Church v Simon Blackwood (Workers' Compensation Regulator) [2014] QIRC 158
QUEENSLAND INDUSTRIAL RELATIONS COMMISSION
CITATION: Church v Simon Blackwood (Workers' Compensation
Regulator) [2014] QIRC 158
PARTIES: Church, Lindsay
(Appellant)
v
Simon Blackwood (Workers' Compensation
Regulator)
(Respondent)
CASE NO: WC/2013/415
PROCEEDING: Appeal against a decision of Simon Blackwood
(Workers' Compensation Regulator)
DELIVERED ON: 10 October 2014
HEARING DATES: 3 and 4 September 2014
15 September 2014 (Respondent's submissions)
25 September 2014 (Appellant's submissions)
30 September 2014 (Respondent's submissions in
reply)
MEMBER: Industrial Commissioner Knight
ORDERS : 1. Application for compensation is not valid
and not 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 - preliminary issue - a
question of jurisdiction - Application lodged outside
six month time limit - time for applying - reasonable
cause or absence from the State - discretion to extend
- validity and enforceability of Application
CASES: Workers' Compensation and Rehabilitation Act 2003
s 32, s 131, s 131(1), s131(5), s548, s548(A), s558,
s 134, s 141, s 550, s 132(3)
Q-COMP v Winsome Abbott (WC/2013/154) -
Decision <http://www.qirc.qld.gov.au.au>
State of Queensland (Department of Education,
Training, and Employment) and Q-COMP
(WC/2013/47) - Reasons for Decision
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2
<http://www.qirc.qld.gov.au.au>
Toward v Simon Blackwood (Workers' Compensation
Regulator) [2014] QIRC 125
Stephen Horace MacDonald v Q-COMP (No. 2)
[2008] 188 QGIG 180
Petra Helesic v Q-COMP (WC/2011/117) - Decision
<http://www.qirc.qld.gov.au>
WorkCover Queensland v Downey [2001] QIC 76
Appo v Q-COMP [2003] QIC 169
Armstrong v Local Government Workcare [2014]
ICQ 007
State of Queensland (State Library of Queensland) v
Simon Blackwood (Workers' Compensation
Regulator) [2014] QIRC 126
R v Workers' Compensation Board of Queensland ex
parte Heffernan (1979) Qld R 563 at 567
Black v City of South Melbourne [1963] VR 34 at 36
APPEARANCES: Mr A. Messina, Counsel instructed by Turner
Freeman Lawyers for the Appellant.
Mr S. McLeod, Counsel directly instructed by Simon
Blackwood (Workers' Compensation Regulator), the
Respondent.
Decision
[1] Mr Lindsay Church (the Appellant) has appealed a decision of Simon Blackwood
(Workers' Compensation Regulator) (the Regulator / the Respondent) to reject his
application for compensation, in accordance with s 32 of the Workers'
Compensation and Rehabilitation Act 2003 (the Act).
[2] Prior to the hearing of the substantive matter, the Regulator requested the
Queensland Industrial Relations Commission (the Commission) determine a
preliminary point in connection with the Appeal (WC/2013/415) relating to whether
or not Mr Church's application for compensation is valid and enforceable under s
131 of the Act, submitting the application was lodged outside the statutory time limit
prescribed by s 131 of the Act.
[3] The Appellant's representatives contend that although the application for
compensation was lodged outside of the time limit, the Regulator previously waived
the time limitation and as a result, Mr Church's application for compensation is valid
and enforceable.
[4] The Appellant also argues the Act confers no power on the Commission to disturb
the Respondent's decision to waive the time limitation and in this respect the
Commission's jurisdiction is not enlivened.
[5] The Regulator contends the Commission, in presiding over a hearing de novo, has
jurisdiction to determine whether s 131 has been complied with irrespective of
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whether the matter has been previously considered and resolved in favour of the
Appellant.
Background
[6] Mr Church lodged an application on or around 24 June 2013 for compensation for an
over time lower back injury sustained over a period of time from 1997 to 2008
whilst working as a spray painter for various employers in Brisbane and the Gold
Coast.
[7] On 10 July 2013, the Insurer advised Mr Church it had decided not to accept his
application, determining it had been lodged outside the period provided for in s 131
of the Act.
[8] On 16 July 2013 Mr Church made an online Application for Review of the Insurer's
decision (dated 10 July 2013), with the Regulator.
[9] Included with this Application for Review was an email of the same date
highlighting reasons for the delay with references to dates in 2009 and materials
from relevant specialists from whom medical treatment for a back injury had been
sought. Further reasons for the delay in lodging the application were provided by
Mr Church to the Regulator on 29 July 2013.
[10] On 27 August 2013, the Regulator set aside the Decision of the Insurer not to waive
the time for applying for compensation and substituted another decision that the
application was valid and enforceable, in accordance with s 131 of the Act.
[11] Based on the information provided, the Regulator determined Mr Church's
entitlement arose in or around December 2009. Reasons provided for waiving the
time limit included reference to Mr Church's absence from Australia from 2008; and
that he "made an honest error of judgment…"
[12] The Regulator subsequently returned Mr Church's application to the Insurer to
determine the injury. The application was rejected on 2 October 2013 with the
Insurer advising it did not consider Mr Church had sustained an "injury" based on s
32 of the Act.
[13] On or about 4 October 2013, Mr Church submitted an online Application for Review
of the Insurer's decision (dated 2 October 2013) with the Regulator.
[14] The Regulator confirmed the decision of the Insurer in its Reasons for Decision
dated 18 November 2013.
[15] A Notice of Appeal was filed in the Commission on behalf of Mr Church on
17 December 2013.
[16] In February and May 2013, further documents and correspondence were disclosed
and exchanged between the Regulator and Mr Church's representatives, Turner
Freeman Lawyers, relating to Mr Church's injury including materials related to the
Appellant’s conformance with s 131 of the Act.
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[17] On 22 July 2014 the Regulator wrote to Turner Freeman Lawyers confirming it
intended to argue on appeal that Mr Church's application for compensation did not
comply with s 131, submitting that no basis had been advanced as to why the time
limit should be waived for an injury it said arose in the latter half of 2005.
[18] The Vice President listed the matter for a preliminary hearing on 3 and 4 September
2014.
Matters for Determination
[19] The issues to determine in this appeal are:
Does the Commission have jurisdiction to determine this issue in
circumstances where the matter has previously been determined by the
Regulator?
If the Commission does have jurisdiction, was Mr Church's application for
compensation lodged within the time provided for by s 131(1) of the Act?
If the application has been lodged out of time, is the delay attributable to a
mistake, absence from the state or reasonable cause?
If the delay is attributable to one of more of the factors mentioned, should
the discretion provided in s 131(5) be exercised to waive the requirement in
s 131(1)?
The Legislation - A Question of Jurisdiction
[20] The Commission's jurisdiction in workers' compensation matters is established by
ss 548 and 548A of the Act. The powers of the Commission are set out in s 558 of
the Act which is produced hereunder:
"558 Powers of appeal body
(1) In deciding an appeal, the appeal body may -
(a) confirm the decision; or
(b) vary the decision; or
(c) set aside the decision and substitute it with another decision;
or
(d) set aside the decision and return the matter to the respondent
with the directions the appeal body considers appropriate.
(2) The appeal body acts under subsection (1)(b) or (c), the decision is
taken for this Act, other than this part, to be the decision of the
insurer.
(3) Costs of the hearing are in the appeal body's discretion, except to
the extent provided under a regulation."
The Commission's jurisdiction and section 131
[21] Mr Messina, Counsel for the Appellant, submitted the Act confers no power on the
Regulator to ignore its own decision of 27 August 2013 in which it waived the time
limitation pursuant to s 131(5) of the Act and that consequently, the Respondent's
decision to argue the time limitation point on appeal is invalid.
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[22] The Appellant also argues there is no provision within the Act that empowers the
Respondent to make a decision in the management of the appeal that is inconsistent
with a decision it made previously.
[23] Relying on a number of observations made by Industrial Commissioner Black in
Q-COMP v Abbott1 ('Abbott'), the Appellant submitted the Commission's
jurisdiction to determine the validity and enforceability of an application under s 131
is only enlivened in circumstances where neither the Respondent nor WorkCover
contemplated the issue when exercising their respective statutory powers.
[24] In particular, the Appellant highlighted the following observations from Industrial
Commissioner Black:
"I accept Q-COMP's submission that the Commission, in presiding over a
hearing de novo, is entitled to satisfy itself that the appeal before it is not a
nullity and, in the circumstances of this case, that the application for
compensation has been validly made; however, conduct directed to the
satisfaction of the jurisdiction does not extend, in my view, to the resolution of
all the questions that Q-COMP submit need to be answered. While there is a
basis to find that Dr Abbott's application for compensation was lodged out of
time, the evidence in the form of Exhibit 1 and Exhibit 2 does not support a
conclusion that WorkCover did not waive time, in my view that is the end of
the matter. I do not have the jurisdiction to conduct a review into whether
WorkCover erred in arriving at a conclusion that that application was within
time, or erred in arriving at a conclusion that it should extend time, or whether
it erred in the manner in which it applied s 131(5) of the Act."
[25] Mr McLeod, Counsel for the Regulator, relying on a number of recent authorities2,
and in particular, observations by Deputy President Bloomfield in relation to the
"hearing de novo" nature of the appeal proceedings, argued the Commission has
jurisdiction to determine the validity and enforceability of an application under s
131, submitting that both an issue not considered by a decision maker, and by
extension, an issue determined by a decision-maker, can be raised and determined
on an appeal.
[26] In response to the Appellant's reliance on Industrial Commissioner Black's
observations in Abbott3 in support of its claims that once the Respondent has waived
the time limitation, the Commission is unable to disturb that decision, Mr McLeod
argued Industrial Commissioner Black was instead referring to the fact that because
the appeal hearing is a hearing de novo, the Commission itself, on the evidence
before WorkCover and the Regulator and any new evidence, must determine the
question itself rather than embarking upon a determination of whether WorkCover
erred in reaching its decision.
1 Q-COMP v Winsome Abbott (WC/2013/154) - Decision <http://www.qirc.qld.gov.au.au>.
2 State of Queensland (Department of Education, Training, and Employment) and Q-COMP (WC/2013/47) -
Reasons for Decision <http://www.qirc.qld.gov.au.au>; Toward v Simon Blackwood (Workers'
Compensation Regulator) [2014] QIRC 125; Q-COMP v Winsome Abbott (WC/2013/154) - Decision
<http://www.qirc.qld.gov.au.au>.
3 Q-COMP v Winsome Abbott (WC/2013/154) - Decision <http://www.qirc.qld.gov.au.au>.
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[27] The Commission's jurisdiction in the determination of appeals under the Act has
been the subject of consideration by Hall P: see MacDonald v Q-COMP4
('MacDonald'); Helesic v Q-COMP5; and more recently by Bloomfield DP, Black C
and Thompson C - see State of Queensland (Department of Education, Training and
Employment) v Q-COMP6 ('Department of Education, Training and Employment'),
Abbott7 and Toward v Simon Blackwood (Workers' Compensation Regulator)8
respectively.
[28] Whilst at the time of the following observations, appeals under s 550 of the Act were
heard by Industrial Magistrates, in MacDonald9, His Honor noted:
"…the appeal to the Industrial Magistrate...is an appeal by way of hearing de
novo. The informal and hopefully inexpensive system of resolution by way of
administrative review having failed, the claim for benefits is simply put to
trial. The Industrial Magistrate is not required to apply forensic forceps to the
minutia of the procedural dealings between an Appellant and each of
WorkCover and Q-COMP."
[29] In Department of Education, Training and Employment10 Bloomfield DP observed:
"…in presiding over a hearing de novo, the Commission is entitled to satisfy
itself, if called upon to do so*, that an application for workers'
compensation… is not a nullity and, in that sense, has been properly made,
including whether it was lodged within the six month time limited specified at
s 131 (1) of the Act..."
And later:
"If the Appellant seeks to raise an issue such as whether s 131(1) has been
complied with, then, having regard to the provisions of s 558 of the Act, the
Commission is required to hear and decide that issue in deciding the Appeal."
[30] Having considered the submissions of Mr Messina for the Appellant and Mr
McLeod for the Regulator, I have formed the view the Commission is not prevented
from examining and determining whether or not s 131 has been complied with on
appeal where a question with respect to compliance is raised by one of the parties.
[31] In particular, a prior decision or even the absence of a decision during an applicant's
interaction with either the Regulator or WorkCover in their assessment of a claim for
workers' compensation with respect to the waiving or otherwise of the time
limitation under s 131, does not in my view prevent the Commission from
examining and determining whether s 131 has been complied with on appeal.
4 Stephen Horace MacDonald v Q-COMP (No. 2) [2008] 188 QGIG 180.
5 Petra Helesic v Q-COMP (WC/2011/117) - Decision <http://www.qirc.qld.gov.au>.
6 State of Queensland (Department of Education, Training, and Employment) and Q-COMP (WC/2013/47) -
Reasons for Decision <http://www.qirc.qld.gov.au.au>.
7 Q-COMP v Winsome Abbott (WC/2013/154) - Decision <http://www.qirc.qld.gov.au.au>.
8 Toward v Simon Blackwood (Workers' Compensation Regulator) [2014] QIRC 125.
9 Stephen Horace MacDonald v Q-COMP (No. 2) [2008] 188 QGIG 180.
10 State of Queensland (Department of Education, Training, and Employment) and Q-COMP (WC/2013/47)
- Reasons for Decision <http://www.qirc.qld.gov.au.au>.
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[32] This position was reinforced through the observations of Hall P and more recently
Bloomfield DP with respect to the de novo nature of appeal proceedings before the
Commission.
[33] Whilst it is clear on the authorities that it is not the Commission's role to go back
and delve down into every aspect of the legislation, and in particular the numerous
determinations that can arise during the administrative review stage, by lodging an
Appeal the Appellant has, in effect, opened the gates for both itself and/or the
Respondent to request the Commission to determine, having regard to its powers at
s 558, any number of preliminary issues, including compliance with s 131 of the
Act.
[34] In my view, Mr McLeod is correct in his assertions that there are no current
authorities preventing the Commission from dealing with a particular matter relating
to a claim, simply because it had previously been determined in favour of a claimant
during the administrative review process.
[35] In a practical sense, if the Appellant's arguments were accepted, then the Regulator
would be bound by findings in its previous review decisions related to a particular
claim, to the extent that it could result in a situation where, for example, a
determination that a claimant was a "worker" during the review process would have
to be maintained even in circumstances where additional evidence might support a
different finding from the Commission.
[36] For these reasons, I have determined the Commission possesses the jurisdiction and
the power to consider the Respondent's arguments that Mr Church's application for
workers' compensation is not valid and enforceable within the meaning of s 131 of
the Act.
Was the application for compensation lodged within time?
[37] In order to determine whether Mr Church's application for compensation was lodged
in time it is necessary to: (1) establish the date of lodgment and; (2) the date when
the entitlement to compensation arose.
[38] It is common ground that the date of lodgment for the application was 25 June 2013,
however the parties disagree about the time period when the entitlement to
compensation arose.
[39] Correspondence from Turner Freeman Lawyers to the Regulator asserts Mr Church's
entitlement arose in April 2009 when Mr Church was referred for specialist review
and was advised to claim the equivalent of Centrelink disability benefits in the UK.
[40] Mr Messina on behalf of the Appellant submits that whilst there is no evidence the
Appellant received a certificate within the meaning of s 132(3) of the Act, the
Commission has been provided with a report prepared by Dr Scott dated 21 May
2014 (attached to exhibit 9) referring to an MRI that was obtained in May 2009
which subsequently led to Mr Church receiving surgery in December 2009.
[41] In this regard, Mr Messina submits the Appellant's entitlement to compensation
arose sometime between April 2009 and December 2009.
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[42] Whilst the Regulator's initial decision confirmed it was satisfied Mr Church's
entitlement to compensation arose in or around December 2009, Mr McLeod
submitted that during the preparation for the Appeal before the Commission it
became apparent that the basis upon which the Regulator decided to waive the time
limit under s 131 was done so without regard to subsequent information which came
to light.
[43] In this regard, the Regulator contends Mr Church's entitlement to compensation first
arose on or around 7 February 2005 when he was first assessed by Dr Karthigasu, or
in the alternative, in May 2007 when on his own admission, the Appellant sought
medical treatment for his back injury.
Relevant Legislation - Date Entitlement to Compensation Arises
[44] Part 5 of Chapter 3 of the Act sets out provisions and procedures relevant to
applications for compensation. Section 131 provides that an application for
compensation is to be lodged within six months after the entitlement to
compensation arises. The section is set out below:
"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.
(5) An insurer may waive subsection (1) or (2) for a particular
application if the insurer is satisfied that a claimant's failure to
lodged the application was due to -
(a) mistake; or
(b) the claimant's absence from the State; or
(c) a reasonable cause."
[45] Section 141 of part 7 of Chapter 3 of the Act deals with when an entitlement to
compensation for an injury arises. The section is set out below:
"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
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(c) if the injury is an oral injury and the worker attends a dentist
- a 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)."
Evidence - Time Issue
[46] In support of the argument that Mr Church's entitlement to compensation arose
sometime between April 2009 and December 2009, the Appellant's representative
referred the Commission to an MRI Spine Lumbar and Sacral report dated 6 May
2009 (Exhibit 8, page 243) and the report of Orthopaedic Surgeon, Mr Peter Scott
dated 21 May 2014 (Exhibit 9, ANT1) which includes references to a large posteria
bulge in the L5/S1 disc level.
[47] The Appellant contends the time limitation contained in s 131(1) commences from
the date on which a doctor assesses the injury as resulting in total or partial
incapacity, submitting it is not the state of law that all the Appellant needed to do
was consult a doctor concerning his back problems in order for the time limitation in
s 131(1) to commence.
[48] Counsel for the Regulator argued the date of assessment and in this matter, the date
Mr Church's entitlement to compensation arose does not materialise only when there
has been an assessment, but occurs when there has been as assessment of the injury
itself.
[49] Mr McLeod submits subsections (1) and (2) of s 141, as a matter of statutory
construction, should be read separately because the respective subsections deal with
separate and distinct matters. That is, s 141(1)(a) is not dependent on s 141(2)(a)
occurring.
[50] The Regulator pointed to a series of documents, medical reports and verbal evidence
arising out of the preliminary hearing in support of its contention that Mr Church
was seeking medical treatment for what he believed to be a work related injury;
along with its position that the Appellant's entitlement to compensation (if at all)
arose in February 2005, or in the alternative, May 2007, including:
Correspondence from the Appellant's solicitors to the Regulator stating:
"3. With respect to the appellant's injury:
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(a) …our client first commenced experiencing symptoms of back
problems is not precisely known but occurred in 2005 and
approximately several months prior to 11 November 2005.
(b) …medical treatment sought by our client was
(i) chiropractic treatment by Mylene Goodwin;
(ii) spinal X-Ray with Dr Ross;
(iii) consumption of anti-inflammatory and pain-killing
medication; and
(iv) consultations with general practitioners at the Surfers
Paradise Day Night Surgery" (P206, MDD21, Dray:
exhibit 2) (my emphasis).
Further correspondence to the Regulator from the Appellant's
representatives on 25 June 2014 included:
"No medical records are available as to [the appellant's] consultations
with medical practitioners in 2005 in Australia and whether or not those
consultations related to his back injury.
Our client was never certified as either partially or totally incapacitated
for work because of his back injury while he was working in Australia.
The Medicare history reveals that he underwent a spinal X-Ray in
November 2005 on referral from his chiropractor. The records of the
radiologist are not available.
…
The Appellant stands by his previous particulars and case…that his
injury arose over a period of time with symptoms first commencing in
2005." (P214, MDD23, Dray: exhibit 2)
Comments from the Appellant stating he had reported his condition to his
Assistant Manager at Mal Gilbert Smash Repairs and that:
"8. I didn't attend any doctors in Australia only chiropractors who
would perform manipulation to my spine on the gold coast (sic) that I
would pay for." (P31, MDD11, Dray: exhibit 2)
The statement of work colleague Mr Troy Gravolin dated 7 October 2013
where he deposed the Appellant had:
"…complained about back issues quite frequently and some days he
struggled to complete a full day's work. At times [the appellant] asked
me to drive him to the chiropractor as he was unable to drive himself due
to the lack of movement and pain." (P168, MDD19, Dray: exhibit 2)
Medicare records confirming:
"(a) the appellant had four (4) medical consultations in 2005,
three (3) at the Surfers Paradise Surgery;
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(b) two (2) chiropractic visits in 2005; and
(c) an X-Ray was performed on 11 November 2005, by Dr Ross (the
code shows a spinal examination)." (P229-233, MDD26, Dray:
exhibit 2)
A letter from the Appellant's representatives to a consultant neurosurgeon
and Dr Emma Laverty detailing the Appellant's work history which
included:
"Our client describes that at the beginning of a work day he would be
relatively pain free however half way through the day at approximately
1-2pm he would be experiencing severe lower back pain and would find
it very difficult to sustain the bent awkward postures required of his
duties. Our client would commonly take days of as a result of his back
injury. Our client underwent a course of chiropractic treatment whilst
living in Australia." (P238, MDD28, Dray: exhibit 2)
The history contained in Dr Peter Scott's report dated 21 May 2014 noting:
"1.2 [The appellant] states that in 2005 he began to develop severe
lower back pain while at work and attended a chiropractor for treatment.
His pain was sufficiently severe that he found his legs giving way at
time when he was standing. He did not have any actual leg pain at that
stage. He states he had a spinal X-Ray in November 2005 following
which he had further chiropractic treatment. At that stage he states he
was hardly able to walk. He was off work for periods at a time at that
stage. He was treated with medication in the form of pain relieving
medication, anti-inflammatory tablets and Gabopentin." (P257, MDD33,
Dray: exhibit 2) (my emphasis).
[51] In its submissions, the Regulator highlighted various inconsistencies in the evidence
given by the Appellant initially in his sworn affidavit (Exhibit 5) and later during the
proceedings, where under cross examination, it is submitted a number of
contradictions arose in Mr Church's evidence, particularly with respect to his
explanations as to why he moved away from the initial reasons he provided for his
visit to Dr Karthigasu on 7 February 2005, the timing and number of prescriptions
for his heart medication, his reasons for attending medical appointments with Dr
Synad in 2007 and when he was prescribed a muscle relaxant called Diazapam.
[52] In my view, the Regulator's concerns with respect to the inconsistencies in Mr
Church's evidence and in turn his credit are justified. Whilst I accept some time has
passed since Mr Church's time in Australia it is difficult to ignore the large number
of inconsistencies which arose during his evidence particularly when considering
various medical reports, records and documentation tendered during the proceedings
which highlighted Mr Church's use of medical services as well as his attendance at
medical consultations for his back in both 2005 and 2007.
[53] Section 131(1) of the Act provides that an application for compensation is valid and
enforceable only if it is lodged within six months after the entitlement to
compensation arose. Section 141(1) provides that an entitlement to compensation
arises on the day the worker is assessed by a doctor. In WorkCover Queensland v
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Downey11 Hall P held that "assessed by a doctor as resulting in total or partial
incapacity for work - i.e. where the commencement of the limitation period is said to
be triggered by the activity of a doctor, it is necessary to show that a doctor has
assessed the alleged injury as involving partial or total incapacity." In Appo v Q-
COMP12 Hall P noted the word used in s 141 is "assessed", not "diagnosed". His
Honour also said that he was not attracted to the argument that "there is no
assessment until the assessment is made manifest in a certificate."
[54] In this matter, particularly given the time that has passed since 2005 and some of the
difficulties the parties have experienced in accessing medical records and notes due
to the closure of various medical centres, a determination of the date involves full
consideration of past Medicare records, patient records, documentation exchanged
by the parties as well as the evidence of various lay witnesses, including Mr Church
during the proceedings.
[55] Where a decision has to be made between consultations Mr Church attended in
February 2005, May 2007, and April to December 2009, the evidence associated
with Mr Church's consultation with Dr Synad in May 2007 is sufficient to support a
conclusion, on the balance of probabilities, that Dr Synad assessed the alleged injury
at this time.
[56] Mr Messina for the Appellant valiantly argued that even in circumstances where the
Commission found Mr Church attended a consultation with Dr Synad in May 2007
that it was still not enough to trigger the time limitation in s 131(1) of the Act.
[57] In this respect, the Regulator submitted each subsection in section 141 (1) and (2), in
so far as they relate to s 131(1) as a matter of statutory construction, should be read
separately because the respective subsections deal with separate and distinct matters.
Furthermore, section 141(1)(a) is not dependent on s 141(2)(a) occurring.
[58] Significantly, Mr Church confirmed his own experiences in his appointment with
Dr Synad in May 2007 in relation to his back when he said:
"Right. And was the purpose of going to see the doctor - that was because you
were experiencing problems to your back; is that correct?---Yes.
Right. And did you advise the doctor how you thought you had a back
problem, what was the cause of your back problem?---Doing work in
Australia.
Right. So you told the doctor that you had a back problem because of work
tasks you had performed in Australia; is that correct?---Yes.
Right. Okay. And did the doctor carry out an assessment on you, in relation
to your back problem?---Yes.
And that's why he prescribed you with that drug, wasn't it, because the drug is
a muscle relaxant, isn't it?---Yes." (D1,P36,L10)
11 WorkCover Queensland v Downey [2001] QIC 76.
12 Appo v Q-COMP [2003] QIC 169.
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[59] Having considered the submissions of both the Regulator and the Appellant in
relation to the trigger for the determination of the date of assessment, I am satisfied
Mr Church's entitlement to compensation arose when he attended his appointment
for work related back pain with Dr Synad in May 2007.
[60] It is not necessary, in all the circumstances of this matter, to then proceed to consider
s 141(2) of the Act to interpret s 131(1); see Armstrong v Local Government
Workcare13.
[61] It follows that Mr Church, at best, has lodged his application for compensation more
than 5 years after the initial assessment date and in this respect I find his application
has been lodged outside the statutory limitation prescribed in s 131(1).
Was the failure to lodge within the statutory time period due to mistake,
reasonable cause or absence from the state?
[62] Section 131(5) enables the Commission to waive the time period if it is satisfied the
Appellant'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."
[63] In State of Queensland (State Library of Queensland) v Simon Blackwood (Workers'
Compensation Regulator)14, Industrial Commissioner Black noted the approach
adopted in R v Workers' Compensation Board of Queensland ex parte Heffernan15
where Kelly J, with whom Stable SPJ and Dunn J agreed, held that:
"The first matter for consideration is what was the duty of the Office in
relation to an application filed after the expiration of the six months period
prescribed by clause 4(2) of the Schedule. Firstly, it was required to consider
whether the failure to make the application within the prescribed time was due
to mistake, absence from Queensland, or other reasonable cause. If it was not
satisfied that the failure was due to any of those matters then there is no power
to waive the time provision and that would be the end of the matter. If,
however, it was satisfied that the failure was due to any one of those matters
the question arises whether the time provision must then be waived or whether
the Office has a discretion whether or not do so, and if there is such a
discretion, what matters it may properly take into account in its exercise."
And later:
"In my view, the context of clause 4(2) itself would not indicate that the word
‘may’ has a compulsive meaning. For instance, I do not consider that, having
provided a limitation period of six months, the legislature would have intended
that the limitation should automatically be waived merely because the failure
to make the application with the prescribed period was due to absence from
13 Armstrong v Local Government Workcare [2014] ICQ 007.
14 State of Queensland (State Library of Queensland) v Simon Blackwood (Workers' Compensation
Regulator) [2014] QIRC 126.
15 R v Workers' Compensation Board of Queensland ex parte Heffernan (1979) Qld R 563 at 567.
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Queensland, irrespective of any other circumstances as, for example, a long
and unexplained delay in making the application after the applicant had
returned to Queensland."
[64] The Appellant submits the reason why he did not lodge his application for
compensation within the time limitation contained in s. 131(1) of the Act was due to
his absence from Queensland and a reasonable cause.
[65] The Regulator submitted there is no basis to warrant the Commission to waive time
under s 131(5)(a) to (c) and that although the Appellant was residing in Scotland at
the time he made his application, subsection 131(5)(b) is of no assistance to the
Appellant as a basis upon which he did not comply with s 131(1).
[66] Reasons provided by the Appellant as to why he did not lodge the application for
compensation within the time limit included:
"I was living in the UK and assumed that I would not be entitled to
compensation because I was not a permanent resident in Queensland;
After my back problems, chronic pain, heart attack and depression I was
overwhelmed by the multiplicity of my problems and my mental health was
a significant problem preventing me from functioning normally at the time;
I was abusing alcohol to numb the physical and psychological pain I was in;
I did not have ready access to legal advice that was familiar with the
Queensland workers compensation system;
If I had been living in Queensland the doctors would have told me that I
was covered by workers compensation."
[67] During the proceedings Mr Church also submitted that his belief that he was a
contract worker required to provide his own workers compensation also prevented
him from making a claim.
[68] In the case of Black v City of South Melbourne16 the Full Court of the Supreme
Court of Victoria considered the meaning to be given to "reasonable cause" as it
appeared in s34(1) of the Limitations of Actions Act 1958 (Vic). Before citing the
passage by Scholl J shown above the Full Court said:
"The inquiry here appears to be of a much wider kind justifying a more liberal
attitude. The expression 'reasonable cause' appears to us to mean some act or
omission which operated to prevent the giving of notice, and which was
reasonable in the circumstances."
[69] The issue for determination is whether Mr Church has been able to identify
circumstances which might have delayed a reasonable person from filing the
application or some act or omission which operated to prevent the filing of a claim.
[70] Mr Church's evidence is that he was working as a contract spray painter between
2003 and 2006. After spending a short period of time overseas he returned to
Australia and recommenced working as a spray painter in an "employee capacity".
(D1, P42, L25)
16 Black v City of South Melbourne [1963] VR 34 at 36
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[71] The difficulty I have with the reasons for delay as submitted by the Appellant, in so
far as they relate to his knowledge or understanding of his rights with respect to
workers compensation, are highlighted in the following exchange during Mr
Church's cross-examination:
"Right. Okay. So your understanding was the only time you were working on
contract and you weren’t entitled to apply for workers' compensation, was
between 2003 and 2006. Is that right?---Yeah. Yeah. July 2006. Yes.
Right. So after July 2006, it was your understanding, I suggest to you,
because you weren’t working on contract, that if you sustained a workplace
injury, you would be entitled to apply for workers' compensation in Australia -
in Queensland?---I don't follow.
Sure. I'll be more direct. You gave evidence that it was your understanding
that between 2003 to July 2006, you were working on contract and you weren't
entitled to apply for workers' compensation if you sustained any workplace
injury. Is that correct?---Yes.
And I suggest to you, as you've just said that, you no longer, from your
understanding, worked on contract from July 2006, that, I suggest to you, after
that period of time, because you weren’t on contract, if you sustained a
workplace injury, it was your belief at that time that you could've lodged a
claim for workers' compensation for a workplace injury. Because you were
no longer on contract?---Yes." (D1,P42,L25)
And then:
"And that ultimately occurred, did it not, in 2007, when you injured your hand,
you received some compensation benefits, didn't you?---I think so. I was
taken to the Gold Coast Hospital and I was handed an envelope by a surgeon
who said there was a [indistinct]. He signed me off for two weeks and she
said to hand it to the employer.
Right. Okay?---[indistinct].
Right. And you received some compensation benefits, didn't you, I suggest to
you?---I think so. I think so. Yes." (D1,P43,L5)
[72] In my view, the evidence highlights Mr Church had previously had some experience
with workers compensation processes.
[73] Mr Church also returned to Australia after his appointment with Dr Synad on 1 May
2007, and commenced employment with another smash repair business for a period
of time.
[74] This creates even more challenges for the Commission when considered against a
backdrop where the Appellant:
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(a) is claiming he sustained an injury over a period of time from 1997 to
2008;
(b) had some experience or understanding of the workers compensation
system in Queensland in 2007; and
(c) held a role as an employee after his consultation with Dr Synad on 1
May 2007, but within the period of time which he says he sustained the
injury.
[75] After considering the evidence, submissions of both the Regulator and the Appellant
and the reasons submitted by Mr Church for the delay in his application, I find no
basis to arrive at a conclusion that the delay of more than five years in the lodgment
of his application was due to a reasonable cause or absence from Queensland.
Discretion to Extend
[76] In this respect, I have not been persuaded to exercise my discretion to waive the time
period.
[77] Consequently, I find Mr Church's application for compensation is not valid and
enforceable under s 131 of the Workers' Compensation and Rehabilitation Act 2003.
[78] The Appellant is ordered to the pay the Regulator's costs incidental to and associated
with the hearing of the preliminary point heard in Brisbane on 3 and 4 September
2014.
[79] I order accordingly.
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Official source: https://www.sclqld.org.au/caselaw/QIRC/2014/158