austlii:nsw/NSWPIC/2025/443
General information, not legal advice.
NSWPIC
2025-08-28
Original judgment source is linked above.
10 May 2023, the applicant's general practitioner referred the applicant to see an orthopaedic surgeon who proposed surgery involving the medial meniscus. 6. The applicant referred to undergoing various X-ray, ultrasound and MRI scans. 7. The applicant noted that she had sent a text message in which she said she was pretty sure she hurt her knee at the gym but made it worse working. The applicant stated,
"As I'm unqualified to diagnose myself, I assumed I had just twisted my knee and it would be fine. At the time, I was also experiencing issues with management and was uncertain about how they would respond, especially since I was a casual employee. I did not want to lose my Sunday shift (which paid double rates) and knew that reporting the injury as work-related would prompt a follow-up, jeopardizing my Sunday shift and the income I needed to pay my bills.
My understanding at the time of the injury was that I may have merely jarred or twisted my knee and that it would be fine the following day. This assumption was incorrect, and in hindsight, I wish I had informed my upper management about the injury. Had I done so, the text message would not have been sent, and I would have had a better understanding of the actual injury."
"Hey! It's pretty fucked aye hahaha I have no idea what's happening, I'll go doctors tomorrow.
Couldn't even walk to the car, so I sat in the lunchroom until 9. Walked outside and sat on the bench until 9:30 Before one of the boys walked me to my car."
I'll let you know on Sunday how I'm feeling, hopefully it's alright by then"
- explained the findings, with possible causes and provisional diagnosis
"25 year old lady with Right knee pain and swelling for over 3 weeks now, after twisting her Right knee - not able to recall exact mechanism. Now pain on weight bearing."
19 January 2022. Mr Chippendale took a history as follows:
"(R) Knee- Medial meniscal tear oblique/horizontal tear
MRI: Medial meniscal tear oblique/horizontal tear + medial meniscus is partially extruded into the medial gutter by 2 mm.
will await imaging report, and claim to be approved.
"...loading milk cartons, repetitive twisting and turning whilst loading milk cartons."
"Developed pain in her right knee after repetitive bending and twisting at work.
This happened several weeks ago. She has been attending physiotherapy with no relief.
Please find below the MRI results of Tiffany's right knee."
3 years ago she torn meniscus possibly following RSI at work
"This lady suffered an injury at work on 26 November 2021. She was squatting down and she was rising from the kneeling and squatting position and she felt pain in the region of the right knee while doing so. This occurred at about 7:00 pm on 26 November 2021 about halfway through her shift. She could not complete the shift. She went home because of increasing pain and swelling and put up with the pain and put an ice pack on it."
"The staff at the workplace make the following assertion that the "team member stated in one of the meetings that she went for a run then to the gym that day and that probably did not help with the injury. I believe the injury might have happened outside of work and work might have aggravated it. The team member plays sport and she went to the gym and run that day before her four hour shift". Your client denies that. She denies that there was any injury to the knee in those circumstance although she did indeed do those activities but did not injure the knee running or going to the gym."
"I also note that the MRI scan on 17 March 2022 shows an oblique horizontal cleavage tear of the medial meniscus in the posterior horn and the body which is consistent with a rising from a deep squatting position and not an injury at the gymnasium or a run."
"It appears subsequently that she has recalled the event where she was rising from a kneeling and squatting position which caused the pain and I am satisfied that that is the most likely of all of the mechanisms proposed that would cause the type of horizontal cleavage tear to the posterior and posterior horn of the body of the meniscus in this circumstance."
"This lady needs an arthroscopy. The history that she finally does give which is the kneeling at work and then rising from the kneeling position is the most likely mechanism to cause the meniscal tear that she has. Going for a run without any specific injury while running or going to the gymnasium without any specific injury while at the gymnasium is unlikely to cause that pathology.
I am reliant on the history that she gives and I do note that when she gave her history to her doctor there was no description of a mechanism of injury.
I am satisfied that if the history given of her rising from the kneeling and squatting position is indeed the way in which this injury occurred then that is the cause of the torn meniscus for which surgery is appropriate."
"Tiffany-Amber told me that during one of her working shifts at Woolworths around
26 November 2021 she had been squatting down and as she "hopped up" she felt instant pain in the right knee. She states she noticed the knee was swollen. She discontinued work and went home and applied ice to the knee and retired to bed."
27 November 2021. 3. Dr Haig formed the opinion that it appeared the applicant had a tear of the medial meniscus of the right knee although he noted there were no radiological reports in the documentation provided to him. 4. Asked to comment on the inconsistent reporting of the injury, Dr Haig said it was clear from the documentation that the injury occurred at the gym. Dr Haig did not believe the applicant sustained an injury to her right knee as a result of her employment with the respondent. Dr Haig also said there was no reason to believe the applicant had sustained an aggravation to pre-existing non-work-related injury during her employment. 5. Asked whether the proposed surgery involving the medial meniscus was reasonably necessary as a result of injury, Dr Haig responded:
"While the request for proposed surgery involving the medial meniscus may be necessary this is not as a result of any injury sustained during her employment with the insured."
27 November 2021. The applicant submitted that the reference to symptoms for one week was an error. Although the clinical record did not mention work, this was likely to be because the applicant did not want to lose her shifts and was anticipating that she would be able to get back to work quickly. 9. The consultation on 15 December 2021 referred to pain for three weeks which was consistent with an event occurring on 26 November 2021. 10. The applicant noted that she had been referred for radiological investigations including an MRI scan which noted a medial meniscal tear. 11. The applicant submitted that Dr Bodel took a history that was consistent with her statement evidence and the evidence from Mr Ross. Dr Bodel gave the opinion that squatting and kneeling was more likely to cause the particular type of injury at the applicant's knee than running or going to the gym. 12. The applicant submitted that the primary issue in the proceedings was whether the applicant was able to prove an injury on the balance of probabilities. The applicant's claim was supported by her statement evidence and the evidence of Mr Ross and Mr Buss as well as the expert opinion of Dr Bodel. 13. On the other hand, there was an indifferent history recorded in the general practitioner's notes and the text message exchange although the text message exchange still identified work as a reason for the applicant's pain. Dr Haig's opinion on causation was based on an incomplete understanding of the text message exchange.
17 January 2022, the applicant had reported an injury at work from repetitive movements. The claim form suggested that the applicant told Mr Ross about the injury that night but that there had been no witnesses during the day. The respondent submitted that this appeared to be inconsistent with Mr Ross's statement evidence. 9. The respondent observed that the applicant saw Dr Akmeemana about the injury for the first time in early 2023 and gave a history of injury three years earlier. This timeframe appeared to be inconsistent with an event on 26 November 2021. While the respondent acknowledged that there was no evidence suggesting an injury in 2020, this was said to be another unexplained inconsistency in the evidence. 10. Dr Bodel took a history of the applicant rising from a kneeling and squatting position when she felt an injury in the knee. The applicant denied any injury at the gym to Dr Bodel. Although Dr Bodel expressed the view that this mechanism was more likely to have caused the particular knee pathology than running or going to the gym, it was said to be common knowledge that people do squat at the gym at times. The respondent suggested that Dr Bodel's comments in this regard were not persuasive. 11. The respondent noted that the applicant gave a history to Dr Haig of popping up and feeling instant pain. Although there was no medical dispute regarding the nature of the pathology at the applicant's knee and the appropriate treatment for it, Dr Haig took the view that the injury occurred at the gym. Dr Haig was not satisfied that there was any aggravation of a pre-existing injury, presumably on the basis of the history given to him. 12. The respondent observed that Dr Bodel and Dr Haig were on the same page regarding treatment but Dr Haig did not agree that the need for treatment resulted from a work injury. 13. The respondent noted that the mechanism of injury was inconsistently described in the evidence. The applicant's statement evidence made reference to repetitive movements causing the injury. At other times the applicant suggested that she felt instant pain when rising from a squat. There was no mention of a twisting injury in the applicant's statement although one was recorded in the treating evidence. 14. The respondent submitted that the applicant's explanation of the text message exchange was not logical. The applicant's statement evidence that she assumed she had just twisted her knee and it would be fine was difficult to reconcile with the text message that the knee was "pretty fucked" and she had to go to the doctor. 15. The respondent submitted that it was also unclear why the applicant would be worried about losing her Sunday shift when Mr Ross' evidence was that he had seen the injury already. The respondent submitted that the applicant's statement evidence made no mention of Mr Ross being present when she injured her knee. 16. The respondent submitted that Mr Buss' evidence took the matter no further and did not say, for example, whether the applicant had been present at the gym on the day of the injury. 17. Mr Ross' evidence gave a date of injury in 2020. Although this might be a typographical error, in circumstances where the applicant relied on a frank incident and given the other inconsistencies in the evidence, the error was problematic. If Mr Ross was the applicant's supervisor and saw the injury, it was unclear why he did not report the injury. The claim form indicated that there were no witnesses to the injury. 18. The respondent submitted that in light of the inconsistencies, the Commission would prefer and accept the contemporaneous material. The applicant had not pleaded a case of an aggravation of a previous injury and it would be an error for the Commission to come to such a conclusion. The Commission would not find that the applicant sustained an injury to her right knee in the course of employment.
(a) means personal injury arising out of or in the course of employment,
(b) includes a disease injury, which means:
(i) a disease that is contracted by a worker in the course of employment but only if the employment was the main contributing factor to contracting the disease, and
(ii) the aggravation, acceleration, exacerbation or deterioration in the course of employment of any disease, but only if the employment was the main contributing factor to the aggravation, acceleration, exacerbation or deterioration of the disease,"
"(1) No compensation is payable under this Act in respect of an injury (other than a disease injury) unless the employment concerned was a substantial contributing factor to the injury.
Note. In the case of a disease injury, the worker's employment must be the main contributing factor. See section 4.
(2) The following are examples of matters to be taken into account for the purposes of determining whether a worker's employment was a substantial contributing factor to an injury (but this subsection does not limit the kinds of matters that can be taken into account for the purposes of such a determination):
(a) the time and place of the injury,
(b) the nature of the work performed and the particular tasks of that work,
(c) the duration of the employment,
(d) the probability that the injury or a similar injury would have happened anyway, at about the same time or at the same stage of the worker's life, if he or she had not been at work or had not worked in that employment,
(e) the worker's state of health before the injury and the existence of any hereditary risks,
(f) the worker's lifestyle and his or her activities outside the workplace.
(3) A worker's employment is not to be regarded as a substantial contributing factor to a worker's injury merely because of either or both of the following:
(a) the injury arose out of or in the course of, or arose both out of and in the course of, the worker's employment,
(b) the worker's incapacity for work, loss as referred to in Division 4 of Part 3, need for medical or related treatment, hospital treatment, ambulance service or workplace rehabilitation service as referred to in Division 3 of Part 3, or the worker's death, resulted from the injury.
(4) This section does not apply in respect of an injury to which section 10, 11 or 12 applies."
"A number of cases, of high authority, insist that for a tribunal of fact to be satisfied, on the balance of probabilities, of the existence of a fact, it must feel an actual persuasion of the existence of that fact. See Dixon J in Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336. His Honour's statement was approved by the majority (Dixon, Evatt and McTiernan JJ) in Helton v Allen [1940] HCA 20; (1940) 63 CLR 691 at 712."
9 March 2022, who recorded a history of "repetitive twisting and turning whilst loading milk cartons". In May 2023, Dr Akmeemana also took a history of an injury "possibly following RSI at work". 4. The Application to Resolve a Dispute was, however, amended at the conciliation conference and arbitration hearing to describe a personal injury occurring on 26 November 2021. 5. The amended description is more consistent with the applicant's written statement made on 30 July 2024, which described a particular incident on 26 November 2021, at around 7pm, when the applicant was "rising from a kneeling and squatting position" and felt pain at her right knee. 6. The amended description is also broadly consistent with what Mr Ross has described in his statement as well as the history provided to Dr Haig. 7. Dr Bodel also identified a particular incident on 26 November 2021 as the cause of the pathology at the applicant's knee. Dr Bodel stated that the event where the applicant was "rising from a kneeling and squatting position" caused the pain and was the most likely mechanism to have caused the type of horizontal cleavage tear to the meniscus seen at the applicant's right knee. 8. Neither a frank incident caused by rising from a kneeling and squatting position, nor an injury caused by repetitive twisting and turning while loading milk cartons, is described in the most contemporaneous accounts of the injury. 9. The first account of how the injury occurred is contained in the text message exchange on the morning of 27 November 2021 in which the applicant said she was pretty sure she hurt her knee at the gym but made it worse working. 10. The applicant saw a general practitioner at Our Medical Home Marsden Park the same day who recorded that the applicant had reported pain and swelling at the knee for one week, which had started off with popping and clicking. The same record referred to the applicant lifting weights at the gym and running a few times per week but made no mention of any work involvement. 11. The applicant returned and saw another doctor at the same practice on 15 December 2021, at which time it was noted that the applicant was not able to recall the exact mechanism of the injury. 12. The contemporaneous evidence thus suggests that the applicant had been experiencing symptoms of pain, swelling, popping and clicking for almost a week before
26 November 2021, which she had considered was potentially associated with lifting weights at the gym or running. 13. While the text message does suggest that the knee got worse at work on
26 November 2021, the contemporaneous evidence stands in contrast to the denial of any previous symptoms and the evidence of an acute onset of pain while rising from a kneeling and squatting position at work in the histories provided to Dr Bodel and Dr Haig and in the applicant's statement. 14. A work-related injury was not formally notified to the respondent for another month on
17 January 2022. The applicant has sought to explain the delay in reporting a work-related cause for the knee symptoms in her statement evidence. The applicant said she assumed she had just jarred or twisted her knee and it would be fine the following day. The applicant also said she was experiencing issues with management and did not want to jeopardise her Sunday shift and income, given she was a casual employee. 15. I am not satisfied, however, that this adequately explains the delay of almost two months in reporting a work-related injury. During that period the applicant underwent radiological investigations which revealed a meniscal tear. The knee remained symptomatic and did not get better. When the applicant did eventually formally report the injury, she did not describe a frank incident on 26 November 2021 involving rising from a kneeling and squatting position but an injury due to repetitive twisting. 16. The value of contemporaneous evidence has been repeatedly endorsed by the courts: Watson v Foxman[2] and Onassis v Vergottis.[3] In the latter case, Lord Pearce commented upon what is often recollected and said by witnesses after an event, as opposed to what is contemporaneously recorded in documents at the time of the event, in the following terms:
"Witnesses, especially those who are emotional, who think that they are morally in the right, tend very easily and unconsciously to conjure up a legal right that did not exist. It is a truism, often used in accident cases, that with every day that passes the memory becomes fainter and the imagination becomes more active. For that reason a witness, however honest, rarely persuades a Judge that his present recollection is preferable to that which was taken down in writing immediately after the accident occurred. Therefore, contemporary documents are always of the utmost importance. And lastly, although the honest witness believes he heard or saw this or that, is it so improbable that it is on the balance more likely that he was mistaken? On this point it is essential that the balance of probability is put correctly into the scales in weighing the credibility of a witness. And motive is one aspect of probability. All these problems compendiously are entailed when a Judge assesses the credibility of a witness; they are all part of one judicial process. And in the process contemporary documents and admitted or incontrovertible facts and probabilities must play their proper part."
"Experience teaches that busy doctors sometimes misunderstand or misrecord histories of accidents, particularly in circumstances where their concern is with the treatment or impact of an indisputable, frank injury."
"... the Arbitrator wrongly directed himself that the matter could be decided based on the credit of Ms Ireland alone. The task before the Arbitrator was to weigh the evidence of Ms Ireland together with other objective evidence, or the absence of it. The Arbitrator erred in failing to give due weight to Ms Ireland's failure to make any report of injury to her back on the day of the accident. The absence of any documentary evidence from Dr Epps or Dr Baker to support any complaints of back pain, either contemporaneous to the accident or at least at intervals during the period between the accident and when it was first reported to Dr Wallace, is a significant omission in Ms Ireland's case."
Clements
Woolworths Group Ltd [2025] NSWPIC 443;
(1940) 63 CLR 691
(1938) 60 CLR 336
(1995) 49 NSWLR 315