austlii:nsw/NSWPIC/2026/142
General information, not legal advice.
NSWPIC
2026-03-04
Original judgment source is linked above.
AAI Limited t/as AAMI v DTM [2026] NSWPIC 142
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; settlement approval under section 6.23(2)(b); right heel, right ankle, back and left shoulder injuries; claimant returned to pre-accident employment working reduced hours; weekly payments of statutory benefits paid by insurer and to be deducted from settlement; proposed settlement of $710,000 includes allowances for non-economic loss, past economic loss and future economic loss; proposed settlement approved.
"6.23 Restrictions on settlement of claim for damages
(a) ...
(b) the proposed settlement is approved by the Commission.
(3) The Commission is not to approve the settlement of a claim unless satisfied that the settlement complies with any applicable requirements of or made under this Act or the Motor Accident Guidelines."
"7.37 Under section 6.23(3) of the Act, before the Personal Injury Commission may approve the settlement of a claim for damages, it must be satisfied that:
(a) (Omitted)
(b) the proposed settlement is just, fair and reasonable and within the range of likely potential damages assessments for the claim were the matter to be assessed by the Commission, taking into account the nature and extent of the claim and the injuries, disabilities, impairments and losses sustained by the claimant, and taking into account any proposed reductions or deductions in the proposed settlement
(c) the claimant understands that they are entitled to be represented in respect of the claim by an Australian legal practitioner
(d) the claimant understands the nature and effect of the proposed settlement and is willing to accept the proposed settlement."
21 October 2025, and its concession on 7 October 2025 that [DTM]'s accident caused injuries give rise to an impairment that is greater than 10%. 4. At the insurer's request, Dr Lee, Occupational Physician, examined the claimant and provided a report dated 23 October 2025. The doctor recorded details of the accident, the claimant's injuries, her treatment and her return to work. 5. [DTM] reported that at the time of the accident she was working at a chicken farm four days a week seven and a half hours a day. Her duties included fencing, slashing, feeding and moving chickens. She was also working concurrently for a flower farm one day a week. 6. Dr Lee diagnosed: a T9 wedge fracture with 25% vertebral body loss, T12 wedge fracture with damage to the posterior interspinous ligament, L1 mild crush fracture with 10% vertebral body loss, fractured coccyx, fractured right calcaneus, fractured right talus, and left shoulder subacromial/subdeltoid bursitis with impingement. 7. The thoracic, lumbar and coccyx fractures, and left shoulder had stabilised. The right ankle injury had not stabilised; [DTM] having undergone right ankle surgery in July 2025. The doctor expected that injury to stabilise in the proceeding three months. With respect to her ability to resume pre-accident employment the doctor recorded as follows:
"[DTM] has resumed her pre-accident employment. She had resumed part time restricted duties from 28 October 2024 and was certified fit for pre-injury duties from the 16th January 2025 of a labour intensive manner.
She currently works three days a week in the chicken farm where she was working prior to the incident but has commenced with a new employer weeding for the elderly that she does one day a week from early this year."
"[DTM] was unable to resume pre-accident employment from the time of the incident and was certified fit for part time work with restrictions from 28 October 2024, then fit pre- injury from January 2025.
In my opinion, this is reasonable. [T]his was solely the result of the accident."
pre-injury duties. The doctor assessed a 23% permanent impairment as a result of [DTM]'s accident caused injuries. 2. A report from the NSW Ambulance service records [DTM] was injured in a "single motorbike accident". There is a description of her injuries under the headings "Case Description" and "Secondary Survey". 3. A discharge referral from John Hunter Hospital records [DTM] was admitted on 14 July 2024 and discharged on 18 July 2024. The primary diagnosis was right anterior calcaneus [heel bone] fracture. The secondary diagnosis was right talus [ankle bone] fracture, T12/L1 burst fracture with posterior T12 ligamentous disruption and pituitary cyst.
"...pt BIBA [brought in by Ambulance] post MBC [motor bike crash], pt was passenger, ?brakes failed around bend 80km/hr, bike slid and pt thrown from bike landing on R side. Wearing helmet. Nil LOC. Pt c/o neck/lumbar pain, abrasions to head and buttock. pt incontinent of urine on scene. Nil sensory deficits...moving all limbs. PMHx HTH, brain cyst, chronic neck pain..."
Multiple vertebral fractures involving T10-L1, and the coccyx. The fracture of T12 is unstable and involves the posterior elements, with associated ligamentous disruption at this level...
Incidental findings as above include cervical and lumbar degenerative change, suspected bilateral sacroiliitis [sic] along with possible uterine fibroid."
"1) No acute intracranial haemorrhage or other acute intracranial abnormality identified.
"...I would be happy for her to return to work and given that she does have some heavy lifting to do, it might be reasonable to recommence back at that three-month mark (which is in a week or so) with some gradual return to duties over perhaps half days at first. I think once she returns, she will know her limitations and should slowly increase her weight capacity from say 5 to 10 kilograms to start with and then gradually increase every week or so by 5 kilograms as she feels more confident and can reassure herself that she is not making any symptoms worse."
5 November 2025, 9 December 2025, and 27 January 2026 [DTM] was certified fit for pre-injury duties. 4. Allied health recovery requests in evidence relate to physiotherapy. The requests, together with the physiotherapy notes, have been considered. 5. The evidence includes clinical records from [DTM]'s General Practitioner (GP). The patient notes cover the period 14 July 2021 to 12 February 2025. The pre-accident notes contain references to various complaints, ailments, and treatment. The post-accident notes include references to left shoulder pain, [DTM]'s treatment, progress and fitness for work. The records also include various radiological reports and referrals. 6. The evidence includes pre and post-accident wage records and post-accident hours worked that have been recorded by hand. The pre-accident pay records are summarised in a table at [3.8] in the insurer's written submissions. As previously recorded, [DTM] agrees the summary is accurate.
post-accident loss of earnings. 2. The submissions contain a detailed breakdown of the allowances made for each head of damages. Past economic loss, including tax on weekly benefits and loss of superannuation, is calculated to be $30,710.52. The insurer has allowed an increased sum of $35,000 for past economic loss. 3. In relation to future economic loss, the insurer noted [DTM] has been certified fit for
pre-injury duties. For the reasons explained at [3.21]-[3.23] the insurer has allowed $300,000 for future economic loss. This sum includes loss of superannuation and an additional allowance of $10,000 for a loss of opportunity to take on more jobs in her gardening/lawn mowing business.
[1] The insurer's correspondence dated 9 February 2026 contains a breakdown of the offer.
[2] The allowance for past economic loss is comprised as follows:
AAI Limited t/as AAMI
DTM [2026] NSWPIC 142;