The relief claimed by the applicant and his allegations of discrimination
10 The originating application which is brought under the Australian Human Rights Commission Act 1986 (Cth) (the AHRC Act) claims $700,000 compensation as sole relief. He had earlier brought the same claim by complaint to the Australian Human Rights Commission (AHRC) which was on 11 October 2011, terminated by a Delegate of the President of the Commission under s 46PH(1)(c) of that Act. A formal Notice of Termination was issued to the applicant from the Commission on 11 October 2011. That termination enabled the applicant to bring the present proceeding in this Court.
11 The relief is claimed on the basis of discrimination; specifically, the DD Act. The applicant states the following in his originating application:
CASA discriminate against me & my family, did not do by the Rules set by CASA. CASA provide wrong information (mis Leading information). Will claim $700,000.
Transcribed without amendment.
12 I will now describe the applicant's case for discrimination before the AHRC and now this Court.
13 On 28 March 2008, the applicant applied for a flight crew licence with CASA. At that time, the applicant submitted to a number of medical assessments and tests, and had his application for a licence approved along with a medical certificate as certified by CASA. The medical certificate was expressed to be valid until 22 September 2010.
14 The applicant applied for renewal of his medical certificate in May 2010. He completed a Medical Questionnaire and Examination Form on 1 May 2008. This included, relevantly, information that he had been stabbed in 1998 in his right forearm requiring tendon and vascular repair but that he had made a full recovery. He later provided CASA with a handwritten note from a Dr Sam dated 13 August 2010 which was considered by a panel of doctors.
15 This note, whilst, in part, is difficult to read, records that the applicant had previously suffered from depression for which he was prescribed medication called Luvox. The note concludes:
He has some depression and sometimes he doesn't trust some people.
16 CASA then wrote to the applicant by letter dated 9 December 2010. It was authored by Dr Ian Cheng from CASA's Aviation Medicine section and contains CASA's requests for further medical reports to be provided by the applicant. It is these two requests with which the applicant refused to comply and which are the genesis of this proceeding. It is instructive to set out its terms in full.
09 December 2010
Mr Mustafa Mahmoud Mustafa Atieh
84 HUNTINGDALE ROAD
HUNTINGDALE WA AUSTRALIA 6110
Dear Mr Atieh
The information supplied to date has been discussed by a panel of doctors. Unfortunately, the hand written note from Dr Sam dated 13/8/10 and extracts from what appears to be your case notes are neither sufficient nor legible enough for us to proceed with an appropriate risk assessment of your medical condition. It is also noted from the information provided from Royal Perth Hospital that it appears you did not attend the psychiatry outpatients appointment made for you for 17 December 2007.
Also, it is noted that you sustained a stab would (sic) to your right upper forearm in 1998. Dr Baskaranathan noted that at the time you could not use your hand to do even minor activities as it would provoke pain. The OT functional assessment stated you were unable to lift half a jug which weighed 800 gm.
Further to the letters from Dr Drane of 29/7/10 and 2/9/10, in order to finalise your medical assessment, more detailed information is required regarding your history of;
1) Mental health condition. CASA requires a typed report from a psychiatrist with respect to:
• Date when first assessed
• Onset of condition
• Symptoms, including any of suicidal ideation, psychosis, mania or anxiety
• Details of any hospital assessment
• Treatment, response to treatment and side effects
• DSM IV diagnosis
• Current clinical status
• Ongoing management plan
• Prognosis
2) Right upper limb injury. CASA requires a typed report from your treating doctor with respect to:
• Range of movement
• Strength
• Neurovascular status
• Any ongoing requirement for analgesia
Please you show this letter to the doctors to ensure the required information is provided. On receipt of the two reports we will be pleased to continue the assessment. CASA is unable to cover any cost incurred.
Yours faithfully
Dr Ian Cheng
Aviation Medicine
17 The applicant has simply refused to comply with CASA's requests for the two further reports described in this letter and indeed complained about being asked for such information in a letter to CASA dated 1 February 2011.
18 CASA responded by its letter of 15 March 2011 which stated:
15 March 2011
Mr Mustafa Atieh
84 Huntingdale Road
Huntingdale WA 6110
Dear Mr Atieh,
I refer to your correspondence of 1 February 2011 in which you complain that officers from the Civil Aviation Safety Authority (CASA) have requested additional information in relation to your aviation medical certificate. You state that CASA knew about your medical conditions when you initially applied for a student pilot licence and that these conditions have not changed since 1998. You believe that by issuing a medical certificate to you in 2008 CASA has wasted your time, effort and $30 000. You request compensation for the losses you have incurred.
In investigating your complaint I have reviewed the information you sent to me, CASA's file and information provided by your doctors. The outcome of my investigation is set out below.
On the 9th May 2008 CASA received a Medical Questionnaire and Examination Form for the Original issue of a Medical Certificate form for you completed by Dr Dymond. On that form your doctor advised that you had suffered pain severe enough to be disabling, taken medically prescribed drugs for longer than two consecutive weeks and had a major surgical operation.
In the comments section of that form, Dr Dymond notes that in 1998 you were attacked by a group of drunken individuals and stabbed in the proximal, medial right forearm. This required tendon and vascular repair and for several weeks you took pain killers and anti-inflammatory medication. Dr Dymond noted that you made a full recovery with 'ROM, strength and no sensory loss' and that you no longer required any medication.
Dr Dymond said that you have have (sic) not:
- 'suffered from any nervous breakdown or anxiety state
- received any psychiatric examination or treatment.'
You did not disclose your use of the drug Luvox or your history of depression and anxiety on this form. Your medical certificate was issued on the basis of the information you provided.
On 3rd March 2010, in a phone conversation with CASA officer Tim Popham, you advised that you have been on Luvox since 2002. On the Medical Questionnaire and Examination Form for the Original issue of a Medical Certificate form dated 22 July 2010 Dr Ward advised that you have taken medically prescribed drugs for longer than two consecutive weeks and, in the comments section, advised that you were prescribed Luvox at 50mg per day. He notes
-'Pt reports that he does not take this when flying and he takes the tablets when he is stressed.'
Dr Ward also answered yes to the question
-'Do you consider there are any areas of concern in the applicant's assessment which require specialist referral or counselling?'
There are a number of inconsistencies between the medical history provided to CASA in 2008 and that which has subsequently come to light. First, although you were prescribed an anti-depressant from 2002, this was not disclosed on your 2008 medical form. If you had disclosed that information at the time, CASA medical officers would have undertaken the same investigations and assessments at that time as are currently in train.
Further, in a telephone conversation with CASA's Chief Medical Officer on 7 September 2010 you advised that you had been in receipt of a disability support pension from Centrelink. The fact that you had been in receipt of such a payment, even if it ceased at some point, suggests that you have or had a level of impairment that was not disclosed to CASA.
From my investigation it appears that CASA officers relied on the information you and your doctor provided in 2008 to issue you with a medical certificate. It has subsequently become evident that the information on which they relied was not complete. It is not possible for me to decide whether you would or would not have been issued with a medical certificate at that time if your complete medical history was known - that would have been dependent on the assessment of the medical officers at that time. However it is not reasonable to say that these officers were deficient in any way in issuing your certificate at that time when they relied on the information provided by you.
Further, when learning of your psychological condition and that you have previously been assessed by another Australian government agency to have an impairment that warranted the payment of a disability support pension, the CASA medical officers had no option but to seek further and better particulars of your medical conditions in order to make a proper assessment. I understand that they asked you to provide information from your treating doctors in order to fully understand the nature and effect of your depression and the limitation in movement and strength in your previously injured arm. The Aviation Medicine Branch is awaiting those details in order to make an assessment about your current medical certificate.
Consequently I do not believe that members of the Aviation Medicine Branch are acting inappropriately in seeking further information about your medical conditions or that they were deficient in issuing your medical certificate in 2008. I trust this has clarified the situation.
Yours sincerely
Elizabeth Hampton
Industry Complaints Commissioner
19 The applicant claims that CASA had not performed their duties towards him with "fairness and decency" and he blames CASA for its "careless contradicting sense of judgment". He states that he "wasted nearly 2 years and over 30 thousand dollars".