time from December 2008 until 20 April 2014.
A Patient Summary relating to DeAlwis' attendance at the Banyo Clinic
from January 2008 until 16 April 2014.
[55] For the application for compensation to be legitimate it must have been lodged within
six months of the entitlement arising, dating from the day the claimant is assessed by
a person prescribed at s 141(1)(a), (b) or (c) of the Act.
[56] The starting point for a claim of this nature is the issuing of a workers' compensation
medical certificate which in this case was issued on 16 April 2014 by Dr Craig Morris.
Importantly it identified the stated date of injury as being 16 April 2009, some five
years previous.
[57] As the injury in question was of a psychological/psychiatric type the Commission had
the benefit of pursuing the Statement of Stressors relied upon by DeAlwis which
identified a range of work-related stressors from December 2008 until 16 April 2014
which coincided with the period of the stated date of injury in 2009.
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[58] DeAlwis had argued that of the 13 stressors contained within the Statement of
Stressors the only one relevant in these proceedings was Stressor 10 which related to
a meeting that had been held on 20 February 2014 and was the catalyst for his
subsequent decompensation on 16 April 2014. In the absence of any other stressor
DeAlwis' claim for workers' compensation would have been valid and enforceable as
the application would have been lodged within six months after he was assessed by
Dr Craig Morris.
[59] Unfortunately for DeAlwis there were a range of other stressors that offered an
extensive history regarding work-related incidents relied upon by him to establish that
the employer engaged in unreasonable management action that had contributed to the
psychological/psychiatric injury suffered by him. The stressors provided a history of
events in significant detail which are unable to be extracted to a point where only
Stressor 10 remains relevant, particularly as the stated date of injury identified as
16 April 2009 enlivens stressors identified in or around that period of time.
[60] On examination of the Patient Summary pertinent to treatments received by DeAlwis
from 2008 until 16 April 2014 it becomes evident that he was first diagnosed with a
psychological/psychiatric condition in the form of an adjustment disorder on
28 January 2010 by Dr Craig Morris who recorded in the notes a range of work-related
issues as the history behind the diagnosis. The records indicate a significant pattern
of diagnosing of stress-related conditions for DeAlwis which have also a work-related
component as the history to the diagnosis. These dates include:
5 March 2010;
20 November 2010;
3 February 2011;
17 March 2012;
18 March 2013;
27 February 2014;
31 March 2014; and
16 April 2014.
[61] The information contained within the patient summary was confirmed in the course of
evidence in the proceedings from Drs Rodney Morris and Craig Morris who detailed
the various treatments undertaken by themselves with each acknowledging DeAlwis
had received treatment for a psychological/psychiatric condition from 2010 for issues
that were work-related. Dr Craig Morris gave further evidence of the work-related
issues being the pre-determinant factor of the injury suffered by DeAlwis.
[62] The medical evidence before the proceeding is sufficient to establish that DeAlwis
suffered an injury of a psychological/psychiatric type first diagnosed by a doctor on
28 January 2010 and was as a result of work-related issues. There continued to be
similar medical diagnosis' and for the same reasons in the years beyond 2010 until
April 2014 during which time DeAlwis had remained in the employ of the Department
of Housing and Public Works. DeAlwis in cross-examination conceded that the
stress-related condition "waxed and waned" through the period from January 2010
until April 2014 despite giving evidence that prior to September 2013 all other
stressors had been cured.
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14
Finding
[63] On the consideration of the evidence and material before the proceedings I make the
following findings:
that DeAlwis having been assessed by Dr Craig Morris on
28 January 2010 as suffering from an adjustment disorder with depressed
mood in respect of identified work-related stressors had failed to lodge an
application for compensation pursuant to s 131(1) of the Act that being
within six months of the entitlement to compensation arising;
that in the absence of evidence that the failure to lodge the application for
compensation was due to reasons identified at s 131(5)(a), (b) or (c) of the
Act there is no case to be considered for waiving s 131(1) or (2) of the
Act; and
the application for workers' compensation lodged on 17 April 2014 was
out of time and as such not valid or enforceable.
[64] The Appellant is ordered to pay the Regulator's costs incidental to and associated with
the hearing of the jurisdictional matter heard in Brisbane on 1 and 2 June 2015.
[65] I order accordingly.
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Official source: https://www.sclqld.org.au/caselaw/QIRC/2015/158