Fetu v Northern Iron and Brass Foundry P/L [2013] QDC 330
DISTRICT COURT OF QUEENSLAND
CITATION: Fetu v Northern Iron and Brass Foundry P/L [2013] QDC
330
PARTIES: SAMUELA FETU
(Plaintiff)
v
NORTHERN IRON AND BRASS FOUNDRY PTY LTD
ACN 078 991 803
(Defendant)
FILE NO/S: DIS 1092/11
DIVISION: Civil
PROCEEDING: Trial
ORIGINATING
COURT: District Court, Brisbane
DELIVERED ON: 20 December 2013
DELIVERED AT: Brisbane
HEARING DATE: 26-30 August; 13-15 November 2013 (8 days)
JUDGE: Ryrie DCJ
ORDER: 1. Judgment for the Plaintiff in the sum of
$110,865.12
2. The parties to provide written submissions as to
costs 28 days from the date of publication of this
judgment unless the parties otherwise agree.
CATCHWORDS: TORT - NEGLIGENCE – BREACH OF DUTY -WORK
PLACE INJURY – Where injury is alleged to have occurred
to the Plaintiff in the course of his employment whilst
working on a hoist in a priming booth – Whether such an
injury occurred - Whether Defendant as employer is liable for
that injury – Whether Plaintiff contributed to his injury –
Whether Plaintiff failed to mitigate his own loss
TORT – NEGLIGENCE – QUANTUM – GENERAL
DAMAGES – SPECIAL DAMAGES – PAST AND
FUTURE ECONOMIC LOSS - Where Plaintiff claims
damages for personal injury and loss and damage caused by
the negligence of the Defendant – Whether damages should
be awarded
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ss37A and 197 Workplace Health and Safety Act 1995 (Qld)
Farrell v Qld Newspapers Lty Ltd [1998] QCA 18
Pitsiavas v John Lysaght (Aust.) Pty Ltd [1962] NSWR 1500
Quintano v Cable Makers of Australia Pty Ltd [1966] 2
NSWR 496
Suncorp Metway Insurance Ltd v Kilner [2013] QCA 42
COUNSEL: K Roche (for the Plaintiff)
R Myers (for the Defendant)
SOLICITORS: Nathan Lawyers (for the Plaintiff)
Gadens Lawyers (For the Defendant)
Introduction
[1] Mr Fetu (‘the plaintiff’) alleges that he suffered injury while working for the
defendant on or about the 14th of February 2008 as a result of the negligence of the
defendant. He claims damages from the defendant for personal injuries and
consequential loss arising from that negligence. The defendant denies that the
plaintiff suffered any injury at all or if he did, that it was caused by any negligence
on the part of the defendant. The defendant also denies that the plaintiff suffered any
of the consequences as pleaded. The defendant also says that even if the plaintiff did
in fact suffer any injury as alleged, then he contributed to his own injury or failed to
mitigate his loss.
[2] The action has been pleaded in contract, tort and breach of statutory duty. Both
parties accepted that it was convenient to refer only to the cause of action in tort as
there was no real difference between the two causes of action as it related to
contract or in tort. The parties also accepted that there was no right to a cause of
action as it related to a breach of statutory duty in light of ss37A and s197
Workplace Health and Safety Act 1995. Rather, any breach may simply be relied as
a ground to support any claim in negligence.
The Pleadings
[3] The pleadings reveal that the plaintiff alleges that he was injured in the course of his
employment while working in a priming booth. That work required him to use a
hoist to lift pipes and other product into position in order that they could then be
spray painted. A remote control was used to activate the hoist in order to lift any
such item. It is the plaintiff’s case that the hoist and/or remote was defective in that
he was required to exert repetitive pressure on the remote button in order to elicit a
response. The plaintiff alleges that on the day he was injured, he had pressed the
remote several times before the hoist unexpectedly jerked upwards causing his
shoulder to overextend at which time his shoulder was injured.
[4] The defendant denies that there was any defect with the hoist and/or remote in
question as alleged or that the plaintiff suffered any injury at all as a result of any
workplace negligence on the part of the employer.
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Liability
The plaintiff’s evidence
[5] The plaintiff required the full assistance of an interpreter at trial as he could not
sufficiently understand or speak the English language. That was also my impression
of him during the time I observed him giving his evidence. It was also my
impression that he had difficulty in answering questions that were being put to him
by both counsel during the course of his evidence, even though it was being
interpreted for him. His presentation during the course of his evidence can be best
described as a simple man who appeared both flat and unemotional.
[6] The plaintiff was born in 1958 in Samoa where he was educated until year 5. He
came to live in Australia in 1999. He continued to do the same type of work in
Australia which he had done in Samoa, namely labouring type jobs. He commenced
working at the defendant’s premises in 2006 as a machine operator. He stopped
working there in 2009. His normal working hours were generally from 6am to 3pm.
It is not contested that his usual working hours each day were 7.60 hours. His main
duties that he would undertake as a machine operator usually required him to work
in the priming booth. He was shown a sketch (ex 142) which he had previously
drawn. He gave a general account of the system of work which he would usually
undertake when working in the priming booth by reference to that diagram.
[7] When asked by his counsel about what happened on the day he was injured (T1-95),
the plaintiff said he was working on the number 1 hoist in the priming booth area.
He said that he went to report that the hook on hoist number 1 wasn’t working to his
supervisor Mr Parmenter (‘Shane’) who told him to go and work at number 2 hoist.
He said that he had then gone back to work on that hoist but it broke down so he
went back to Shane. He said that Shane had then told him to go back to work on the
number 1 hoist which he did. When asked to explain to the court what happened
next, the plaintiff replied:
‘I lifted the pipe up, pressed the remote but it wasn’t working.
Another time when I pressed it, it would work. Came back and used
the spray. I came to the remote and pressed it, it wasn’t working. I
pressed it again, it wasn’t working. I pressed it again and it jumped
up all of a sudden and it took my hand with it’ (T1-97).
[8] He described in evidence that after the pipe had jumped up he felt his hand was
hurting so he went and reported that to Shane who told him to go and rest for 10
minutes. After his rest he stated that Shane then told him to go back to work in the
priming booth. He stated during cross examination that he then went back to see
Shane again and told him that his shoulder was very painful, at which time he was
told to go home and come back the following day so they could go and see the
doctor (Dr Cherian, Inala Medical Centre) (T2-41).
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[9] The plaintiff stated that he went back to work the day after he was injured. On that
day, which he described as the second day, he stated he didn’t go to work because
Shane had told him to come back the following day so they could go to the doctor
(T1-98). The plaintiff gave evidence that he then went to the doctor for the
workplace in Inala (Dr Cherian). There is no dispute that the plaintiff was taken to
the Doctor by Mr Parmenter on the 14th February 2008. He stated that he believed
that the doctor gave him 2 weeks off from work (T1-100). He stated during cross
examination that Shane spoke to the doctor (T3-111). He stated he then had tried to
return to work but that he had continued to suffer difficulties with his left shoulder.
He stated he couldn’t do anything (T1-100). He stated during cross examination,
that at the time when he was injured, he did not touch the remote again (T2-28). He
stated during his evidence that he continued to work elsewhere on site during the
period subsequent leading up to him finally finishing work with the defendant in
October 2009, in that he ‘did something else from four to six hours again’ (T2- 29).
[10] During the course of cross examination, the plaintiff again was asked to explain
how he got injured. (T2-24) He confirmed that there were times when the remote
simply did not work at all even after he had pressed it. He did not agree with the
proposition put to him that once the remote had activated that the lift would then go
up at exactly the one speed even though he had earlier agreed that it did (T2-24).
The plaintiff consistently stated however that there were times that when it was
pressed or activated that it would go slowly but ‘this time I had pressed it a few
times and it went off very quickly, very fast’ (T2-25).
[11] He denied that he had never told Shane about the injury having occurred at work
(T2-43) either on the 13th February or the 14th February 2008, the latter being the
day they both had gone to see the doctor (Dr Cherian), or at any other time. He also
gave evidence that he didn’t know that there was an incident report to be done
personally by him as he had reported it to Shane (T2-51). That evidence is
consistent with the evidence which Mr Parmenter gave, who was the plaintiff’s
foreman at the time. Mr Parmenter confirmed that it was his responsibility if a
worker reports an injury at work, to fill in an incident report form. This was not
done even after Mr Parmenter had taken the plaintiff to Dr Cherian on the 14th
February 2008 even though Dr Cherian had certified the plaintiff as having suffered
a work related injury which he noted during his consultation had occurred at work
the day before (ex 6 p 22 and ex 11 p 70). An examination of other incident reports
tendered (ex 4, 5 p 17-19) also show that it is the employer that has filled out the
incident report form in any event; the responsibility of which lies with the employer
as confirmed by Mr Bolton. It is also not surprising that this practice was adopted in
respect of the plaintiff in any event given the plaintiff’s lack of written English or
ability to speak the English language.
[12] The plaintiff was shown a workplace practice DVD (ex 146) during cross
examination which showed another worker carrying out similar work in the priming
booth, presumably on the replacement hoist. It was not in issue that both hoists
which had originally been situated in the priming booth at the time of the plaintiff’s
alleged injury on or about 14th February 2008, were subsequently replaced with a
different model of hoist (Toku) in March 2008. During the viewing of that DVD,
the plaintiff pointed out the point when he said he was injured (ex 151 – a still
photograph of that point in the DVD was then reproduced and tendered) (T3-64).
He described having to put the hook on to the pipe in order to lift it up to that point
(which had earlier been stationary on the pallet prior to being lifted to that position).
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He was asked was it at that point at which he said he was injured. The plaintiff gave
the following answer:
‘Yes, when I pressed it, it didn’t go and then I pressed it again and
that’s when it sort of went and took off.’ (T3-65)
[13] When asked again about this issue again a little later, the plaintiff gave more
detailed evidence (T3-112). He stated that when he had attempted to lift the pipe
from the pallet, he had pressed it (the remote), it came, and then it stopped. He
stated that he pressed it again, and it didn’t go. He stated at that point the pipe was
still resting on the pallet. Then he pressed the remote, and it moved a little bit. And
then he tried pressing it again but it didn’t go. He could not remember how high the
pipe had been lifted in relation to the pallet at that point. He stated that he left the
pipe suspended in the air above the pallet when he went to speak to Shane, about
9.30am in the morning. He stated that Shane returned to look at it, tried to press the
remote to make the pipe come down which did in fact eventually come down
however he was sent to work on the other remote (presumably number 2 hoist in the
same area) because the number 1 remote wouldn’t work to lift the pipe to proceed
with spraying and baking. He initially stated that he had then continued to work
there until ‘it was finish time’ (T3-113). A little later in his evidence however, he
indicated that when he was working at the number 2 hoist, he didn’t work there for
the rest of the day, as he had gone home at about 11.30am after telling Shane his
shoulder was very painful (T3-125).
[14] The plaintiff confirmed that the weight in the DVD being lifted was similar but that
the one he was lifting on the day he was injured was 350 kg heavy in weight and
that the hoist which he was operating that day could lift that weight if required (T3-
110). He also gave evidence that both hoists situated in the priming booth were the
same but that he didn’t know what make or model they were (T1-99). Mr Bolton on
the other hand did not believe that the hoists situated in the priming booth at that
time were capable of lifting that weight as the chain to the oven could not take that
load.
Evidence of Prior complaints
[15] The plaintiff described in his evidence the difficulties which he had been having
with the number 1 hoist even prior to the day on which he was injured. He stated
that difficulty or problem to be as ‘it didn’t go up or come down’ and that there
were times when the hoist would go very fast when it went up. He stated that he had
reported these problems to Shane, that he had done so three times in a week and that
he had made complaints for more than one week (T1-98) even prior to the day on
which he injured himself. During cross examination, the plaintiff confirmed that he
had made complaints to Shane about these problems with the assistance of a co-
worker (because of his language difficulties) regarding the remote not working in
that it was not going up and it was not coming down (T2-28). He admitted that he
had not said anything to Shane about the remote activating the hoist at varying
speeds (T2-28).
[16] Two Samoan co workers gave evidence in the plaintiff’s case on this issue. Mr
Ioapo gave evidence, without the assistance of an interpreter, even though his first
language was not English. Nevertheless, his use of the English language during the
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course of his evidence evidently showed that while he spoke it quite well, he still, at
times, had difficulty actually expressing himself. For example, he would use
expression such as the hoist ‘just go up fast’ and the like. Mr Ioapo recalled that
during the time when he had worked at the defendant’s premises as a forklift driver
during 2008, he was sometimes required to deliver items to the area where the
plaintiff worked in the priming booth. He believed he had started work at those
premises after Christmas 2008 though he wasn’t entirely sure (T4-89).
[17] He gave evidence that he had on occasion assisted the plaintiff, because of his
language difficulties, to speak to ‘Mr Shane’ about the hoist. He estimated it was
about three or four times. He was unable to recall when he had done that. He
explained that he told Mr Shane that the hoist not working properly in that
sometimes the plaintiff would press the button, the hoist ‘just go up fast’ (T4-87).
During cross examination, it was pointed out to Mr Ioapo that had not mentioned
these conversations with Mr Shane in that statement he had given on 1st March
2011, however Mr Ioapo stated that he had told Mr Shane about the hoist problems
and that he had just remembered the things he had said to Shane (T4-91). He also
confirmed that at times the hoist would lift slowly and at other times it would lift
quickly (T4-92).
[18] Mr Misi also gave evidence on this issue. He required the assistance of the
interpreter on occasion as English was not his first language. Mr Misi said that he
had worked at the defendant’s premises since 2006 but had finished up in October
2007. He stated that he had sometimes worked in the priming booth and had worked
on both numbers 1 and 2 hoists in that area. He described how he had encountered
problems with the number 1 hoist. He described it as ‘pressing this thing it wasn’t
working. When pressed again it will go so fast up and it will get stuck up there’. He
initially described this problem arising about twice a month however then stated that
it was only once that the pipe got stuck up in the crane, presumably up at the top
(T5-6). He stated he had also told Shane about it.
[19] He also described during cross examination how if he pressed the remote for the
pipe to go up, usually it would go up to chest level so that it could be sprayed, but
on one occasion it continued to go up even though he had released his finger off the
remote button (T5-7). He did not accept the proposition initially put to him for
comment which was that generally the hoist always lifts at the same speed once it is
activated. However a little later in his evidence, he did seem to accept that once the
remote is activated, it always moves at the same speed (T5-11). Notwithstanding
this anomaly, Mr Misi repeated several times during the course of his evidence that
sometimes when he had pressed the remote it would go and some times when he
pressed it the remote ‘was going fast’ (T5-8, T5-9 and T5-14).
[20] Mr Parmenter, the plaintiff’s foreman at the relevant time, admitted that he had
received complaints from the plaintiff and from another co worker, Mr Misi,
regarding the remote prior to the plaintiff being injured. It was also clear that Mr
Meechan, who was responsible for minor maintenance of the hoists, was also aware
of a problem relating to the remote button. Both Mr Parmenter and Mr Meechan
confirmed during their evidence that the remotes had in the past got ‘build up’ (as a
result of overspraying) on it which would in effect cause the button which activated
the hoist to ‘stick’. That had the result of the hoist continuing to go up or down even
after the operator had taken his finger off the button (T6-17). Both Mr Parmenter
and Mr Meechan confirmed that this problem had to be addressed regularly as a
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result of build up (T6-36) and that a rubber overlay cover had been introduced by
Mr Meechan subsequently in respect of the replacement hoists in an attempt to
overcome the problem (T6-37). Prior to that being introduced, Mr Meechan gave
evidence that it was really left up to the operators to try and keep it clean (T6-36) a
fact confirmed by Mr Woodwood. Mr Parmenter gave evidence that after the
complaints had been made to him by the plaintiff and the other co workers, a
maintenance plan had been implemented which he believed had eliminated the
problem (T6-29). Mr Woodwood, leading hand at the relevant time, on the other
hand, dealt with such complaints in his own way. He gave evidence that if he had a
complaint then he would go and check it out, but if it worked alright for him then he
would just leave it at that (T6-47). Mr Bolton, Safety and Rehabilitation Co-
Ordinator, gave evidence that even though he hadn’t personally received any
complaints regarding any defects with the hoist, remote or the hook, he was aware
of them (T2-62). He had not however ever operated the hoist which the plaintiff had
allegedly been injured on.
[21] The defendant submits that the evidence of prior complaints especially from
Mr Ioapo should be discounted as he did not mention it in a written statement which
he initially provided and the fact that he may not have been an employee at any
relevant time. I am unable to accept those submissions. Mr Ioapo struck me as an
honest witness and I have reason to believe that he was simply mistaken about when
he had commenced at the workplace. I certainly did not get the impression that he
was simply making up his evidence regarding his recollection. In any event, his
evidence was that he wasn’t sure exactly sure when he had commenced at the
workplace.
[22] The submission which has been made also overlooks the other evidence available
on this issue. Mr Parmenter and Mr Meechan both confirmed that many complaints
had been received regarding the hoist and the remote button failure to operate
properly prior to the plaintiff allegedly being injured. Mr Parmenter even accepted
that Mr Misi had made a complaint to him about the remote. The available evidence
therefore supports a conclusion that prior complaints were made by relevant
employees which the employer concedes it was aware.
Risk Assessments performed
[23] Mr Bolton, the employer’s Safety Co-ordinator, gave evidence regarding risk
assessments which had been carried out in respect of the priming booth prior to the
plaintiff injuring himself. He stated that a worker hanging onto a hook apparently as
it ascends was not identified as a risk. He stated that was because of the way it was,
that is, the worker was only required to lift to the height of the chain line going into
the oven, in that the worker would hook the object onto that chain line which did
not involve any lifting by the worker above the worker’s head (T2-61).
[24] Mr Bolton also gave evidence that the build up on the remote as a result of
overspray which resulted in the button becoming stuck even after a worker had
removed his finger off that button was also not identified as a risk. He stated that
was because even though the hoist would keep ascending or descending in those
circumstances, the limit switch on the crane would cut it out, and as such, there was
no risk to a worker identified (T2-61). That evidence was given by Mr Bolton
against the earlier evidence on this issue which he had given, namely that the only
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way the hoist could keep rising is ‘if you keep your finger on – on the button’ (T2-
58).
[25] Mr Vecchio, Manager, provided no useful evidence on this issue. His evidence was
that he didn’t believe there was anything wrong at all with the hoist in question,
even going as far as to say that the only reason that the hoists were replaced were as
a result of the complaint made by the plaintiff that there was something wrong with
the hoists. Indeed, Mr Vecchio’s evidence was that he didn’t even believe the hoists
had any problems at all such as oil and air leaking or that the remote was causing a
problem (T2-78). That evidence was contrary to the evidence given by Mr
Meecham who actually carried out minor maintenance work on the hoists with more
substantial work being left to a 3rd party contractor (DeMag). Mr Meecham
confirmed that the hoists had all of those problems.
[26] Mr Bolton also gave evidence regarding a re-enactment which he and Ms Valiant
from Catalyst Injury Management requested the plaintiff to show them how he said
he had been hurt on the hoist. This took place presumably sometime in the latter
part of 2008 (after Catalyst had become involved). Mr Bolton gave evidence that he
couldn’t understand how the plaintiff could have hurt himself in the manner
described to him (T6-57). Mr Bolton gave evidence that he believed the only way
the hoist could keep rising is if you keep your finger on the (remote) button. (T6-
58). Mr Bolton’s understanding however in this regard was simply not correct and
indeed inaccurate when one has regard to the other available evidence given on this
issue. Mr Parmenter, Mr Meecham, the plaintiff and the other co workers all gave
evidence about the remote button sticking which could give rise to the hoist
continuing to ascend even after an operator had taken his finger off the button. Mr
Bolton, in any event, gave evidence that he had only operated a hoist after the
incident had occurred which may well have been after the new replacement hoists
were in place from March 2008. He also wasn’t sure that he had ever actually ever
operated the hoist which the plaintiff says he was operating when he had suffered
his injury.
Hoists replaced in March 2008
[27] There was evidence given on this issue. Mr Parmenter (T6-29) and Mr Meecham
(T6-42) believed that the only reason the hoists were replaced was because the
service cost was nearly the cost of a new hoist, so economically it was better to
replace them. However, that evidence was in complete contrast to that given by the
Manager, Mr Vecchio. Mr Vecchio gave evidence that the only reason that the
hoists were ever replaced was because the plaintiff had alleged there was something
wrong with the crane, so just to make sure that nothing arose in the future, the hoists
were replaced (T6-78). He confirmed several times during his evidence that he
believed that there was nothing wrong with the hoists and denied that there were
problems such as air and oil leaks or something wrong with the remote. That
evidence was in direct contrast to Mr Meecham’s evidence who confirmed that
there were problems with the former hoists which included air and oil leaks and
problems arising with the remote as it related to ‘build up’. Mr Vecchio’s evidence
was unhelpful on this issue, not surprisingly, as the maintenance in respect of the
hoists was left to others.
Expert Evidence – Dr Frank Grigg
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[28] The only expert called to give evidence in respect to the type of hoists situated in
the priming booth at the time the plaintiff says he was injured was Dr Grigg. His
report dated 2nd August 2013 was marked as an exhibit 152. It was agreed between
the parties that both hoists (numbers 1 and 2) had been scrapped in March 2008 and
as such, Dr Grigg did not have the opportunity to inspect either of those particular
machines for the purpose of his report and opinion.
[29] Dr Grigg confirmed in evidence that he had assumed for the purpose of his report
that the hoists that were scrapped were NPK RHL 250 models. That conclusion
appears to be supported by the other evidence available during discovery as it
relates to maintenance records in that at least one of the hoists situated in the
priming booth prior to them being scrapped was of that type and model. There was
however no suggestion from the defendant that either hoist in that area was of a
different type or model from each other. The available evidence also shows that the
two hoists scrapped were subsequently replaced by a different model altogether,
namely a Toku 250 DPE.
[30] Dr Grigg confirmed during his evidence that the NPK had a selection of speeds
available insofar as its’ lifting speed which may be set anywhere between 46 to 85
cms a second. He confirmed that that as that type of hoist got more worn, then it is
likely that it would start to leak air, which in turn would slow its’ lifting down. He
also confirmed that once the machine’s speed is set then it cannot go any faster than
that set speed. Dr Grigg also confirmed that even though the machine cannot travel
above its’ set speed, he stated that it was a matter of perception (by the operator)
whether that person might think that the rising at a speed of 80 cms a second, might
be considered to be ‘jerking’.
[31] Dr Grigg also gave evidence that once the machine’s speed is set, then if you push
the button (remote) fully then it will reach that maximum set speed and no more. He
also confirmed that the operator could also reduce the speed by not fully depressing
the button. That evidence however was qualified by Dr Grigg having regard to
whether the remote was working correctly or not (T5-45). In re examination, Dr
Grigg however clarified this point. He stated that if the remote was in fact faulty as
described, he would expect that the maximum speed you could get would be the set
normal maximum speed, but the fault itself might cause it to be something less than
that (T5-47). In other words, the faulty remote will not make it go faster than its set
maximum speed (T5-48). Dr Grigg also confirmed that while the maximum speed
relating to the NPK hoist may be set between 46 to 85 cms per second, if the
machine is in very poor condition in that it was only operating at a maximum speed
of 16 to 17cms per second (as suggested by the defendant) then the jerking is likely
to have occurred as a result of its’ poor condition or that the settings on the hoist
itself were such that it didn’t work at its maximum speed (T5-47). In his report, Dr
Grigg referred to the settings relating to the maximum speeds in respect of the NPK
RHL 250 hoist and the replacement TOKU 250 DPE hoist after the former was
scrapped.
[32] Attachments 1 and 2 to that report refer to the speed range available. In respect to
the NPK RHL 250 hoist, Dr Grigg noted that it was capable of a much higher lifting
speed than the TOKU. He also noted that TOKU did not have the equivalent of the
speed adjustment feature of the NPK. In order words, the TOKU hoist only has a
maximum lifting speed of 13.1cms per second in comparison to the NPK which had
a maximum lifting speed of 46 – 85 cms per second, depending on the setting of the
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speed adjuster. When regard is had to the speed adjuster chart contained in
Attachment 1, the range of minimum and maximum lifting speeds available for the
NPK RHL 250 ranges from 9.8 to 25.5 m/min which, when converted, is 16.3cm to
42.5cm per second. However, as pointed out by Dr Grigg during his evidence, those
calculations must be doubled for the purpose of calculating the speed range
available for the NPK RHL – 250 (as indicated below that chart), therefore giving it
a minimum or maximum speed range of 46 cm to 85cms per second.
‘Speed of the Hoist’
[33] Mr Parmenter conceded he was unable to comment regarding any difference in
speed as it related to the new and former hoists lifting capacity (T6-30). Mr
Meecham believed however that there could be a combination of speeds that might
result. For example, he gave evidence that dependent on the amount of air the hoist
was being supplied with, that may result in the hoist reaching its’ set maximum
speed immediately after the remote button was pressed, or that it might result in it
not working at all or it might result in it even reaching a speed somewhere between
no speed and the maximum speed allowable. He also conceded that he did not have
any real knowledge of a comparison between the speed of the old and new
replacement hoists (T6-43, 44). Mr Woodwood, who worked as a leading head at
the relevant time, who had also operated both the old and new replacement hoists
considered that the hoists had always been too slow for him. Mr Woodwood also
did not consider that the speed of the hoist could go any quicker than presumably it
had been set as he had tried by ‘pushing it heaps of time, and it wouldn’t go any
quicker’ and ‘it just would not go’ (T6-47).
[34] The defendant submits that the evidence by the witnesses who actually operated the
hoist such as the plaintiff and Mr Misi should be discounted as the expert evidence
of Dr Grigg confirms that the hoists can not go any faster than the set maximum
speed. As such it was submitted, their evidence regarding the hoist going up ‘fast’
could not be believed. I cannot accept that submission. That submission overlooks
the evidence of Mr Meecham on this issue. It was clear from Mr Meecham’s
evidence that a variety of speeds could arise at any given time attributable to the air
system failing. That evidence is in addition to the evidence which was available that
the remote button could also stick because of overspray build up causing the hoist to
continue lifting or not lift at all at times. As such, the evidence of the plaintiff and
the witnesses regarding their perception that the hoist could ‘go up fast’ is, in my
mind, reasonably open on the evidence.
[35] Dr Grigg also confirmed that an operator could reduce the speed by not fully
depressing the button on the remote but one had to have regard to whether the
remote was working correctly or not. In this case, there was evidence that the
remote was in fact not working as it should on occasion. He also confirmed in his
evidence that the maximum speed which the hoist could achieve was three times
faster than the replacement TOKU hoist (the speed of which is only shown in the
DVD work practices video).
‘Jerking’
[36] Mr Parmenter did not appear to recall any problem reported to him associated with a
‘jerk’ (T2-17) insofar as the hoists in question though he did admit that the problem
reported to him by the plaintiff regarding the sticking of the remote button and by
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others were the same type of problem. Mr Meecham did not specifically recall any
report to him related to any ‘jerking’ (T6-37). Dr Grigg however confirmed in his
evidence that even though the hoist could not travel above its’ set maximum speed,
he stated that it was a matter of thinking (by the operator) whether that person might
think that rising at a speed of like 80cms a second, might be considered ‘jerking’.
There was further evidence on this issue which also lends support to the view
expressed by Dr Grigg. The plaintiff told Dr Moroney that ‘his shoulder was
suddenly jerked in an upward direction’ (ex 34). He also gave a general description
to various doctors that could be accepted as consistent with the plaintiff’s own
perception that the hoist had commenced its ascent ‘suddenly’ before he had time to
take his hand off at a time when he was using the remote. Bearing that in mind,
given the language barrier, this is consistent with a description of the machine
appearing at least to the plaintiff to have jerked upwards at or immediately before
the commencement of its’ ascent particularly where it had not been activating just
prior.
‘The System of Work Adopted’
[37] The DVD work practice video played to the various witnesses confirmed the system
of work that was generally carried out in the priming booth where the plaintiff had
worked even though the hoist actually being used was the replacement Toku. That
video shows, not surprisingly, that during the course of the work activity being
performed, that a worker is always required to have at least one hand on the pipe or
the product that he is working on, with the remote in the other, most if not all of the
time when guiding it. That is the case throughout the whole of the system of work
shown in the DVD. The DVD also shows that the worker guides the pipe or product
towards the conveyor belt for hook up in order that the product may then go into the
oven, a fact also confirmed by Mr Meecham (T6-43.)
[38] I find that the evidence available shows that in order to carry out the work required
in the priming booth, a worker is required to leave a hand on that item even when it
is being lifted into position, a practice commonly and always adopted by most
workers, again not surprisingly, in order to stabilise or direct the load being lifted. I
find that the system of work adopted by the employer, against a background of prior
complaints of the remote sticking and the hoist lifting at variable speeds dependent
on the air being supplied to it, required the defendant to warn the plaintiff and other
operators to take care especially when activating the ascent button. I find that the
defendant, upon becoming aware of the problems with the remote and hoist, ought
to have taken steps to tell the operators to be careful when leaving their hand on the
hoist/hook while also operating the remote. There was no evidence to suggest that
this simple precaution was taken or even contemplated prior to the plaintiff being
injured. Indeed, the risk assessment conducted by Mr Bolton confirms that no such
precaution was taken because he did not identify it even as a risk. Unfortunately, it
is clear from Mr Bolton’s evidence that he didn’t turn his mind to the possibility
that if an operator kept his hand on the hoist and pressed the remote button which
could then ascend at its’ maximum speed even after the operator had taken his
finger off the remote, that it was more likely that a worker in those circumstances
may well have his hand/arm extended above his head level before he had time to
remove it, and could in turn suffer injury.
Breach of Duty of Care
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[39] Having regard to all of the evidence available for consideration, I find on the
balance of probabilities that the plaintiff has established that he suffered a work
related shoulder injury as a consequence of using a hoist with a remote control
which the employer knew was not functioning properly and had been the subject of
prior complaint. I also find that the hoist itself, as a consequence of the amount of
air supply it was or was not receiving, was also not functioning as it ought to have
been upon the remote button being activated. I find that the employer in this case
has breached its’ duty of care in that all reasonable precautions were not taken to
eliminate the unnecessary risk of injury that arose here. I find that risk was
reasonably foreseeable and was likely to result in injury if the worker left his hand
on the hoist/hook when activating the ascent remote button which was not working
properly at the time.
[40] An employer is required by statute, by the terms of the contract of employment and
the duty imposed upon it by law to exercise reasonable care for the safety and
wellbeing of its’ workers which included providing a safe system of work and
providing suitable equipment. I find that the employer has breached its’ duty to the
plaintiff in failing to provide proper equipment which could be used by its workers
safely particularly having regard to the system of work in place that was adopted
when carrying out their duties in the priming booth.
[41] I find that any risk assessments also taken in respect of the hoist were inadequate
insofar as identifying the real and foreseeable risk of injury to the worker
particularly against a background of prior complaints having been received in
respect of the remote sticking and an awareness that variable speeds may result
depending on the amount of air being supplied to the hoist. Further I also find that
Mr Bolton’s evidence regarding any ‘cut out limit’ relating to the hoist itself was
misconceived insofar as any impact it may have in the circumstances just described.
The evidence shows that any cut out limit would have no effect at all in preventing
the hoist from lifting at its maximum set speed notwithstanding Mr Bolton’s initial
evidence on this point.
[42] I find that the plaintiff has satisfied the requirement of proving that it was more
probable than not that had the plaintiff and other operators been warned not to leave
their hand on the hoist/hook when activating the ascend button the injury would not
have been suffered.
Causation
[43] The defendant disputes the question of causation. The defendant’s primary
submission was that the plaintiff’s evidence should be rejected regarding how he
says he was injured as he was singularly lacking in credibility. The defendant
submits that in those circumstances the claim ought to be dismissed. The defendant
also submits that in the event that any breach of duty by the employer is established,
the defendant says that it was insufficient to cause any or any significant injury at
all beyond that of a type which only entitled him to one week’s restricted duties and
possibly a statutory compensation claim. The defendant submits that no damages
should be awarded under those circumstances, particularly when regard is had to the
plaintiff’s overall credibility. The defendant also says that even if there was any
negligence established, the plaintiff contributed to his own injury and/or failed to
mitigate his loss.
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Findings on Credit
[44] The defendant referred to various matters in his written submissions which I shall
deal with in order that they may be readily understood. Both counsel provided
helpful written submissions (marked exhibits 154, 155 and 156), which were
supplemented by oral submissions.
The plaintiff’s evidence regarding the work incident giving rise to the injury
[45] The defendant submits that the plaintiff was unreliable in his account to the court on
this issue and overall as a witness generally.
[46] After paying careful regard to the evidence available on this point, I find that the
plaintiff’s evidence regarding how he injured himself at work on or about 14th
February 2008 was consistent throughout the whole of his evidence even though it
was at times hard to follow due to the nature of the questioning required, the many
breaks necessitated by the interposition of the various medical witnesses and after
giving due allowance related to the taking of full interpreted evidence from him. At
no stage did I think or form an impression during the whole time he was giving his
evidence that he was being deliberately untruthful or evasive in his account to the
court. A careful reading of the whole of his evidence, supports a conclusion that the
evidence which he gave, especially during extensive cross examination about how
he injured himself on the hoist, was not only consistent with the original account
which he gave during his examination in chief, but it was also consistent with the
pleaded case and the general description which he then gave to the various doctors.
[47] There were some descriptions regarding the stated cause of injury that required
further consideration: Dr Cherian 14/2/08 ‘lifting fittings 20+ kgs at work yest’; Dr
Robinson 21/10/09 ‘accidentally pressed the wrong button’; Dr Ballenden, 18/11/09
‘he pressed the up button on the right side inadvertently and the chains lifted into
the air etc’ (ex 71 p167) and Dr Gilpin 19/7/11 ‘ he claimed the machine suddenly
activated’. The description given to Dr Cherian was consistent with the evidence
given by the plaintiff regarding lifting with the hoist a variance of weights. Mr
Parmenter in any event confirmed that he had told the doctor that the plaintiff had
been using the hoist when he says he was injured. The account to Dr Ballenden, in
my mind, can also be readily explained. I do not consider after having observed the
plaintiff and his wife giving evidence that either of them would use the term
‘inadvertently’ in any description given. Mrs Fetu’s grasp of the English language
did not demonstrate to me that she would even understand that term and it is not
contested that the plaintiff could not speak or understand the English language very
much at all. Regarding the account recorded by Dr Robinson, I am satisfied that any
suggestion that the plaintiff had said he had accidentally pushed the wrong button
was lost in translation and did not in any event accord with the consistent account
given by the plaintiff to the various other doctors regarding how he had suffered his
injury. He had always described as being injured only when he was using the
remote in order to get the hoist to lift upwards (in the ascent) and not in descent.
The undisputed evidence regarding the remote was that there was a button for each
of those phases. The account given to Dr Gilpin is also consistent with the account
given by the plaintiff regarding how he described he had suffered the injury. As
such, these various accounts do not cause me to have any doubt regarding the
plaintiff’s credibility as a whole or cause me to consider that he had in any way
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contributed to his own injury. I accept what the plaintiff says about what he says
happened when he was injured.
[48] The defendant submits that in the plaintiff’s amended statement of claim the
plaintiff asserts he was injured on the 14th February 2008. The amended statement
of claim however in fact says that it was ‘on or about’ the 14th February 2008’ when
he says he was injured. This is consistent with the medical evidence of Dr Cherian
which I shall now address.
Initial attendance upon Dr Cherian on 14th February 2008
[49] Mr Parmenter who was the plaintiff’s foreman up until Mr Parmenter returned to
Innisfail to work at the end of 2008, gave evidence that he couldn’t recall the
plaintiff ever telling him about any injury at work on the 13th February 2008. He in
fact denied that the plaintiff had ever reported that he had hurt himself on the 13th
February 2008 or that he had told him to initially take a rest or had sent him home
that day. He stated that he did recall however taking the plaintiff to see Dr Cherian
after the plaintiff had told him that he had hurt himself at work. Mr Parmenter
recalls the plaintiff telling the doctor that he had hurt his shoulder on the hoist and
that they were then given a work plan to put the plaintiff back to suitable duties until
such time he was right to go back to full normal work (T6-16).
[50] I find that the evidence regarding Dr Cherian’s attendance with the plaintiff on the
14th February 2008 supports a conclusion that the plaintiff suffered a work related
injury the day before when the plaintiff was working in the priming booth. The
evidence of Dr Cherian already referred to in these reasons confirms that it was
reported to him that the plaintiff said he had suffered a shoulder injury the day
before. The entry ‘lifting fittings yest’ confirms this fact. The clinical notes also
show that the Doctor noted the injury had occurred yesterday. Mr Parmenter also
confirmed that he had told Dr Cherian that the plaintiff had been working on the
hoist on the day when he was injured. There was no evidence that the plaintiff was
working anywhere else other than the priming booth on that day even on the
defendant’s own case. Dr Cherian also gave a workers compensation certificate
stating that Dr Cherian was satisfied that the injury had arisen as a result of the
stated cause given to him.
Period between 14th February 2008 and 20th July 2008
[51] The defendant referred specifically to the contemporaneous documentation which
also included exhibits 86 and 87 respectively, as it related to the plaintiff’s
attendance at work during this period. Ex 150 was tendered but only to assist me in
understanding those documents and the cross examination that was to take place in
respect of it. In short, the defendant says that the contemporaneous documentation
tendered by the defendant belies the plaintiff’s evidence given at trial regarding his
return to work and the type of duties which he says he was doing during this period.
The defendant says that exhibits 86 and 87 when read together show that during this
period that the plaintiff had returned to work on suitable duties the week
immediately after he had seen Dr Cherian, that he then had two weeks off related to
personal reasons (the son’s hospitalisation which was not disputed) and then
returned to work after this period, aside from some days off here and there, and had
carried out his full time normal duties back in the priming booth. What is
immediately apparent when looking at that documentation (ex 86 and 87) is that it is
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not readily distinguishable whether the plaintiff was working on full ‘normal’ duties
or was in fact at work doing suitable duties during the hours that have been recorded
as him being at work.
[52] A careful reading of the plaintiff’s evidence on this issue supports a reasonable
conclusion being made that the plaintiff appeared to have understood that Dr
Cherian had advised that the plaintiff should stay away from work for two weeks
but that ‘when he went to work the following day, Shane took him back to work’
(T4-7). The plaintiff denied a suggestion during cross examination that he had never
been told by Dr Cherian to have 2 weeks off after the accident as he suggested.
(T4-8).
[53] The plaintiff was then taken through the 2008 ‘calendar’ (ex 150) relating to his
alleged work history during February to July 2008. Due allowance must be made
regarding the time which has since past regarding the calendar entries recorded and
the plaintiff giving his evidence at trial. Even notwithstanding, the plaintiff
continued to maintain consistently throughout his evidence, which included
extensive questioning on this exhibit, that he believed he had taken 2 weeks off after
he had injured himself like he understood Dr Cherian had told him to, that he agreed
that he had time off relating to his son’s hospitalisation and that he had then
returned to work but was only ever performing light duties most of the time. He
stated in his evidence that he had been required to work the hoist in the priming
booth if Shane couldn’t find anyone to work in there but he would only be in there
for about half an hour as it would be too painful for him. He stated he would then go
back to his light duties as before which included stacking pipes, banging them to
make them straight and the like, (T4-16) a fact that he had also confirmed earlier in
his evidence (T4-9). He continually denied that he had returned to the priming
booth upon his return to work after his injury full time as suggested and stated that
he had only gone back to the priming booth on one day because Shane had came
and asked him to go there (T4-22). The defendant submits that no suitable duties
were in fact ever extended beyond the 20th February 2008 (ex 11), lending support
to the defendant’s submission that an inference can be drawn that the plaintiff had in
fact returned to full duties after that time. I cannot accept that submission. Mr
Parmenter confirmed that the plaintiff was not taken back for review, as required
under Dr Cherian’s certification. He could not explain a reason for that. Ex 150 also
shows nearly immediately after that review was to take place, the plaintiff was off
for approximately two weeks in any event before returning to work. The plaintiff’s
evidence which I accept, was that even if the plaintiff had returned to the priming
booth after that time, he had complained of pain to ‘Shane’ and was then taken off
those duties and put to work someplace else on site.
[54] The plaintiff stated that even though he continued to work, his shoulder had
continued to get worse and he wasn’t able to do his work. He eventually went to see
his own doctor on the 26th July 2008 (Dr Sundram) after seeing a doctor at the
Ipswich Hospital on the 20th July 2008. He had gone to the Ipswich Hospital on that
date by ambulance complaining of a swollen left arm and painful shoulder. He was
given a work certificate in addition to a medical certificate by Dr Davidson at that
Hospital (ex 18) and subsequently received WorkCover benefits. During this time
he said he also received some physio treatment. Notwithstanding those certificates,
he was taken to be reviewed by Dr Cherian on the 21st July 2008 and again with his
employer on the 28th July 2008 as a dispute had arisen between them regarding the
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causal link between his work injury in February 2008 and the onset of worsening
pain in July 2008.
[55] During cross examination, Mr Parmenter confirmed that the plaintiff was not taken
back for medical review as required under Dr Cherian’s medical certificate and
could provide no explanation regarding why that was not done. He also could not
remember whether he had filled out an incident report even though he conceded it
was his responsibility to do so. He also could not remember whether he had even
told his Manager (Mr Vecchio) or Mr Bolton (Safety and Rehabiliation Co-
Ordinator) about the plaintiff’s injury at that time. Indeed, not surprisingly, due to
the time that has since passed, Mr Parmenter conceded however that his recollection
of events now were limited. For example, he stated in chief that he could only really
remember the months of February and July (T6-16). That fact was again confirmed
by him during cross examination in that he conceded that he really couldn’t
remember anything in between those times. As such, the evidence which Mr
Parmenter gave, in chief and under cross examination, that he believed that the
plaintiff had returned to full (normal) duties after the February event must be
viewed by me with some caution, particularly having regard to Mr Parmenter’s
evidence to the court which was that he wasn’t even quite sure when any return to
full normal duties had taken place. Mr Parmenter also could not even remember
whether he had in fact taken the plaintiff off the priming duties after the plaintiff
was unable to perform those duties (T6-27) during that period or whether he had
been performing other tasks during that time such as sweeping the floor or lifting
things (T6-27), which supports a conclusion that the plaintiff may well have been
carrying out other duties other than in the priming booth during that time.
[56] Mr Woodwood, who was the plaintiff’s leading hand at the relevant time, recalled
that when he first heard about the plaintiff hurting himself, he recalled him having a
week off and then he was placed onto light duties. While Mr Woodwood confirmed
that he did not know exactly when he first heard about the plaintiff having hurt
himself, a careful reading of his evidence shows that his evidence clearly related to
the period of five to six months prior to July 2008 (T6-48.49). That conclusion is
supported by the evidence which he gave during cross examination when he
recalled that the plaintiff was taking time off around March and April as it impacted
upon other workers, a fact he was personally aware of being the leading hand and
conscious of. He recalled that the plaintiff had either a week or two off, that he had
continued to have difficulties and had to have more time off work (T6-51).
[57] I have no reason not to accept Mr Woodwood’s evidence on this issue. Mr
Woodwood especially remembers the impact that the plaintiff’s absences were
having on the workplace as leading hand and as such, I have no reason to reject his
evidence when he said that the plaintiff had been given light duties to do even
during March and April which he understood simply continued until the plaintiff
eventually ceased work (T6-52). I do not consider that Mr Woodwood was mistaken
or confused about his evidence as the question put to him by counsel for the defence
specifically directed his mind to a time relating to the period five or six months
prior to events of July 2008 (T2-48, 49).
[58] I find that even after giving due regard to Mr Parmenter’s evidence at its’ highest, I
am unable to accept his evidence which was that the plaintiff had returned to full
time normal duties working back in the priming booth during this period. I find that
Mr Woodwood’s recollection of events is more likely particularly in circumstances
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where Mr Woodwood had an interest as a leading hand to know what duties his
workers were performing in order to make up any shortfall. His account is also
consistent with the plaintiff’s recollection regarding the type of work that he was
doing during the period February and July 2008 before the plaintiff then went off
work for several months before eventually returning to work under a suitable duties
program organised by WorkCover.
[59] Mr Bolton, Safety Co-ordinator, also gave evidence on this issue. During his
evidence in chief, Mr Bolton gave evidence that when he use to attend at the Wacol
workplace (from Innisfail where he was based) once a week that he had personally
observed the plaintiff doing normal duties after the February 2008 incident (T6-56).
Mr Bolton’s evidence however must also be viewed with caution in light of his
concession that most of what he understood was as a result of what someone had
told him (namely information he had received from Mr Parmenter) regarding the
type of work the plaintiff was doing during this period. His observation of the
plaintiff once a week as he suggests when he was attending at Wacol is difficult to
accept particularly when he conceded that he was there attending to the whole of the
site in his designated role and not there to observe a particular worker per se. It is
also important to remember that there would have been no real reason at that stage
for Mr Bolton to be taking any particular interest in the plaintiff at all during that
period in light of the defendant’s case, which was that the plaintiff had not suffered
any injury at all or if he had, it had only been minor.
[60] I find that ex 86 shows that the plaintiff’s working hours are recorded during the
week ending 19th February 2008 and are consistent with him having attended that
week at work. However, that is not the end of the matter. As already stated, exhibits
86 and 87 do not show the type of work that the plaintiff was actually carrying out
at any stage during the periods recorded and as such, I am unable to, as submitted
by the defendant, to find that those documents are capable of supporting a
reasonable inference being drawn that the plaintiff had in fact returned to full time
normal duties. The evidence which I have accepted from the defendant’s witnesses
in fact suggests the opposite conclusion.
[61] I find however that exhibit 86 does show that during the week ending 4th and 11
March 2008 respectively the plaintiff was clearly absent from work for 5 and 3 days
respectively. Those weeks coincide with one of his son’s being in hospital. It is not
disputed between the parties that the plaintiff was absent from work during this
time. The absence of two weeks at this time is in my mind consistent with the
plaintiff and his wife’s recollection that he was off work for nearly 2 weeks after he
had just been to see Dr Cherian. I do find however that their respective recollections
of the timing of such absence was not as they thought, being immediately after the
consultation with Dr Cherian on 14th February 2008. The absence nevertheless
occurred shortly thereafter. The records show that the plaintiff was in fact absent
from work between 22 February up until 10th March 2008 (a period of two weeks
approximately), after which time he returned to work.
[62] Even though I find that the plaintiff was mistaken about when he believed he had
taken time off work during February 2008, it does not cause me to consider him an
untruthful or unreliable witness as a consequence or cause me to reject his evidence
entirely. The evidence shows that the plaintiff did in fact have approximately two
weeks off from work during February 2008/March 2008. I find that his absence was
in part attributed to his son’s illness and in part to his belief that he should be taking
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time off to rest in accordance with Dr Cherian’s advice. Mrs Fetu’s evidence was
that she had heard Dr Cherian telling Shane to let the plaintiff have two weeks off
work, consistent with the plaintiff’s own belief. Mr Parmenter denied that she had
attended that appointment however I have no reason to believe that Mrs Fetu did not
attend at the doctor on that day with her husband as she stated. She said that her
husband had come home from work early the day before and that is why she went
with him to work the next day in order that he could go to see the work doctor with
Mr Parmenter.
[63] The plaintiff utilising his remaining sick leave and then annual leave at the time his
son was hospitalised is also consistent in my mind with the belief that the plaintiff
and his wife may have held, that Dr Cherian had suggested that he should have two
weeks away from work to rest his shoulder. The defendant submits that it would be
a nonsense for the plaintiff to have sought leave to be at the hospital with his son if
he was legitimately absent on sick leave as he suggested. While I accept the
submission made on this point has some merit, the evidence which the plaintiff gave
on this point must also be viewed in the context of Mrs Fetu’s evidence. She stated
that the only reason she had obtained a certificate from the hospital regarding his
son’s hospitalisation was because Shane had asked her to get one, a fact which she
then did.
[64] The defendant also says that the plaintiff should nevertheless be found to be
untruthful or at the very least unreliable, having regard to his recollection in respect
of the two weeks which were actually taken off, as it could not be said to be related
at all to any injury suffered on the 13th February 2008.
[65] I cannot accept that submission. The evidence from the plaintiff and his wife was
that he had been at home (away from work) during the two week period his son was
in hospital. Mrs Fetu clarified in her evidence later however that her husband was at
the hospital for one of those weeks and their niece had taken over that role for the
other week (T5-35). During the time that the plaintiff was at home during that
period, Mrs Fetu gave evidence which, I have no reason not to accept, that her
husband virtually sat around and did nothing. She also stated that if he attempted to
do some chores he would not complete them. As I also understood the evidence, he
was simply required to sit with his son at the hospital who was seriously ill as his
wife was unable to be there because of a young baby at home. The defendant
submits that the wife’s evidence that the plaintiff was at home literally during the
two week period ignores two important points. Firstly, Mrs Fetu’s description of her
husband being at home over those two weeks is consistent with her simply meaning
her husband was not going to work during that time. It also ignores the evidence
which she gave, which was that when he was at home over those two weeks, he was
virtually doing nothing. While it is accepted by me that exhibit 86 shows that the
plaintiff apparently did in fact return to work during the week immediately
following Dr Cherian’s visit, he nevertheless was still placed on suitable duties
during that week, a fact even conceded by the defendant which is consistent with the
plaintiff having suffered an injury around that time, a fact which the defendant has
always continued to deny.
[66] Mr Woodwood also recalled the plaintiff having time off from work for a week or
so around this time. His memory however of the plaintiff then being placed on
suitable duties during March and April, (a fact denied by the employer), is decisive
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in that it sits precisely with the plaintiff’s time off from work during his son’s
hospitalisation and his return to work.
[67] There was also evidence from Mr Vecchio in any event which cast doubt over the
accuracy of the exhibit 87. Mr Vecchio conceded that the document did not record
whether the plaintiff was actually performing normal duties or suitable duties. Mr
Vecchio also conceded that the document did not even record when a worker was
working under a suitable duties workers compensation plan, which in fact the
plaintiff had been during the relevant periods that had been recorded. As such, I
accept the plaintiff’s submission that exhibit 87 must be viewed with some caution
regarding the entries regarding the type of leave that was being taken during this
period in light of Mr Vecchio’s concessions.
[68] The defendant also referred to certain matters recorded by Dr Ballenden in his
report (ex 71 p 1) and Dr Moroney (ex 34), namely that the plaintiff apparently felt
well enough to return to work without a review taking place and that the plaintiff
had returned to full duties after having two weeks off respectively. Little in my
mind can be made of those respective entries. Mr Parmenter conceded that he did
not follow up with the plaintiff’s review as ordered by Dr Cherian even though it
was the employer’s practice that such a review ought to be carried out. Secondly, Dr
Moroney’s report must be viewed in its proper context. Dr Moroney states that the
plaintiff had taken two weeks off immediately prior to returning to full duties. It is
evident from the employer documents that the plaintiff did in fact return to work
after having two weeks off. Dr Moroney’s recording that the plaintiff had therefore
returned to full duties is equally consistent with the plaintiff having simply returned
back to work full time after a two week absence from work. The submission made
also overlooks the other recording made by Dr Moroney which was that the plaintiff
had told him that in between February and July 2008, his left shoulder had never
been right and the evidence which I have accepted from the witness Mr Woodwood
regarding the type of duties he said the plaintiff was performing during March and
April. I cannot accept the submissions which have been made.
[69] A further reference was also made by the defendant on this point as it relates to Dr
Saleem’s certificate in that after the 10th April work related incident she certified for
‘normal duties’. That certificate related to an injured finger related to a workers
compensation claim being made in respect of it. Accordingly, any certification
relating to normal duties also must be viewed in that context.
[70] The defendant also referred to the Application for Workers Compensation (ex 1)
which was made recording an injury to the shoulder of ‘unknown mechanism’. That
submission however overlooks the whole of the document which clearly states
directly underneath that entry that the plaintiff had been injured as a result of lifting
at work.
[71] The defendant also referred to the decision of Farrell v Qld Newspapers Lty Ltd
[1998] QCA 18 as a case bearing similarities to this case. I cannot accept that
submission. The plaintiff in that case had indicated that he had been injured at work
by pulling a trolley but then later said had injured himself as a result of lifting at
work. Not surprisingly the trial judge could not be satisfied regarding how the injury
was said to have occurred. That case is of little assistance here.
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[72] The defendant also referred to the decisions of Quintano v Cable Makers of
Australia Pty Ltd [1966] 2 NSWR 496, and Pitsiavas v John Lysaght (Aust.) Pty Ltd
[1962] NSWR 1500 regarding the respective court’s observations regarding workers
sustaining muscular strains and the like in the context of performing manual labour.
The reliance on such cases however overlooks the frozen shoulder complication
which has arisen in the context of this plaintiff’s injury, a fact medically confirmed
by the various doctors who had examined him, in addition to some radiological
evidence which also confirmed that diagnosis.
10th April 2008 incident
[73] The defendant submits that this (unrelated) work injury is of significance in itself
because it shows that the plaintiff was performing his usual work activities at work
in the priming booth when handling a pipe. That submission however overlooks the
other available evidence which was available for consideration which I have
accepted. The plaintiff had already stated several times in his evidence that he had
been returned to light duties which had included having to bang and stacking pipes
which he had found painful (T4-9, 16). There was also Mr Woodwood’s evidence
on this issue and his recollection as leading hand which was that the plaintiff was
doing suitable duties during March and April. I cannot therefore accept the
submissions made on behalf of the defendant.
Failure to consult medical practitioner regarding shoulder prior to July 2008.
[74] It is accepted that the plaintiff did not consult any medical practitioner regarding his
shoulder prior to his attendance upon the Ipswich Hospital on 20th July 2008. The
plaintiff admitted that fact himself while giving his evidence. The defendant submits
that such failure supports a conclusion being made that any injury suffered by the
plaintiff on or about 14th February 2008 was minor and therefore resolved quickly,
as evidenced by his non attendance upon a medical practitioner during this time.
The defendant refers to the Ambulance Report, the records from the Ipswich
Hospital and the various entries of attendances upon other doctors for other ailments
during this period in support of his submission.
[75] The essence of the evidence given by Mrs Fetu, which I have no reason to reject, is
that during this period her husband would simply put up with pain, would take over
the counter pain relief medication which she would buy for him and give to him
when he would complain of pain in the shoulder. She also gave evidence that heat
packs and massages were also used in order to give him relief. The evidence which I
accept is that Mrs Fetu was responsible for buying and dispensing any medication to
the plaintiff, a fact confirmed by the plaintiff during his evidence several times. That
practice may not be surprising considering Mrs Fetu had a better grasp of the
English language than the plaintiff. I find that the fact that the plaintiff did not
consult any medical practitioner during this time is not necessarily fatal to his claim
that he was continuing to suffer pain notwithstanding. He was adopting self help
measures and clearly, as evidenced by his employment records, was taking time off
from work during this period. I also accept that most of this time he was performing
suitable duties at work aside from an occasion or several occasions where Mr
Parmenter had asked for his assistance for a short period in the priming booth where
he had on those occasions found it painful. I also find that even though he continued
to work during this period, he was not performing the type of duties he had
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previously been asked to perform in the priming booth full time. The evidence
already referred to supports such a conclusion being made.
[76] The defendant also refers to exhibit 17A (Ipswich Hospital notes) and clinical notes
of an attendance upon the plaintiff (ex 7) by Dr Xu in support of the submission
made. The hospital notes, though not entirely clear, does record the plaintiff as
having indicated he had suffered a previous shoulder injury. There was no evidence
that the plaintiff had suffered any injury to his shoulder other than on the 13th
February 2008. The recording of ‘otherwise well’ by Dr Xu in the context of
attending in regards to a fever, also in my mind does not mean that the plaintiff was
not suffering from continuing shoulder pain since February 2008 as he stated. The
defendant also relies on the fact that the medical certification given by the Ipswich
Hospital doctor on the 20th July 2008 (ex 17 and 18) makes no mention of the date
of occurrence of any such injury. The evidence available shows however that the
plaintiff had attended upon Dr Cherian in respect of any injury that had been
reported as occurring on the day before.
[77] The defendant’s ultimate submission is that having regard to the whole of the
contemporaneous documentation available, that a finding ought to be made that
there is no medical evidence available that satisfactorily links the events of 13th
February 2008 to the development of shoulder pain on 20th July 2008. I cannot
accept that submission. That submission overlooks the medical evidence available
which confirms that the plaintiff had developed the secondary condition of adhesive
capsulitis (frozen shoulder) which had occurred over time. Dr Moroney, Dr
Marchant and Dr Vecchio all opine that it had resulted as a consequence of an initial
injury having been suffered. Dr Gilpin also confirmed that that condition can also
result even after a relatively minor injury.
[78] The defendant also refers in its’ written submission to the plaintiff’s evidence
regarding the prescription of medication. A careful reading of the whole of the
plaintiff’s evidence on this point (especially at T4-4) reveals that the plaintiff did
not in fact even remember the date when a doctor gave him a prescription for
Endone and Panadeine Forte. He also could not remember what tablets were
‘prescribed’ by Dr Cherian but remembered his wife buying some at the chemist
and giving them to him to take. He also stated in evidence at T4-6 that his General
Practitioner prescribed tablets for him once a week after he went to see her. The
evidence shows that the plaintiff only consulted with Dr Sundram, his General
Practitioner, on 26th July 2008 and had not seen her between 14th February 2008 and
before the 26th July 2008 and therefore could not have seen her once a week as he
stated. However, there was other documented evidence available on this issue. Dr
Sundram did commence prescribing the plaintiff Endone (also known as Oxycodone
Hydrochloride as evidenced in PBS documents tendered) and Voltaren which are
both prescription drugs after she first saw him on 26th July 2008 which is consistent
with the plaintiff’s evidence that she was the practitioner who was prescribing him
those particular tablets.
[79] The evidence by the plaintiff that he left it to his wife to get the medication for him
and give them to him is also relevant when assessing his credit on this issue. It was
evident during the questioning on this issue that the plaintiff really had no real
memory or idea regarding the nature of the tablets which the wife was obtaining and
providing to him or when he was in fact taking them. That fact however was not
fatal in my assessment regarding his credit overall. The fact was that even Mrs Fetu,
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who had been responsible for that function, could not provide any useful or real
details of the medications which had been obtained by her for her husband and the
like at trial. Therefore, it is not entirely unexpected that the plaintiff would have
little if at all any real memory now.
[80] The weight of the medical evidence available also shows that the initial injury
suffered to his shoulder on the 13th February 2008 led to the development of a
secondary condition of adhesive capsulitis (frozen shoulder) which can arise even
after a relatively minor injury (as opined by Dr Gilpin). There was also evidence
available which showed that as a result of those conditions, the plaintiff then
developed a psychiatric condition which was not stable as a result of not being
suitably treated. Drs Whitford and Byth both agreed this to be the case. The
plaintiff’s flat, unemotional and unresponsive demeanour in court while giving his
evidence is also consistent with this evidence and his failure to remember things
chronologically with precision, regarding medication and the like and who
prescribed what and when, was a fact also noted by Dr Whitford that the plaintiff
presented in an unusual behaviour regarding memory of events and the like.
[81] The defendant’s ultimate submission is that after having regard to the whole of the
contemporaneous documentation already referred to, with particular regard to the
medical evidence already referred to, that I would find that it is fatal to the
plaintiff’s claim. The defendant submitted that was because the various doctors
called by the plaintiff in his case relied on the history which was provided to them
regarding his ongoing incapacity as a result of the shoulder injury which he suffered
in early February 2008 which was wrong and in fact was ‘distorted’ insofar as any
working history given to them by him and any alleged ongoing physical impairment
arising throughout the time prior to July 2008. It was submitted that any opinions
based on that distorted history cannot now be accepted.
[82] After careful consideration, I cannot accept the ultimate submission which has been
made. There was ample medical evidence available which I have carefully reviewed
which was available at trial for consideration which supports a reasonable
conclusion being drawn that the plaintiff’s initial injury in February 2008 did
develop over time into a far more physical complication. There was also ample
medical evidence available to link the initial injury to that secondary condition
(frozen shoulder) which on all accounts having regard to the various orthopaedic
specialists involved agreed can be debilitating and take a long time to resolve. The
fact that the plaintiff did not consult any doctors during the intervening period from
early February 2008 up until he experienced bad pain on the 20th July 2008
sufficient enough to cause him to attend at the hospital ignores the pain that he had
been reporting to his wife, had been putting up with and the steps which he was
taking to manage his pain. It is accepted that he was already taking over the counter
pain relief, using heat packs and receiving massages. Mrs Fetu gave evidence that
he was in pain during this time and made many complaints to her which she
observed. She would then give whatever assistance she could or that he would allow
here to give him. I have already found that it was more probable than not that he
was on suitable duties most of the time that is, not performing his normal work full
time in the priming booth and was taking time off away from work during this
intervening period in any event, the latter of which is supported by evidence
tendered.
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[83] A submission was also made on behalf of the defendant that the history provided to
the doctors called by the plaintiff in its case ought to be rejected as Mrs Fetu had
been the one who actually provided the history to the doctors, and not the plaintiff. I
cannot accept the submission made. Most if not all of the doctors received history
from the plaintiff with the assistance of either an interpreter or through Mrs Fetu
acting as an interpreter. It was noted by nearly all medical practitioners who saw the
plaintiff that it was difficult to extract a precise history from him. Dr Sundram
certainly agreed that Mrs Fetu was the main historian however she was also clear to
point out that whatever questions she needed answering were also coming from the
plaintiff himself on occasion. Dr Byth in his report said he used a 3rd party
interpreter, Dr Wallace said that the wife gave the majority of the history but other
Doctors such as Drs Gilpin, Whitford, Gerhardt and Vecchio all suggested that they
had the assistance of an interpreter or that the wife was acting as the interpreter for
him. There is therefore no substance in the submission made.
Video Surveillance evidence (ex 138 and 139 respectively)
[84] The various tapes tendered were put to the plaintiff for comment.
[85] Regarding the 1st December 2010 footage, the plaintiff said that he was driving
because Dr Sundram had told him to drive and that he should try and exercise by
doing other things including trying to drive in order to help exercise his
shoulder/arm (T2-104). With respect to putting air in the tyres, filling up the car
with petrol etc, the plaintiff said he did those things with pain and was simply
following doctor’s instructions. (T2-105)
[86] Regarding the 3rd December 2010 footage, the plaintiff said that his hand gets sore,
and that it would go dead if he stops using it. He described it as needles poking into
his hand with the pain (T2-107). When shown lifting boxes into the boot of the car,
the plaintiff said that he uses his right hand to lift things, with his left hand helping
(T2-109)
[87] (Seven still photographs were tendered of these relevant activities: exhibit 138).
[88] Regarding the 14th and 15th May 2013 footage, the plaintiff said that he did drive a
manual van but did so with pain. He stated he did it regardless as a means of
exercising (T1-120). When questioned if he driving the manual van all day on the
15th May 2013, the plaintiff replied that he wasn’t driving all day as there were
times when he stopped and he would have a rest (T2-120). He also gave evidence
that others would also drive the van (like his brother in law and brother) (T4-42),
however the plaintiff did admit under cross examination that he usually was the one
who was picking up his children from school (T4-48). A substantial part of the
footage taken on the 15th May 2013, did not show the driver or anyone getting into
the drivers’ seat.
[89] The defendant referred to the impressions formed by the various doctors who were
called to give evidence at trial after watching the video surveillance evidence in
support of its’ submission that the plaintiff was not truthful, or at the very least, was
unreliable in his account/presentation to the various doctors who had examined him
and therefore should not be accepted as a credible witness.
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[90] On this issue, the plaintiff submits that only two short periods in time were filmed
during December 2010 and May 2013. The plaintiff submitted that a substantial part
of the May 2013 filming provided no evidence at all of anything in that all it
showed was presumably an investigator following a vehicle which did not show the
plaintiff at any stage driving, entering or even exiting that same vehicle. While the
submissions made by the plaintiff are true, there was however other footage
available which showed the same vehicle being followed the day before which the
plaintiff admitted he was driving that day. Even though the plaintiff stated he wasn’t
driving all day, he did admit however that he had been driving most days in any
event in order to either pick up his children from school or to do exercise as he had
been advised by Dr Sundram, his General Practitioner, to do.
[91] While it is accepted that the video surveillance footage was ‘short’ in compass, it
nevertheless had some important evidentiary value contrary to the submissions
made on behalf of the plaintiff. The plaintiff submitted that because some of the
video surveillance footage shown to the various doctors for comment was
‘inadmissible’, that meant that their respective evidence to court should therefore be
disregarded. By example, he particularly referred to Dr Gilpin’s evidence. Dr Gilpin
admitted that he had watched all of the videos (as did all the other professional
witnesses called to give evidence at trial including the plaintiff’s own medical
witnesses) which had included lengthy footage taken of a car from behind, which he
presumed was being driven by the plaintiff. That submission overlooks the
following important matters.
[92] Firstly, a fair reading of Dr Gilpin’s evidence is that very little weight or regard was
placed by him on that particular video. Indeed, the plaintiff had already admitted
during his own evidence that he had in fact been driving the same vehicle the day
before as was evident by the footage tendered and that he had been doing it most
days in order to pick the children up or to ‘exercise’ his arm/shoulder. Secondly, Dr
Gilpin’s main focus was the footage taken closer to his consultation with the
plaintiff, that being the December 2010 footage. The plaintiff submits that Dr Gilpin
only relied on one particular incident in that video, namely the petrol station pump
event and therefore the opinion which he gave on this issue should be ignored.
[93] I am unable to accept that submission. Dr Gilpin is an Upper Limb Specialist with
extensive medical experience in his field. I have no reason to reject Dr Gilpin’s
opinion when he stated that that incident alone could enable him to state
categorically that the plaintiff did not at that stage have a frozen shoulder. He made
particular reference to the elevation that he noted the plaintiff was able to perform.
Dr Wallace on the other hand initially didn’t even see it when he viewed the videos
and even after he did, still made no comment to the court regarding whether he
believed the plaintiff still had a frozen shoulder at that point or not. I therefore have
no reason to reject Dr Gilpin’s opinion. Regardless, there was other available
medical evidence which suggested that the plaintiff’s frozen shoulder should have
resolved by that date in any event. Other orthopaedic specialists who had examined
him much earlier were of the view that a frozen shoulder generally resolves within
18 months or even less. The plaintiff had initially been noted as suffering from the
condition around August 2008. There was no available evidence to conclude that
the plaintiff was in fact suffering from a frozen shoulder after the 2 December 2010.
The weight of the earlier medical evidence available for consideration in any event
would suggest otherwise.
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[94] Notwithstanding this finding, I find that the video surveillance evidence taken as a
whole does not automatically lead to a conclusion that the plaintiff had been
deliberately untruthful in his account to them or that he was deliberately
malingering when he was presenting himself to the various doctors for assessment.
[95] Many of the earlier doctors had already noted abnormal illness behaviour or
functional overlay or indeed suspicion on the part of the plaintiff himself regarding
any proposed treatment and the risk of hurting himself well before that video was
even taken. Dr Vecchio noted for example in one of his reports (date of examination
being in June 2009 – ex 49 p 3) that the protracted period of rehabilitation had be
thwarted by slow progress and deliberate immobilisation by the plaintiff (wearing a
sling voluntarily in order to avoid what he perceived would otherwise result in pain)
which was possibly due to have arisen as a result of difficulty in explaining to the
plaintiff that movement is beneficial for the condition of frozen shoulder. That same
observation had been also made by Dr Vecchio in his earlier report ex 38 at page 6
provided in October 2008 who had advised WorkCover that the plaintiff ought to be
given this advice through an interpreter. Dr Maroney also noted functional overlay
in October 2008 as did Drs Ballenden in November 2009.Drs Robinson, Gilpin and
Wallace insofar the latter specialists all noted that he was difficult to examine. Dr
Gilpin also noted some functional overlay which he agreed during cross
examination could be explained in the context of the plaintiff suffering from a
psychiatric illness at the time he saw him.
[96] This behaviour and clinical presentation however to the various doctors is in my
mind also consistent with the plaintiff having developed the onset of a psychiatric
illness which Drs Whitford and Byth both agreed had its’ origin in the context of the
plaintiff having suffered a physical injury which had become debilitating. The
available medical evidence shows that the presentation of any abnormal illness
behaviour and/or functional overlay noted by the various doctors appears to have
only arisen around the time the plaintiff was first diagnosed with the secondary
condition of frozen shoulder about August 2008. It is therefore open on the evidence
to conclude that the plaintiff’s ongoing presentation after that point to the various
doctors who examined him was consistent with him having developed a psychiatric
illness which had remained untreated.
[97] Accordingly, even after having regard to the video surveillance evidence and the
presentation and clinical observations made by the various doctors regarding any
abnormal illness behaviour or functional overlay, I am satisfied on the balance of
probabilities that the plaintiff was suffering from a psychiatric condition, the genesis
of which was as a consequence of the injury which he had suffered on 14th February
2008. This is not to say however that any ongoing physical or psychiatric incapacity
can however be solely attributed to that injury having been suffered. I shall deal
with this issue more fully in my reasons regarding any assessment for damages.
[98] Accordingly, insofar as the plaintiff’s credibility, I do not find having regard to the
whole of the matters raised for careful consideration on the evidence that the
plaintiff overall was a singularly unreliable witness or that he had been deliberately
untruthful to this court or to the various doctors who have examined him in order to
advance his interests in relation to the current litigation. I am cognisant of the
helpful guidance provided by Justice Muir regarding the acceptance or rejection of a
witness’ credibility set out at paragraph [60] in Suncorp Metway Insurance Ltd v
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Kilner [2013] QCA 42 when coming to my ultimate conclusion in respect of this
plaintiff and have set out my reasons accordingly
Failure to mitigate loss
[99] It is well accepted law that a plaintiff in a claim for damages for personal injury has
a duty to take all reasonable steps to mitigate the loss he suffers consequent upon
any proven breach. There appear to be no doubt that the principle that requires
reasonable action to avoid loss does oblige a plaintiff in appropriate circumstances
to undergo medical and rehabilitative treatment. The reasonableness of a refusal to
undergo particular medical treatment must be looked at in the light of the plaintiff’s
own circumstances and not from that of medical advisers.1 Therefore, the
reasonableness or otherwise of a refusal depends very much on what a plaintiff
know of and understands about the treatment, its risks and possible benefits, and
consequences of not undergoing it. Factors relevant to this consideration include a
mental condition, not understanding the language in which advice is given if no
interpreter is present, the plaintiff’s cultural background and any experience of the
plaintiff of undergoing previous medical treatment.
[100] The available evidence at hearing supports a conclusion that initially the plaintiff
continued to wear a sling even after being told by medical practitioners not to do so
(a fact particularly important insofar as his recovery in respect of his frozen
shoulder). He had also been advised by Dr Maroney to discard the sling on the 22nd
August 2008. He continued to wear it notwithstanding, a fact noted by the Catalyst
Injury Management (physiotherapy group) on 10th September 2008. He was still
using it on 20th October 2008 when Dr Vecchio saw him. He also presented to Dr
Wallace on the 5th July 2010 wearing a sling though on the subsequent occasion on
the 25th August 2011 he was not. Dr also presented to Dr Ng on 26th July 2010
wearing a sling. However, a careful examination of the Catalyst Injury Management
records (ex 114 – 117 p 262) also shows that the ‘restriction and conditions relating
to week 1’, wk commencing 11th September 2008 included wearing collar and brace
as needed (that is, a sling), that during the subsequent weeks he was to exercise out
of the sling (supervised) and/or wear the collar as advised by physiotherapist. In
November, those records also reveal that it was only at that point that he was
advised not to wear a sling during work. In 2009, the suitable duties programs
reveals no mention of the sling or collar but nevertheless continued restrictions
recommended included limited use of his left hand or shoulder when performing
work tasks. The persistence of the plaintiff in wearing a sling in my mind must be
considered against the observations made by Dr Vecchio in exhibit 49, p 3 and ex
38, p 6 insofar as the need to ensure that the plaintiff was told in his language that
movement was beneficial for the condition of frozen shoulder. It must also be
viewed against the development of a mental condition which the plaintiff was
suffering as a consequence and the fact that the plaintiff had not suffered from such
a condition before.
[101] The plaintiff also failed to attend certain medical or rehabilitative appointments. He
failed to attend appointments with Dr Cho, Physico Physiotherapy where it was
noted that he was non compliant with his home exercise program (ex 62 p156). He
also failed to attend one appointment arranged with Dr Robinson. The plaintiff
1 Harold Luntz, Assessment of Damages for Personal Injury and Death (LexisNexis Butterworths,
Australia, 4th ed, 2002) 127.
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stated he had attended for hydrotherapy treatment however, a fact confirmed by ex 9
p 31. Again, the same considerations in respect of these failed appointments and the
like also apply.
[102] I am therefore unable to conclude that the plaintiff had failed to mitigate his loss.
Quantum
[103] The plaintiff was 49 years old when he was injured. He stated that he had intended
to keep working at the defendant’s business and that he hadn’t intended to retire. He
stated that he had been of good health prior to his injury in that he had not suffered
any other injuries. He stated he had no problems with his shoulder prior to the injury
at work. He described the effects which the injury has had upon him. That included
not feeling very strong like he used to be and stating that psychologically he didn’t
feel good. He stated that he used to be a happy person who would do things together
with his children and his wife but now he gets really angry and moody (T1-109). He
stated that he also use to do the cleaning up jobs around and inside the house and
play volleyball on the weekends, the latter he can no longer do (T1-106). He stated
that he had however tried to do outside work since his injury such as mowing and
cleaning the rubbish like before, but that it was not the same. He stated he was
unable to do the mopping anymore. He also stated that he tries to drive the car
because his doctor suggested he should try but that he still feels pain with his
shoulder (T1-107).
[104] He stated that he had taken pain medication after he had suffered his injury but
could only remember taking Panamax 3 times a day ever since his doctor had told
him to take it (T1-112) and Voltaren twice a day since he was injured. He recalled
taking other medication prescribed by his doctor but was uncertain about the names
(T1-104). The plaintiff confirmed during cross examination that he would however
go back to the doctor to get more, particularly as it related to Endone and Panadeine
Forte (T4-3). He gave evidence that Dr Cherian had first prescribed them to him on
the 14th February 2008 and that he would also get them from his general practitioner
Dr Sundram once a week (T4-6).
[105] The plaintiff also conceded under cross examination that he did not consult with Dr
Sundram during the period 14th February 2008 until the 26th July 2008 which was
the first time he had seen her regarding his injury (T4-7). The plaintiff also
conceded under cross examination that he did not consult with any doctor during the
period 14th February 2008 and 20th July 2008 regarding his shoulder even though he
had attended on several doctors during that period for other ailments (T4-18).
Indeed, the plaintiff’s evidence was that he believed his wife (who could speak
English) would always tell the doctors the reasons as to why he was in pain, because
of his shoulder (T4-20). In respect to his consultations with Dr Mahadeo (T4-22)
during June 2008, the plaintiff said that the reason nothing was said about his
shoulder during the consultation relating to his cold was that he hadn’t gone there
because of his shoulder.
Mrs Tauve Fetu – the plaintiff’s wife
[106] Mrs Fetu gave evidence with the assistance of an interpreter even though she had
learnt English at school in Samoa. She confirmed that her husband had completed
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domestic chores inside and outside the home before his injury. She also stated that
he had been a happy, healthy, strong man.
[107] She recalled him coming home early from work on the 13th February 2008 before
11am. She asked him what had happened and he said he had had an injury at work.
The next day she accompanied him to work and together they then went with Shane
to the doctor at Inala (‘Dr Cherian’). She stated that she observed Shane speaking to
the doctor and she heard Shane mention the word ‘hoist’ to him when the doctor
asked how the plaintiff had been injured. She again confirmed this evidence in cross
examination. She also remembered the doctor telling Shane to let her husband have
two weeks off work. She also confirmed this evidence again during cross
examination. She also rejected the suggestion put to her that she had not gone to the
doctor with Shane and her husband at all.
[108] She said that during the two weeks he had at home, she observed that he was unable
to finish things that he started such as vacuuming, making food and the like. Mrs
Fetu gave evidence that her husband only now manages some domestic tasks at
home. In effect, her evidence was that he starts a job but rarely finished it.
[109] Mrs Fetu also gave evidence that after her husband had eventually returned to work
after being off during that two week period, she had to call Shane on many
occasions and let him know that the plaintiff wasn’t able to manage coming in to
work (T5-26). She stated she had done this many times prior to the plaintiff finally
attending at the Ipswich Hospital in July 2008. She also gave evidence that during
the two weeks which the plaintiff was initially off from work, that during one of
those weeks, one of their sons was in hospital and the plaintiff was spending most of
his time up at the hospital near his sons’ bedside (T5-35) as she was unable to do it
as she was at home caring for another child. She confirmed during cross
examination that she had called Shane around this time to advise him that the
plaintiff would be needed to be up at the hospital with her son and that she had got a
medical certificate regarding her son’s hospitalisation at Shane’s request to verify
this (T5-91). She also confirmed that the plaintiff had gone back to work before
their son actually came out of hospital. (see ex 150 which shows that the plaintiff
applied for further time off as unpaid sick leave as his son was still in hospital 23/08
– 9/3/08 which is not inconsistent with her evidence).
[110] Mrs Fetu gave evidence that after the plaintiff went off sick in July 2008 after
attending at the Ipswich Hospital, she had called Shane to tell him her husband was
not able to manage to come into work (T5-36). She rejected the suggestion put to
her that it was only at that time that she had first made contact with Shane regarding
the plaintiff’s painful shoulder (T5-100). She confirmed that she then accompanied
her husband and Shane back to the Inala doctor at which time Shane handed that
doctor the workcover medical certificate which the plaintiff had received from the
Ipswich Hospital (T5-40). It was put to her during cross examination that the doctor
stated that ‘this isn’t work related’ at that time. She denied the suggestion made and
the essence of her evidence on this point was that the doctor had said to Shane
‘what’s happened, its’ happened, he (the plaintiff) had an injury at work, you can
pay him’ (T5- 109 -111).
[111] She also gave evidence that she had purchased medication for her husband which
included Endone, Voltaren cream, Voltaren, Panadeine Forte and Panamax. She
recalled him taking painkillers during the period February to July 2008, and that he
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would take them when it got painful (T5-57). She later recalled that sometimes it
would be three times a week or sometimes once a week. (T5-77) but not
surprisingly, could not be anymore precise given the time which had since past. She
also confirmed during cross examination that prior to taking her husband to the
Ipswich Hospital on the 20th July 2008, the plaintiff had treated his painful shoulder
by taking medication, massage by others and using a hot water bottle (T5-102).
[112] During cross examination she was referred to ex 2 (Statement by plaintiff in support
of Workers Compensation Application) where it stated that the date of injury was
14th February 2008. It was suggested that her evidence was unreliable because of
its’ overall vagueness. However a careful reading of the whole of the statement
supports a conclusion that it is more probable than not that the plaintiff did in fact
injure himself on the 13th February 2008, consistent with his attendance upon Dr
Cherian the next day.
[113] I also find that I had no reason overall to reject Mrs Fetu’s evidence. While she was
unable to provide with precision the type of medication her husband had been
taking and the like, I did not find her to be a witness who was deliberately trying to
mislead the court or be evasive.
An overview of the medical evidence
[114] As already indicated, the plaintiff initially saw Dr Cherian on the 14th February
2008. He was provided a workers’ compensation medical certificate (ex 11 page 70)
relating to a strain L medial and suprascapular. The stated cause of injury was
‘lifting at work – iron fittings’. That certificate regarded the plaintiff as fit for
suitable duties from 14th February 2008 to 20th February 2008.
[115] Between the 20th February 2008 and 20th July 2008, the plaintiff attended upon
several doctors. Dr Xu on 30th March 2008, 3 occasions with Dr Saleem 10, 15
April; Dr Mahaedo 23rd June; 9, 11 and14 July 2008. On none of those occasions
was there a complaint recorded in respect of the plaintiff’s shoulder. It was only on
the 20th July 2008 when he attended at the Ipswich Hospital that shoulder pain was
reported and a workers compensation certificate given by the attending doctor, Dr
Davidson (ex 18 p 82). A diagnosis of rotator cuff injury was made and a referral
for physiotherapy was made. Dr Davidson considered that the plaintiff was not able
to work up to 21st July 2008 and provided a medical certificate to that effect (ex 17
p 81).
[116] On the 21st July 2008, the plaintiff attended upon Dr Cherian again. He noted a
report of pain L scapular (ex 6 p 20). A medical certificate was issued stating that
the plaintiff was unfit for work from 21st July to 22nd July 2008 inclusive (ex 12 p
76). The Goodna Family Medical Centre notes (ex 8 p 28 and 29) indicate that the
plaintiff returned to Dr Mahaedo on 23rd and 24th July 2008 complaining of
shoulder pain. A medical certificate was issued on the 23rd July 2008 indicating the
plaintiff was unfit for duties 23rd to 25th July 2008 inclusive (ex 16 p 80). An x ray
was obtained by Dr Mahaedo on that date and it showed early degenerative change
in the acromioclavicular joint of the left shoulder (ex 19 p 83).
[117] On the 26th July 2008 he attended upon his own GP, Dr Sundram at the Acmed
Medical Centre complaining of left shoulder pain. She diagnosed rotator cuff
tendonitis and referred him to Dr Moroney, O/S for opinion (ex 20 p 84). The notes
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of the Inala Medical Centre reveal that the plaintiff then attended upon Dr Nguyen
on 28th July 2008. The notes reveal that he had ‘come in with his employer with
WCQ off work due to his R shoulder’, ‘employer and patient has a dispute regard
whether it is work related injury’. He returned to Dr Sundram on the 29th July 2008
where it was recorded that the plaintiff was in a lot of pain and was not fit for
suitable duties (ex144 p 44).
[118] Dr Maroney examined the plaintiff on the 6th August, 22nd August 2008 and again
on 24th October 2008. He also prepared reports on each occasion. (ex 34 – 39). The
essence of Dr Maroney’s opinion was that the plaintiff had suffered a left frozen
shoulder and rotator cuff tear (after reviewing an ultrasound and MRI which showed
age related degeneration at the acomioclavicular joint. There was also a
supraspinatus tear noted on the ultrasound). He was uncertain if whether those
conditions were consistent with the plaintiff’s description of cause ‘sudden jerking
of left shoulder on machinery at work’. He also considered the plaintiff was able to
return to work on light or alternative duties on 25th August 2008 (ex 37 p 103). On
the last occasion when Dr Maroney saw him, he noted functional overlay as he had
observed that the plaintiff continued to walk in with a useless left arm even though
he had been back at work doing suitable duties.
[119] The plaintiff then attended for physiotherapy treatment with Catalyst Injury
Management on 10th September 2008 which Dr Maroney had recommended. It was
noted he continued to wear a sling notwithstanding that Dr Maroney had advised
him to discard it on the 22nd August 2008 (ex 42 – 47).
[120] The plaintiff reported on that occasion that he could not dress himself, was assisted
by his wife in all activities and that he could not drive. He stated he had difficulty in
sleeping due to pain. On the 10th September 2009, Catalyst Injury Management
provided a further report. On that occasion, it was noted that the plaintiff reported
he could still do very little with his left arm and continued to keep it close to his
side. He reported he was able to do most of his dressing but could still not drive
though he had attempted to drive but due to pain had stopped. His sleep was better.
He reported that his pain levels remained largely unchanged but that he had returned
to work in order to ‘feed his family’.
[121] Dr Vecchio, Rheumatologist had also examined the plaintiff on 20th October 2008
and 30th June 2009. Dr Vecchio noted on the first occasion he saw him that the
plaintiff was still using a collar and cuff sling more or less continuously even
though he recalled being told that it wasn’t advisable.
[122] Dr Vecchio suggested no evidence of a tear after reviewing presumably the same
ultrasound and MRI which Dr Maroney had seen. Dr Maroney’s opinion is to be
preferred in light of his speciality. Notwithstanding, Dr Vecchio also noted
degenerative changes of the AC joint similar to that of Dr Maroney. He thought the
plaintiff had suffered an aggravation of his underlying pre existing condition with
secondary adhesive capsulitis (frozen shoulder). He felt the correct diagnosis
however was post traumatic left should-hand syndrome. He also thought the
conditions which the plaintiff was suffering from would settle within about a year.
[123] Upon review of the plaintiff on 29th June 2009, Dr Vecchio noted reported
improvement from the plaintiff regarding his ability to use his left arm. He noted
that the plaintiff reported he was able to perform most activities unaided, including
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dressing although he was still unable to drive. He also noted he had been working
full time with restrictions relating to heavy manual work. He felt that any residual
disability on examination noted was attributable to his frozen shoulder but that he
anticipated that he would be able return to full normal duties by October 2009.
[124] Dr Marchant, O/S saw the plaintiff upon referral from his GP, Dr Sundram several
times during the period 29th October 2008 to 15th October 2009 (ex 50 – 61). His
first impression was that he more likely was suffering from a frozen shoulder
although he did think he may have also been some concurrent cuff pathology. He
ordered an MRI and x ray which showed significant arthritic change in the AC joint.
He injected the plaintiff’s shoulder on occasion which gave only temporary relief.
He recommended surgical intervention due to the reported ongoing symptoms in
relation to pain and decreased range of movement but this was rejected by
WorkCover. Dr Marchant finally concluded in his report dated 20th August 2009
that he considered that a lot of the pain and restriction at that point was due to the
degenerative change in the AC joint and shoulder joint which was not longer work
related (ex 59 p 150). On the 19th October 2009, Dr Marchant also confirmed this
view to WorkCover (ex 61 p154). He also considered that the plaintiff was more
than able to continue to work full time doing suitable duties which he had been
doing for the past 18 months (emphasis added) and that his condition was stationary
and stable.
[125] Dr Robinson (Orthopaedic Surgeon) was then asked to see the plaintiff upon
referral from his GP, Dr Sundram. Dr Robinson examined the plaintiff during the
period 21st October 2009 to 28th October 2010 (ex 65 to 70). Dr Robinson noted on
his first consultation that the plaintiff was uncooperative in his attempts to check
range of motion or strength around the shoulder region. An x ray ordered by Dr
Robinson demonstrated degenerative changes of the AC joint but normal
glenohumeral joint. On the second occasion he saw Dr Robinson on 31st August
2010, it was reported by the plaintiff that he had not returned to work since surgery
to his shoulder. Dr Robinson was again unable to perform an examination because
the plaintiff resisted movement. Dr Robinson noted that the MRI scan taken in
August 2008 showed arthritis within the AC joint, glenohumeral joint and
inflammation of the joint capsule. The subsequent review on the 7th October 2010
by Dr Robinson and his review of a more recent MRI taken 8/9/10 (p 172), showed
degenerative changes within the AC joint, no significant surrounding synovitis and
no significant injury to the rotator cuff.
[126] As the plaintiff was continuing to complain of pain across the back of his shoulders
and down the arm with episodes of numbness and pins and needles, he considered a
MRI of his cervical spine to exclude pathology in that region. That MRI showed a
significant, left sided disc protrusion which was narrowing the left C7 nerve root
exit. Dr Robinson thought that it could be accounting for his continued neck,
shoulder and back pain. Dr Robinson referred the plaintiff to Dr Albietz,
Orthopaedic Surgeon specialising in adult spinal surgery, for a second opinion. No
evidence however was made available at hearing on this issue.
[127] On the 18th November 2009, Dr Ballenden, External Medical Officer examined the
plaintiff for the purpose of an assessment of permanent impairment. Dr Ballenden
noted that the plaintiff continued to report ongoing symptoms consisting of severe
pain and loss of range of movement at the shoulder, pain in the elbow, complaints
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of pain and swelling of the forearm, difficulty with the use of the hand and ongoing
disability due to the work related injury.
[128] Dr Ballenden agreed with the prior specialist opinion in that the plaintiff had
suffered an aggravation of a pre existing condition with secondary frozen shoulder.
He noted marked abnormal illness behaviour and a deliberate resistance upon
examination to passive movement. He also considered that the reported pattern of
ongoing symptoms and pain was not consistent with the normal healing pattern in
respect of a frozen shoulder. It was noted by Dr Ballenden that psychological
intervention might well be required regarding the continued reported chronic pain
not related to the frozen shoulder condition as Dr Ballenden considered that it
should have been well out of the pain stage of the natural cycle at 19 months post
injury. He assessed permanent impairment to be 6% upper extremity not whole
person.
[129] The plaintiff then saw several specialists for the purpose of medico legal reports, Dr
Ng (Occupational Therapist); Drs Wallace and Gilpin (Orthopaedic Surgeons) and
Drs Byth and Whitford (Psychiatrists). Each of those doctors provided reports and
gave evidence at trial. All of the doctors were also given an opportunity to review
the surveillance tapes taken of the plaintiff in December 2010 and May 2013
respectively. Dr Sundram, the plaintiff’s general practitioner, also gave evidence at
trial. She was not asked to comment on the video surveillance footage which had
been taken.
[130] Dr Sundram, the plaintiff’s general practitioner, provided a report (ex143) and also
gave evidence in the plaintiff’s case. Dr Sundram confirmed that she first saw the
plaintiff regarding his shoulder injury on the 26th July 2008. The clinical records
tendered (ex 144) confirm that the plaintiff had been a patient since 9th February
2001. The records also confirm that the last time the plaintiff saw Dr Sundram prior
to the 26th July 2008 was the 24th June 2006 and that at no stage during that period
had he consulted with her.
Dr Sundram’s evidence at trial
[131] Dr Sundram was questioned in relation to her referral letter to Dr Moroney
(Orthopaedic Surgeion) (ex 20 p 84). She confirmed that ‘he did not make a report’
(to his employer regarding the injury) contained in that document must have meant
that the plaintiff had told her that fact (T2-72) although she did say that he may not
have understood her when questioning him. She conceded however she had made
no note to that effect. Dr Sundram confirmed the history provided to her by the
plaintiff during her consultation on the 26th July 2008. She said during her evidence
that he had told her he had seen another doctor, given time off, was sent back to
work, had time off, and kept working, because he was told its’ either he worked or
he had no job (T2-73).
[132] Dr Sundram was also referred to the WorkCover certificate she issued that day (ex
21 p 85). She stated that she had been told by the patient that he had an exacerbation
occurring on the 8th July 2008. She said that the plaintiff’s wife told her that he had
a cold and it was from just before that, that his pain got worse again. (3-26).When
Dr Sundram was provided the plaintiff’s work history as outlined in ex 150, she
stated that she had been told by his wife that he was not free of pain during the
period 14th February 2008 to 26th July 2008 (T3-27). Dr Sundram was also referred
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to her letter of referral to Dr Robinson (Orthopaedic Surgeon) (ex 29 p 94). Nothing
turned on that letter.
[133] An entry in the clinical notes (February 1 2011, p 37) also records that the plaintiff
told Dr Sundram that he had been trying to do jobs at home but couldn’t do it for
long. Dr Sundram notes indicate that she had encouraged him to keep it up as
exercise was good for healing and that he should keep trying. A further entry
recorded on 7th December 2010 also confirms that the plaintiff continued to
complain of pain but that he was advised again by her to keep trying and do light
chores around the home as part of his exercise.
Dr Lee Ng’s evidence at trial
[134] Dr Ng, Occupational Therapist provided a report (ex 141) and gave evidence in the
plaintiff’s case.
[135] Dr Ng had examined the plaintiff on the 26th July 2010. He confirmed in his
evidence that he found the plaintiff to be quite disabled on that date and that he
appeared to be in pain. He noted he had presented wearing a sling. Dr Ng was
shown the footage taken in December 2010 (ex 138). He considered that the
plaintiff appeared to be more able to freely move than he was when he had
presented to him at his assessment in July 2010. He also felt that some of the
movements performed by the plaintiff in that footage (the subject of the still
photographs) was certainly unusual as it would not expect there to be such a
recovery to that degree from when he had seen him. He stated that he had been
unable to complete an adequate assessment of his shoulder in July 2010 because of
the pain (T3-5).
[136] Dr Ng was also provided the plaintiff’s work history as outlined in ex 150 for
comment. Dr Ng considered that it was certainly peculiar, in that it was not your
typical flow of events when having regard to the injury report in February 2008 with
respect to his assessment in July 2010 (T3-8). However Dr Ng clarified this point.
He stated that there may have been many reasons why he completed his normal
duties during the period outlined in ex 150, such as he may have been working and
putting up with pain. Notwithstanding, Dr Ng still considered that if that work
history was in fact true, then compared to how he presented at assessment, it was
still unusual (T3-9).
[137] Dr Ng confirmed during re examination that in light of the footage he had viewed, it
did appear that he had greater function than he had assessed and as such, given
some vocational rehabilitation, he felt that he may be able to return to some lighter
form of unskilled work, where he could work in a factory and the like (T3-10). This
would be the case, even after taking into account his limited grasp of the English
language. He did not consider however that he was capable of returning to his pre-
injury position.
The Orthopaedic Evidence
[138] Dr Gilpin examined the plaintiff on 19th July 2011. His report was marked as an
exhibit 74. He was called to give evidence in the defendant’s case.
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[139] He reported to Dr Gilpin that he needed assistance from his wife to help wash
himself and some assistance in dressing. He stated he was unable to do any
household chores such as washing up and household cleaning but can hang the
washing out and take the rubbish out if he uses his right hand only. He indicated
that he couldn’t drive but did say he did occasionally drive the automatic car. He
also said he could assist with the shopping but only used his right hand.
[140] Upon examination, Dr Gilpin noted resistance to attempts by him to undertake
passive testing. Dr Gilpin noted he had exhibited significant pain behaviours. Dr
Gilpin opined in his report that given the observed illness behaviours and the
inconsistencies between the only objective findings such as muscle bulk and x ray
findings taken on 19th July 2011 which showed evidence of AC joint osteoarthritis,
he concluded that he considered there were significant nonorganic factors
contributing to the ongoing physical disability that the plaintiff was suffering.
[141] His conclusion in his report was that the plaintiff had suffered a minor rotator cuff
injury (an aggravation of a previously asymptomatic rotator cuff tendinopathy) and
may have developed secondary frozen shoulder. However, he considered that given
the observed illness behaviours and the inconsistencies between the only objective
findings such as muscle bulk (normal) and x ray findings (showing unrelated pre
existing pathology without tear to the rotator cuff), that significant nonorganic
factors were clearly contributing to the ongoing physical disability that the plaintiff
stated he was suffering from. He also felt psychological profiling was recommended
in the circumstances. Dr Gilpin considered that the pattern of the presentation of the
plaintiff having had a strain of his rotator cuff and may have developed a frozen
shoulder as a consequence was somewhat inconsistent with those pathologies
particularly as it related to the claimed physical disabilities on the part of the
plaintiff. Dr Gilpin also considered in his report that if the plaintiff was continuing
to physically have ongoing cuff problems however, then it would be appropriate
that any form of manual work did not involve use of the arm out or above chest
height. However, he did not find any strong objective evidence to support a
conclusion that the claimant’s physical condition alone would affect him working
until normal retirement age.
[142] Dr Gilpin confirmed the opinions expressed in his report again during the course of
his evidence to the court. However, Dr Gilpin stated that after having reviewed all
of the DVD surveillance tapes, especially the one taken in December 2010 that he
could now say categorically that the plaintiff did not have a frozen shoulder on the
3rd December 2010. Dr Gilpin stated that the DVD showed the plaintiff elevating his
shoulder to 160 degrees in order to lift the petrol hose in order to fill the car. He
also stated that the plaintiff’s level of function in his left upper limb was certainly
greater than the plaintiff had portrayed to him when he had seen the plaintiff in July
2011. Dr Gilpin therefore felt that even though he couldn’t categorically exclude the
plaintiff from having a rotator cuff problem after having regard to those DVDs, he
stated that he still considered nevertheless that the reported effect of any rotator cuff
problem to him during his consultation with the plaintiff was far less than he had led
Dr Gilpin to believe.
[143] During cross examination, Dr Gilpin was asked whether the abnormal illness
behaviour observed during his clinical examination might well be explained by the
plaintiff having suffered an untreated secondary psychological injury as a
consequence of his physical injury. Dr Gilpin was willing to accede to the opinions
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of Drs Byth and Whitford (their respective reports were not given to Dr Gilpin) and
said that it could be an adequate explanation for the presentation he observed
amongst others.
[144] Dr Gilpin also confirmed during his evidence that he believed that the plaintiff was
capable of returning to work physically as long as it didn’t involve the use of the
arm at or above chest height. However, while Dr Gilpin was willing to accept that
fact and that the plaintiff may well have suffered a minor rotator cuff injury as a
result of the work related incident in 2008, he specifically qualified his opinion with
reference to the imaging of the shoulder which other orthopaedic surgeons who had
examined him had also reviewed, which did not show any significant injury to the
rotator cuff itself such as a tear. Dr Gilpin stated in evidence that those
investigations had revealed some tendinopathy in his shoulder consistent with age
related degeneration typically found in a manual worker in the age group of that of
the plaintiff and where no significant injury to the rotator cuff (such as a tear) was
evident on imaging, then any reported ongoing physical inability to return to manual
work could not be solely related to any injury suffered approximately 5 years
earlier. (T 5-73 ).
[145] Dr Wallace also examined the plaintiff for the purpose of a medico legal report on
5th July 2010 and again on 25th August 2011. He provided three reports which were
marked as exhibits 147, 148 and 149 respectively. He gave evidence in the
plaintiff’s case.
[146] In his first report, Dr Wallace noted upon examination that the plaintiff remained
severely limited by his left shoulder problems. He could not drive, dress himself or
wash. He had help from his wife for most activities and had not been able to return
to the workforce. He no longer engaged in his previous sport. Dr Wallace reviewed
a variety of imaging investigations that had been performed. None of those
investigations revealed any significant pathology other than degenerative changes in
the AC joint and some pathology consistent with frozen shoulder.
[147] He presented on the first occasion in a sling and resisted all movement of his left
shoulder, both actively and passively. Dr Wallace considered that the plaintiff had
suffered a soft tissue injury to his left shoulder which had progressed to develop into
a frozen shoulder. He considered he had reached maximum medical improvement
and should avoid wearing the sling. He was unable to say whether he had suffered a
psychological injury.
[148] In his second report, Dr Wallace noted ‘your client states that he remains disabled
as in my previous report’. He noted during his examination on that second occasion,
25th August 2011 that the plaintiff was no longer wearing a sling. In his third report,
the doctor’s opinion remained unchanged notwithstanding that he had reviewed
documentation which had been forwarded to him which suggested that the plaintiff
was able to drive an automatic car by September 2011, do some shopping, push
rubbish bins, mow the lawn for short distances, lift up the garage door and push his
mother in a wheel chair for short periods of time.
[149] Dr Wallace was cross examined regarding his review of the DVD surveillance
tapes. Dr Wallace explained that an explanation for the plaintiff’s ability to drive in
December 2010, after telling that he was unable to drive at all when he first saw him
in July 2010, might be readily explicable by his frozen shoulder getting better. Dr
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Wallace was also referred to the plaintiff lifting the petrol hose about his head to fill
his car. He agreed that the plaintiff was clearly able to fully abduct his left arm at
the shoulder. He confirmed that during his first consultation with the plaintiff when
he had tried to examine him he had resisted all movements both actively and
passively and that he hadn’t been happy with his clinical examination of him.
Notably, Dr Wallace, significantly, did not at any stage during his evidence suggest
that the plaintiff was still suffering from frozen shoulder at that stage (December
2010).
[150] Dr Wallace was also taken to the entry in his 2nd report ‘your client states that he
remains disabled as in my previous report’. A lot was made during cross
examination on this issue. However, a careful reading of Dr Wallace’s 1st and 2nd
reports confirm that the range of movement noted on the 2nd occasion during his
examination of the plaintiff was improved from when he had first seen the plaintiff,
a fact he again confirmed during his evidence (T3-81). Dr Wallace also referred to
his clinical notes and noted that it only stated that he had only written the words
‘remains disabled’ and therefore it was his mistake in transcription as it appears in
the report. He stated during his evidence that there was no history in his notes taken
from the plaintiff or his wife regarding any ongoing reported disability to that effect
(T3-84) and that what he had meant to convey was that the plaintiff remained
disabled by his left shoulder.
[151] Dr Wallace was willing to concede however that if he assumed that the reported
disability reported to him on the first occasion (5th July 2010) had remained the
same when he saw him again (25th August 2011), then the intervening DVD taken
in December 2010 (showing the plaintiff driving etc) would likely mean that the
plaintiff had in fact been untruthful to Dr Wallace regarding any ongoing disability
(T3-89).
The available radiological evidence
[152] The investigations undertaken by x ray and MRIs since February 2008 of the
plaintiff’s physical complaints collectively may be summarised as follows.
Degenerative changes of the AC joint had consistently been noted. The orthopaedic
specialists all appear to agree that this was pre existing and age related. The
orthopaedic specialists agree that the plaintiff had more than likely suffered from
adhesive capulitis (frozen shoulder) secondary to the trauma injury suffered to his
shoulder.
[153] Drs Robinson and Gilpin, both upper limb specialists, considered that there had not
been any significant injury to the rotator cuff at all in that there were not any tears.
Dr Maroney also did not see any significant tears of the rotator cuff tendons. Dr
Marchant made no comment at all other than noting significant arthritic changes in
the AC joint. Both Drs Gilpin and Wallace reviewed the MRI taken in 2008 (which
had been ordered by Dr Maroney) and noted no significant pathology related to the
rotator cuff. Dr Wallace considered the plaintiff was suffering from a soft tissue
injury only (degree and extent unknown as he gave no evidence on this specifically
or in respect of whether the plaintiff had suffered a rotator cuff injury or not) which
had progressively developed into a frozen shoulder.
[154] Dr Wallace made no specific comment regarding whether the plaintiff could in fact
still have had a frozen shoulder even in December 2010, whereas Dr Gilpin
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emphatically stated in evidence that any such condition had categorically resolved
by then in light of the plaintiff’s ability to fully elevate his arm to 160° degrees (as
shown in the tape when filling up the car at the petrol station). The plaintiff submits
that the general thrust of Dr Gilpin’s evidence was that even though he considered
the plaintiff no longer suffered from a frozen shoulder as at December 2010, he
nevertheless had accepted that the plaintiff may have suffered from a minor rotator
cuff injury in any event. The plaintiff referred to parts of Dr Gilpin’s evidence
where he stated that if he was the plaintiff’s treating doctor he would recommend
against him performing heavy manual activities with his arms in elevation and that
it would be unadvisable for the plaintiff to return to his pre injury work activities.
The plaintiff refers primarily to this evidence and the evidence of Dr Ng as a basis
for the award for damages for economic loss (past and future) related to the physical
injury suffered, particularly if Dr Wallace’s evidence was not preferred by the court.
[155] Those submissions however in my mind overlook the following important matters.
While, it was accepted by Dr Gilpin that the accepted diagnosis had been one of
rotator cuff disease (emphasis added) with a superimposed frozen shoulder (T5-63),
he did not accept at any stage that the plaintiff’s ongoing physical inability to return
to manual work could be solely related to any work related injury which he had
suffered in February 2008. Dr Gilpin said as much in his evidence (T5-73). In fact
Dr Gilpin’s evidence was that given the background of the identifiable pre existing
degenerative disease which was seen in the plaintiff’s radiological investigations
and noted by other specialists, that in the absence of any rotator cuff tear being
evident, any work related injury which the plaintiff had suffered (minor injury as a
result of the event of 13th February 2008 and the development of a frozen shoulder
having resolved as at December 2010) could not be said to be solely responsible for
the plaintiffs ongoing inability to return to manual work. That opinion is also
consistent with the other medical evidence available. Drs Maroney, Marchant and
Ballenden who had seen the plaintiff during 2009, all confirmed in their respective
reports already referred to that any reported ongoing pain and/or physical disability
at that time was more likely than not to be attributable to the underlying pre existing
degenerative pathology or to other non organic factors and not as a result of any
physical work related injury suffered.
[156] Having preferred the evidence of Dr Gilpin to that of Dr Wallace because of the
reasons already stated, I find that the plaintiff has not, on the balance of
probabilities, proved that any ongoing physical incapacity to return to full-time
manual work after December 2010 is directly related to the work related injury
which he suffered in February 2008. This is particularly so having regard to Dr
Gilpin’s opinion which I accept, that any secondary complication of that injury
namely frozen shoulder had certainly resolved by late 2010. The radiological
evidence available also supports the opinion of Dr Gilpin regarding any initial
injury suffered as being relatively minor. Drs Vecchio and Marchant, who both
knew about the plaintiff’s frozen shoulder at the time they examined him,
nevertheless still considered that any ongoing physical disability could no longer be
attributable to any work related injury suffered, and was as a result of his pre
existing underlying degenerative disease or other non organic factors. They both
considered that the plaintiff would have been able to return to his full time duties
(no restrictions specifically required) by October 2009. Dr Ballenden was also of
this same opinion as at November 2009.
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[157] Having regard to that evidence, I am therefore unable to be satisfied on the balance
of probabilities that any ongoing physical incapacity to return to full time pre-injury
work after December 2010 is as a direct consequence of the physical work related
injuries which had been suffered by the plaintiff. The weight of the medical
evidence already referred to does not support such a conclusion being made. This is
particularly so, having regard to the weight of the medical evidence available, in
circumstances where his frozen shoulder had clearly resolved by at least December
2010. I am also unable to be satisfied on the balance of probabilities, given the
weight of the medical evidence also available, that any initial physical injury
suffered by the plaintiff on the 13th February 2008 can now be said to be the cause
for the plaintiff’s inability to return to full-time (pre-injury) manual work after
December 2010 or indeed be responsible for any reported ongoing physical
disability or pain as a consequence of that physical injury having been suffered by
him.
The Psychiatric Evidence
[158] The plaintiff had received 6 psychological sessions under a Medicare Mental Health
Care Plan after referral by his GP, Dr Sundram (ex 73 p173). The testing relating to
pre intervention (9/7/2012) and post intervention (26/9/2012) revealed that there had
been some reduction in symptoms reported by the plaintiff. Those sessions were for
pain management and for depression.
[159] Dr Byth examined the plaintiff on 4th June 2012. His report was marked as an
exhibit 145. He was called to give evidence in the plaintiff’s case. He reported
constant pain in his left shoulder. He told Dr Byth that his shoulder pain was
worsened by most activities and he would mostly use his right hand, using his left
hand just to guide or support things. He can do some domestic chores using his right
hand. He stated he tries to do things if he can. He told Dr Byth that he could drive a
motor vehicle provided it was automatic. He complained of depressed moods and
anxiety along with low self esteem. He lacked usual energy and interest for
housework and cooking. He lacked interest in going out and seeing friends, and did
not want to go out although he used to enjoy company. He felt forgetful and
impatient and less tolerant.
[160] Dr Byth diagnosed an Adjustment Disorder with anxiety and depressed mood. That
had developed as a consequence of the shoulder injury which he had suffered and
his difficulty in coping with shoulder pain, insomnia and restriction of physical
activity following that injury. Significantly, Dr Byth did not find evidence of
Chronic Pain Disorder. He doubted that psychological factors were playing a part in
his complaints of pain and physical impairment, as would be required for the
diagnosis of Chronic Pain Disorder or other somatoform disorders. Dr Byth
considered in his report that treatment over the course of 2 years at a cost of $6000
would likely make a partial improvement. He assessed his permanent impairment to
be 22% of the whole person.
[161] During cross examination, Dr Byth confirmed that he believed that the shoulder
injury at work in 2008 and the resulting pain, insomnia and restrictions in physical
activity had caused the plaintiff’s psychiatric condition. Dr Byth confirmed in
evidence (also contained in his report) that the collateral evidence which he had
available to him for consideration allowed him to conclude that the plaintiff had in
fact suffered a shoulder injury. Dr Byth confirmed during his evidence that he had
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understood from the plaintiff that he had been injured, he had some time at home to
rest, he had then had investigative tests done (ultrasound and x rays) and that he
hadn’t been able to get back to any sort of continuous meaningful work after that
(T3-51). Dr Byth also explained his clinical observations of the plaintiff and it
appears to him that he was in a moderate amount of pain that he was trying to
tolerate for the interview (T3-52). Dr Byth was then referred to the DVD
surveillance tape of December 2010. He did not consider that the plaintiff looked to
be in pain however he did say that he had not seen the plaintiff carrying items or the
like with his left hand or him doing anything really heavy or repetitive with his left
hand. Dr Byth was also asked about the May 2013 tapes which showed the
defendant driving a manual van on occasion. Dr Byth however noted that those
tapes had been taken sometime after he had seen him (nearly a year) and that he
may have improved.
[162] Dr Whitford examined the plaintiff on the 22nd November 2012. His report was
marked as an exhibit 75. He was called to give evidence in the defendant’s case.
[163] The history provided by the plaintiff to Dr Whitford, set out at page 7 of his report,
regarding reported pain and the subsequent impact it had upon him was not
dissimilar to that given to Dr Byth. Significantly, the plaintiff reported being
socially withdrawn and not leaving the house as often. He reported still driving an
automatic car and he is not able to assist his wife much with the care of the children
or the housework.
[164] It was clear from Dr Whitford’s report that he too, like Dr Byth, had reviewed a
substantial body of collateral documentation which had been made available to him,
set out in the body of his report. He noted that the first reference to mental health
symptoms was at a consultation with Dr Sundram on 18th September 2009 in which
it was noted that the plaintiff was depressed. Subsequent references again were
made in 2010 and 2011 in Dr Sundram’s notes. Dr Whitford’s clinical observation
of the plaintiff was also suggestive of significant depression but was so unusual as
to need further assessment. Dr Whitford explained this during his evidence. That he
felt that there was more going on than just the depression.
[165] Dr Whitford, like Dr Byth, was also of the view that the shoulder injury and the
resultant restrictions in recreational and vocational activities were significant in the
onset of the adjustment disorder. He also considered however that it was likely there
have been other factors which have maintained the adjustment disorder (emphasis
added). Dr Whitford explained this during his evidence (T4-33). He stated that
normally he would not have expected to see the level of impairment reported to him
by the plaintiff as being as profound as it was for an adjustment disorder. Dr
Whitford specifically referred in this regard to the reported social withdrawal, the
plaintiff rarely leaving the house, his inability to assist his wife look after the
children or do the housework. Dr Whitford explained that it was that level of
reported significant impairment which made it clear to him even at examination
(which he also noted was at odds with the DVD footage he later saw) that there was
a lot more going on with the plaintiff in this case than was made clear to him (T4-
34). Dr Whitford elaborated on this issue during the course of his evidence. He
stated that his clinical observations of the plaintiff during his consultation were best
described as being so unusual that if that was his state at all times, then he would
not have expected that he could have functioned in the community at all. Dr
Whitford noted that the DVD footage which he had seen showed the defendant
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engaging in a range of activities outside his home, at shopping centres, interacting
with others in an appropriate way, was unlike his interaction with him during
consultation.
[166] Dr Whitford confirmed during evidence that he relies on three major areas of
information in forming an opinion: the history given by the patient, one’s own
clinical observations of the patient’s behaviour and mental state and the use of
collateral information which comes from other sources (T4-28). During cross
examination he confirmed that if the plaintiff had suffered a significant physical
injury then the adjustment disorder would be a secondary condition to that stated
cause (T4-31). He was willing to accede to the collateral medical information and
opinion of other practitioners made available to him regarding the general view that
the plaintiff had suffered a physical injury. He did not however consider that the
plaintiff’s adjustment disorder itself would have prevented the plaintiff from
engaging in any type of remunerated employment even though it had not been ever
properly treated. He also felt that the plaintiff’s condition was not stable in that he
had not ever received appropriate treatment. He considered a treatment plan
including 12 psychological sessions would be helpful.
[167] It is accepted that the history provided by the plaintiff to Drs Byth and Whitford
regarding the resulting impact and effects which the injury has had upon the
plaintiff was relatively similar. It is also accepted that both Doctors had the same
advantages during their respective examination of the plaintiff insofar as their
clinical observations of him. The collateral documentation provided to both Doctors
was extensive and each had performed a review of those documents in order to form
their opinion.
[168] Notwithstanding the Doctors’ having the same advantages, I consider the opinion of
Dr Whitford ought to be preferred. Dr Byth properly gave regard to the collateral
evidence provided to him for the purpose of determining whether they were
consistent with the plaintiff’s stated physical injury at work and with the plaintiff
having subsequently a need for treatment for anxiety and depression. Dr Byth
unfortunately in doing so, wrongly understood Dr Ballenden’s assessment of
permanent physical impairment from the shoulder injury to be 19%. Dr Ballenden
had only in fact assessed it as 6% as being related to the work injury. This
difference is obviously significant and one of significance to Dr Byth in forming his
opinion.
[169] Dr Byth also noted at page 10 of his report under social and recreational activities –
‘Class 3, moderate impairment, rarely goes to social events; does not want to go out
to socialise and has been avoiding seeing people; will not go out without a support
person, not actively involved, remains quiet and withdrawn’. Unlike Dr Whitford,
Dr Byth did not make any specific comment regarding that particular history
compared to what was shown on the surveillance tapes which he had also viewed,
which clearly showed the plaintiff engaging and interacting normally with others,
going out on his own and performing tasks such as shopping. All matters which are
of significance when forming a psychiatric opinion (history provided by patient
regarding the impact the illness was having upon him).
[170] Dr Whitford in my view however clearly gave more obvious consideration to these
matters in that he had particular regard to the plaintiff’s behaviour in social
activities when he watched the surveillance tapes in order that a comparison could
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be made to the clinical picture which he had observed of the plaintiff and the history
he had been given. Dr Byth, on the other hand, did not make any comment during
his evidence regarding the moderate impairment which he had evaluated as a result
of his consultation on these issues in comparison to what is seen in those tapes as
observed by Dr Whitford. Dr Byth was more focused during his evidence regarding
the plaintiff’s physical ability to perform tasks seen in the DVDs rather than
whether or not the history of reported ongoing psychiatric disability given to him by
the plaintiff had in fact been a correct one or was at odds with the history he had
been provided. As such, I prefer the opinion of Dr Whitford.
[171] Having done so, it follows that I accept Dr Whitford’s opinion insofar as that any
psychiatric disorder which the plaintiff was suffering did not in itself prevent the
plaintiff from engaging in his employment, whether treated or otherwise. Dr
Whitford said as much in his report and again in his evidence. As such, I cannot be
satisfied on the balance of probabilities that any ongoing disability to return to work
is attributable to any psychiatric injury the plaintiff may well have suffered as a
consequence of any work related physical injury.
[172] Notwithstanding, I consider that the treatment proposed by Dr Whitford which will
assist the plaintiff in his recovery is not unreasonable, having regard to the fact that
the plaintiff has suffered a psychiatric condition which had not been adequately
treated to date. As such, an allowance for the recommended medication for 6
months in my mind ought to be made together with an allowance for the
recommended 12 sessions of psychological counselling as proposed (ex 75).
Accordingly, I calculate damages as follows,
General damages2 $35,000
Interest calculated on ½ at 2% $2,030
Past economic loss
14.2.08 – 26.7.08 (1 week x $640) $640
26.7.08 – 21.10.09 (65 weeks x $640) $41,600
22.10.09 – 2.12.2010 (58 weeks x $640) $37,120 $79,360
Loss of past superannuation (9%) $7,142
Interest on past economic loss3 $8,416
Future economic loss $nil
Special damages4 $600
Interest on out of pockets5 $434
2 rotator cuff strain with frozen shoulder (resolved), adjustment disorder
3 5% of PEL (less workcover refund of $8243 and Centrelink at 1 year at $11,000 = $19,243) x 2.8 years
4 no decisive evidence therefore allowance of $200 x approximately 3 years (February 2008 – December
2010)
5 5% x 2.8 years of $3,100
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Future expenses6 $1,107.12
Fox v Wood $1,010
Less WorkCover refund $24,234
TOTAL $110,865.12
6 medication $253.92 and 12 counselling sessions $853.20
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Official source: https://www.sclqld.org.au/caselaw/QDC/2013/330